Zaruby J F, Livesey M A, Percy D H
Department of Clinical Studies, Ontario Veterinary College, University of Guelph, Canada.
Cornell Vet. 1993 Oct;83(4):283-9.
This clinical report describes an 8-year-old Thoroughbred mare that was presented for evaluation of a chronic, unilateral nasal discharge. Findings on physical examination, radiology, and video-endoscopy supported a clinical diagnosis of ethmoidal hematoma. After surgical ablation of the mass a defect was detected in the cribriform plate. At necropsy a 1.5 cm aperture was identified in the left cribriform plate allowing direct communication between the fundus of the nasal cavity and the cranium. Histology of the mass identified tissue consistent with an adenocarcinoma. History of profuse epistaxis warrants further investigation to differentiate malignant lesions from the more common benign lesions. During surgical ablation of large, space-occupying masses of the caudodorsal nasal cavity the cribriform plate should be examined for defects or secondary erosive lesions.
本临床报告描述了一匹8岁的纯种母马,因慢性单侧鼻分泌物而前来评估。体格检查、放射学检查和视频内窥镜检查结果支持筛窦血肿的临床诊断。肿块手术切除后,在筛板上发现了一个缺损。尸检时,在左侧筛板上发现一个1.5厘米的孔洞,使鼻腔底部与颅骨直接相通。肿块的组织学检查确定为与腺癌一致的组织。大量鼻出血的病史值得进一步调查,以区分恶性病变与更常见的良性病变。在手术切除鼻后背部大的占位性肿块时,应检查筛板是否有缺损或继发性侵蚀性病变。