Crow S E, Allen D P, Murphy C J, Culbertson R
Sacramento Animal Medical Group, Carmichael, California 95608.
J Am Anim Hosp Assoc. 1995 Jan-Feb;31(1):29-33. doi: 10.5326/15473317-31-1-29.
Concurrent renal adenocarcinoma and polycythemia were diagnosed in a 19-month-old, female Rhodesian ridgeback. An unusually early presentation for this neoplasm, it is the second reported case of renal adenocarcinoma in a dog less than two years of age. Concurrent renal adenocarcinoma and polycythemia have been reported previously in four older dogs. In the dog of this report, clinical signs included brick-red mucous membranes, lethargy, a periodic systolic heart murmur, and engorged retinal vessels. A large retroperitoneal mass and pulmonary metastatic nodules were present at the time of diagnosis. Red blood cell count, packed cell volume, and hemoglobin concentration were greatly increased (12,940,000 red blood cells/microliter; 73.2%; and 26.6 g/dl, respectively). Histopathological diagnosis was renal adenocarcinoma. Polycythemia was the result of excessive erythropoietin production by the neoplasm.
在一只19个月大的雌性罗得西亚脊背犬中诊断出同时患有肾腺癌和红细胞增多症。这是该肿瘤异常早期的表现,是第二例报道的年龄小于两岁犬的肾腺癌病例。之前曾有四只年龄较大的犬被报道同时患有肾腺癌和红细胞增多症。在本报告的这只犬中,临床症状包括砖红色黏膜、嗜睡、周期性收缩期心脏杂音和视网膜血管充血。诊断时发现有一个大的腹膜后肿块和肺转移结节。红细胞计数、红细胞压积和血红蛋白浓度大幅升高(分别为12940000个红细胞/微升、73.2%和26.6克/分升)。组织病理学诊断为肾腺癌。红细胞增多症是肿瘤过度产生促红细胞生成素的结果。