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一只犬的T细胞起源神经淋巴瘤

Neurolymphomatosis of T-Cell Origin in a Dog.

作者信息

Müller Marie-Kerstin, Irmscher Michaela, Goldbach Nadja, Haake Alexander F H, Kershaw Olivia, Baloi Penelope A

机构信息

AniCura Potsdam GmbH, Potsdam, Germany.

IDEXX Vet Med Labor GmbH, Kornwestheim, Germany.

出版信息

J Vet Intern Med. 2025 Jul-Aug;39(4):e70189. doi: 10.1111/jvim.70189.

Abstract

A 10-year-old mixed-breed dog was presented with progressive neurological deficits suggestive of polyneuropathy. CT and MRI revealed no relevant abnormalities, whereas the CSF analysis showed a marked lymphocytic pleocytosis, immunocytochemically classified as T-cell lymphoma. Chemotherapy ensued with no improvement of clinical signs. Cerebrospinal fluid reanalysis still revealed a mild lymphocytic pleocytosis. MRI of the brain and spinal cord solely showed a reduced ventral subarachnoid and epidural space (Th11-L2) and mild enlargement of the central canal in this area. Postmortem examination revealed thickening of the spinal nerve roots and ganglia. Histologically, a marked intraspinal-subdural and intraneural, as well as intra-ganglionic, infiltration by large lymphocytes in the peripheral nervous system was visible. Immunohistochemically, the infiltrating lymphoblasts were CD3 positive, confirming T-cell origin. Neurolymphomatosis is a rarely described neoplastic disease in dogs. The present case highlights the importance of analysis of CSF in neurologically abnormal dogs.

摘要

一只10岁的混血犬出现进行性神经功能缺损,提示患有多发性神经病。CT和MRI检查未发现相关异常,而脑脊液分析显示淋巴细胞明显增多,经免疫细胞化学分类为T细胞淋巴瘤。随后进行了化疗,但临床症状并无改善。脑脊液复查仍显示淋巴细胞轻度增多。脑部和脊髓的MRI仅显示腹侧蛛网膜下腔和硬膜外间隙(胸11-腰2)变窄,以及该区域中央管轻度扩张。尸检发现脊神经根和神经节增厚。组织学检查可见外周神经系统中脊髓硬膜下、神经内以及神经节内有大量淋巴细胞浸润。免疫组织化学检查显示浸润的淋巴母细胞CD3阳性,证实为T细胞来源。神经淋巴瘤病是一种在犬类中很少被描述的肿瘤性疾病。本病例强调了对神经功能异常犬进行脑脊液分析的重要性。

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