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一只犬的多灶性黏液性水肿和混合性甲状腺肿瘤

Multifocal myxedema and mixed thyroid neoplasm in a dog.

作者信息

Johnson J A, Patterson J M

出版信息

Vet Pathol. 1981 Jan;18(1):13-20. doi: 10.1177/030098588101800102.

Abstract

An Old English Sheepdog developed multiple tumor-like masses bilaterally on the head, back, elbows, and hocks, and severe swelling of all digital pads. The gross lesions were the result of accumulation of myxedematous connective tissue in the dermis. Abundant glycosaminoglycan-rich ground substance was confirmed by colloidal iron, toluidine blue and alcian blue stains. The dog also had a mixed follicular-compact cellular carcinoma in the left thyroid gland. The right thyroid had a tumor composed of anaplastic mesenchymal cells forming myxomatous matrix and islands of abnormal cartilage closely integrated, and possibly contiguous, with a follicular-compact cellular carcinoma. The cellular atypism and numerous aberrant mitotic figures in the mesenchymal areas suggested malignancy, although pulmonary metastases derived only from the thyroid carcinoma. Clinically, the dog showed no signs of hypo- or hyperthyroidism, although a resting serum T-4 was slightly below normal.

摘要

一只英国古代牧羊犬在头部、背部、肘部和跗关节双侧出现多个肿瘤样肿块,所有趾垫严重肿胀。肉眼可见的病变是真皮内黏液性水肿性结缔组织积聚的结果。通过胶体铁、甲苯胺蓝和阿尔辛蓝染色证实了富含糖胺聚糖的基质丰富。这只狗的左甲状腺还有一个混合性滤泡致密细胞癌。右甲状腺有一个肿瘤,由间变性间充质细胞组成,形成黏液瘤样基质和异常软骨岛,与滤泡致密细胞癌紧密整合且可能连续。间充质区域的细胞异型性和大量异常有丝分裂象提示为恶性,尽管肺转移仅源于甲状腺癌。临床上,这只狗没有甲状腺功能减退或亢进的迹象,尽管静息血清T-4略低于正常水平。

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