Wallick Maya E, Lechner Matthew J, Bonaventura Nicole C
Veterinary Referral Associates, Gaithersburg, MD, USA.
JFMS Open Rep. 2024 Nov 28;10(2):20551169241289405. doi: 10.1177/20551169241289405. eCollection 2024 Jul-Dec.
A 15-year-old male castrated domestic shorthair cat was presented for acute lethargy, vomiting and hyporexia. Abdominal and thoracic radiographs revealed a caudal thoracic/esophageal soft tissue opacity with concern for an esophageal mass or an esophageal foreign body. Esophagoscopy confirmed the presence of a large, irregular, mid-esophageal mass. Laser ablation using esophagoscopy was utilized to debulk the mass. Approximately 80% of the mass was removed without complication and an esophagostomy feeding tube was placed. The cat was discharged the same day of the procedure. Histopathology and immunohistochemistry staining were consistent with a plasma cell tumor. Recheck esophagoscopy 2 weeks after the procedure revealed no evidence of regrowth and resolved clinical signs in the patient.
Laser ablation of esophageal neoplasms in cats represents a novel, lower cost, minimally invasive, palliative treatment alternative to surgery. To the authors' knowledge, this is the first published report of successful partial laser ablation treatment of a large esophageal plasma cell tumor in a cat.
一只15岁已绝育的雄性家养短毛猫因急性嗜睡、呕吐和食欲减退前来就诊。腹部和胸部X光片显示胸段尾部/食管软组织密度增高,怀疑有食管肿物或食管异物。食管镜检查证实食管中段存在一个大的、不规则的肿物。使用食管镜进行激光消融以减少肿物体积。大约8%的肿物被切除,无并发症发生,并放置了食管造口喂食管。这只猫在手术当天出院。组织病理学和免疫组织化学染色结果与浆细胞瘤一致。术后2周复查食管镜检查显示没有肿物再生长的迹象且病猫临床症状已缓解。
猫食管肿瘤的激光消融是一种新型、低成本、微创的姑息性治疗方法,可替代手术。据作者所知,这是首次发表的关于成功对猫的大型食管浆细胞瘤进行部分激光消融治疗的报告。