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比较微创技术(细胞学、细胞块、免疫细胞化学和克隆性分析)在诊断犬多中心淋巴瘤中的准确性。

Comparison of the accuracy of minimally invasive techniques (cytology, cell block, immunocytochemistry and clonality assay) in the diagnosis of canine multicentric lymphoma.

机构信息

Centre for Interdisciplinary Research in Animal Health (CIISA), Faculty of Veterinary Medicine, University of Lisbon, 1300-477 Lisbon, Portugal; Associate Laboratory for Animal and Veterinary Sciences (AL4AnimalS), 1300-477 Lisbon, Portugal; Veterinary Teaching Hospital, Faculty of Veterinary Medicine, University of Lisbon, 1300-477 Lisbon, Portugal.

Centre for Interdisciplinary Research in Animal Health (CIISA), Faculty of Veterinary Medicine, University of Lisbon, 1300-477 Lisbon, Portugal; Associate Laboratory for Animal and Veterinary Sciences (AL4AnimalS), 1300-477 Lisbon, Portugal.

出版信息

Res Vet Sci. 2024 Nov;180:105420. doi: 10.1016/j.rvsc.2024.105420. Epub 2024 Sep 24.

Abstract

Lymphoma ranks among the most prevalent neoplasms in veterinary oncology, frequently diagnosed in dogs, particularly in its multicentric form. While histopathology plays a crucial role in lymphoma diagnosis, prognosis and prediction of biological behavior, minimally invasive diagnostic methods are increasingly emerging as viable alternatives. This study aims to assess and compare various minimally invasive diagnostic techniques for multicentric lymphomas in dogs. A total of 38 dogs, encompassing various sexes, ages, and breeds, with clinical suspicion of multicentric lymphoma, was included in the study. Fine needle aspiration was employed to collect samples from lymph nodes, which were subsequently used for cytology, cell block preparation, PCR for antigen receptor rearrangement (PARR), and immunocytochemistry. Among the animals evaluated, 31 dogs received a cytological diagnosis of lymphoma, while 7 showed findings suggestive of lymphoma or lymphadenitis. Immunocytochemistry on cytological smears yielded inconclusive results in 50 % of cases, with 44.74 % diagnosed with B-cell lymphoma and 5.26 % with T-cell lymphoma. Cell block analysis identified lymphoma in 30 dogs and suggested lymphoma or a round cell neoplasm in 8 cases. Cell block immunocytochemistry confirmed lymphoma in 35 dogs, comprising 80 % B-cell and 20 % T-cell lymphomas. PARR revealed monoclonal rearrangement/clonality in 33 cases, with 84.85 % of these being B-cell and 15.15 % T-cell lymphomas. This study underscores the precision of minimally invasive techniques in diagnosing and characterizing multicentric lymphoma in dogs, reaffirming their significance in veterinary clinical practice.

摘要

淋巴瘤是兽医肿瘤学中最常见的肿瘤之一,常发生于犬,尤其以多中心形式多见。虽然组织病理学在淋巴瘤的诊断、预后和生物行为预测中具有重要作用,但微创诊断方法作为可行的替代方案越来越受到关注。本研究旨在评估和比较各种用于犬多中心淋巴瘤的微创诊断技术。共有 38 只犬,包括不同性别、年龄和品种,因多中心淋巴瘤的临床疑似病例而纳入研究。采用细针抽吸术从淋巴结采集样本,随后进行细胞学检查、细胞块制备、抗原受体重排聚合酶链反应(PARR)和免疫细胞化学检查。在评估的动物中,31 只犬的细胞学诊断为淋巴瘤,7 只犬表现为淋巴瘤或淋巴结炎的表现。免疫细胞化学在细胞学涂片上的结果为 50%不确定,其中 44.74%诊断为 B 细胞淋巴瘤,5.26%诊断为 T 细胞淋巴瘤。细胞块分析在 30 只犬中确定了淋巴瘤,并在 8 只犬中提示为淋巴瘤或圆形细胞瘤。细胞块免疫细胞化学在 35 只犬中确认了淋巴瘤,其中 80%为 B 细胞淋巴瘤,20%为 T 细胞淋巴瘤。PARR 在 33 只犬中显示单克隆重排/克隆性,其中 84.85%为 B 细胞淋巴瘤,15.15%为 T 细胞淋巴瘤。本研究强调了微创技术在诊断和表征犬多中心淋巴瘤的精确性,再次证实了其在兽医临床实践中的重要性。

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