Lubczyk B, Nothelfer H B
Klinik für Pferde, allgemeine Chirurgie und Radiologie, Freien Universität Berlin.
Berl Munch Tierarztl Wochenschr. 1993 Aug;106(8):269-75.
A case of generalized equine leucosis is presented. The most important clinical signs were cachexia, loss of condition, fever, tachycardia, subcutaneous tumors and severe lameness accompanied by edema of the right thoracic limb. Hematology showed anemia and neutrophilia; clinical biochemistry indicated hypalbuminemia, hyperphosphatemia and hyperfibrinogenemia. Necropsy revealed multiple tumors throughout the body which mainly originated from lymph nodes. Histopathologically the tumors consisted of two cell-types: a. uniform lymphocytoid cells with a highly infiltrative growth pattern; b. heteromorphic noninvasive lymphoblastoid cells with production of "reticular" fibers. Diagnostic problems of clinical and pathological findings are discussed.
本文报告一例马全身性白血病病例。最重要的临床症状为恶病质、身体状况下降、发热、心动过速、皮下肿瘤以及右前肢严重跛行并伴有水肿。血液学检查显示贫血和嗜中性粒细胞增多;临床生化指标表明存在低白蛋白血症、高磷血症和高纤维蛋白原血症。尸检发现全身多处肿瘤,主要起源于淋巴结。组织病理学检查显示肿瘤由两种细胞类型组成:a. 具有高度浸润性生长模式的均匀淋巴细胞样细胞;b. 产生“网状”纤维的异形非侵袭性淋巴母细胞样细胞。文中讨论了临床和病理检查结果的诊断问题。