Manfredi Martina, Morabito Simona, Fournier Quentin, Panopoulos Ioannis, Thierry Florence, Schwarz Tobias, Lopez Cristobal, Baldinetti Manuela, Massarenti Chiara, Zani Davide Danilo, Longo Maurizio
Department of Veterinary Medicine, Università degli Studi di Milano, Lodi, Italy.
AniCura Ospedale Veterinario "I Portoni Rossi", Bologna, Italy.
Vet Radiol Ultrasound. 2025 Jan;66(1):e13476. doi: 10.1111/vru.13476.
The aim of this retrospective multicentric case series is to describe the CT findings of ovarian neoplasia in dogs. Twenty dogs with pre- and postcontrast CT exams and cytological/histological diagnosis of ovarian neoplasia were included. Five dogs presented with bilateral tumors, for a total of 25 neoplasms: 15 carcinomas (4 bilateral), 4 granulosa cell tumors, 2 poorly differentiated malignant neoplasia (bilateral), 2 luteomas, 1 teratoma, 1 dysgerminoma. In two dogs, the tumor developed from an ovarian remnant. Ovarian tumors showed variable size, lobulated shape, and precontrast heterogenous appearance. Mineral foci and/or fat components were rare, observed in teratoma, granulosa cell tumors (2), and ovarian carcinoma. Tumor type was not found to be associated with any CT features. Larger masses were more likely located in the central abdomen ventral to the ipsilateral kidney, demonstrated signs of tumor rupture, and were associated with abdominal or sternal lymphadenopathy and peritoneal effusion. A tortuous ovarian artery was constantly detectable, associated with an enlarged gonadal vein (12 cases). Related cavitary changes were peritoneal effusion (14 dogs) and sternal lymphadenopathy (7 dogs). Presumed or confirmed metastasis was reported in 9 of 20 cases, with CT evidence of transcoelomic (serosal thickening, peritoneal nodules, omental cake, implant lesions to the liver, spleen, and diaphragm), lymphatic and hematogenous spread (lungs, liver, bone, muscles, and spleen). In conclusion, the present study reports the CT features of different canine ovarian neoplasia. A tortuous ovarian artery may be useful to consistently recognize the ovarian origin of a large abdominal mass.
本回顾性多中心病例系列研究旨在描述犬卵巢肿瘤的CT表现。纳入了20只进行了增强前后CT检查且经细胞学/组织学诊断为卵巢肿瘤的犬。5只犬出现双侧肿瘤,共计25个肿瘤:15个癌(4个双侧)、4个颗粒细胞瘤、2个低分化恶性肿瘤(双侧)、2个黄体瘤、1个畸胎瘤、1个无性细胞瘤。在2只犬中,肿瘤由卵巢残件发展而来。卵巢肿瘤大小不一,呈分叶状,平扫时表现为不均匀。在畸胎瘤、颗粒细胞瘤(2例)和卵巢癌中罕见矿物质灶和/或脂肪成分。未发现肿瘤类型与任何CT特征相关。较大肿块更可能位于同侧肾脏腹侧的中腹部,有肿瘤破裂迹象,并伴有腹部或胸骨旁淋巴结肿大及腹腔积液。可经常检测到迂曲的卵巢动脉,伴有性腺静脉增粗(12例)。相关的空洞性改变为腹腔积液(14只犬)和胸骨旁淋巴结肿大(7只犬)。20例中有9例报告有推测或证实的转移,CT显示有经腔(浆膜增厚、腹膜结节、网膜饼、肝脏、脾脏和膈肌植入性病变)、淋巴和血行转移(肺、肝脏、骨骼、肌肉和脾脏)。总之,本研究报告了不同犬卵巢肿瘤的CT特征。迂曲的卵巢动脉可能有助于持续识别腹部大肿块的卵巢起源。