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犬原发性大 B 细胞来源拟孤立性眼淋巴瘤伴 Mott 细胞样变。

Presumed solitary ocular lymphoma of large B-cell origin with Mott cell change in a dog.

机构信息

Department of Veterinary Internal Medicine and Institute of Veterinary Science (Jeong, Chung, Ahn) and Department of Veterinary Surgical Science (Kwak, Woo) and Department of Veterinary Medical Imaging (Choi), College of Veterinary Medicine, Kangwon National University, Kangwondaehak-gil 1, Chuncheon-si, 24341, Gangwon-do, South Korea; IDEXX Laboratories, Inc., 1 IDEXX Drive, Westbrook, Maine 04092, USA (Chalkley).

出版信息

Can Vet J. 2024 Oct;65(10):1006-1012.

Abstract

A 4-year-old female Maltese dog was referred to our veterinary hospital with uveitis and conjunctivitis of the right eye. An ophthalmological evaluation revealed an intraocular mass that appeared to originate from the anterior uvea. Metastasis and regional invasion were not detected with CT examination. Enucleation of the right eye was recommended; however, the owner declined treatment. Six months later, the dog was re-presented with a right facial mass. At presentation, superficial lymph node enlargement was not appreciated, and no apparent alterations were noted on blood analysis or urinalysis. Computed tomography revealed an intraocular mass that invaded the surrounding tissues, including the frontal sinus. Presumed solitary ocular lymphoma with a large B-cell phenotype and Mott cell change was diagnosed histopathological and immunohistochemical examination of a biopsy of the lesion. As the mass was too large for complete excision, neoadjuvant chemotherapy was administered. Complete remission was achieved using the L-COAP protocol and successful exenteration of the right eye. However, the dog was returned with enlargement of the right retropharyngeal lymph nodes. To the best of our knowledge, this is the first case report of presumed solitary ocular lymphoma with a large B-cell phenotype displaying Mott cell change in a dog. Key clinical message: This is the first reported case of a presumed solitary ocular lymphoma with a large B-cell phenotype and Mott cell change. Although systemic involvement was observed 6 mo after the initial visit, neoadjuvant chemotherapy and exenteration were effective.

摘要

一只 4 岁雌性马耳他犬因右眼葡萄膜炎和结膜炎被转诊至我们的兽医医院。眼科评估显示,眼内有一个似乎起源于眼前葡萄膜的肿块。CT 检查未发现转移和局部侵犯。建议右眼眼球摘除,但主人拒绝治疗。6 个月后,这只狗因右侧面部肿块再次就诊。就诊时,未触及浅表淋巴结肿大,血液分析和尿液分析也未见明显异常。计算机断层扫描显示眼内肿块侵犯周围组织,包括额窦。对病变活检进行组织病理学和免疫组织化学检查,诊断为疑似孤立性眼淋巴瘤,表现为大 B 细胞表型和 Mott 细胞改变。由于肿块太大无法完全切除,先进行了新辅助化疗。采用 L-COAP 方案获得完全缓解,并成功进行了右眼眼球摘除术。然而,这只狗右侧咽后淋巴结肿大。据我们所知,这是首例犬疑似孤立性眼淋巴瘤,表现为大 B 细胞表型和 Mott 细胞改变。关键临床信息:这是首例报道的疑似孤立性眼淋巴瘤,表现为大 B 细胞表型和 Mott 细胞改变。尽管在初次就诊后 6 个月观察到全身受累,但新辅助化疗和眼球摘除是有效的。

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本文引用的文献

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