Day M J, Lucke V M, Pearson H
Department of Pathology and Microbiology, University of Bristol, Langford.
J Small Anim Pract. 1995 Oct;36(10):426-33. doi: 10.1111/j.1748-5827.1995.tb02769.x.
The pathological findings in 87 cases of canine splenic abnormality recognised clinically by abdominal palpation or radiography, or at exploratory laparotomy, are presented. The most common diagnosis was of splenic neoplasia (n = 38) and the most frequently recognised canine splenic neoplasm was haemangiosarcoma (17 of 38 cases). Benign splenic enlargement secondary to nodular hyperplasia (n = 6), haematoma (n = 16) or non-specific changes including congestion, haemorrhage, extramedullary haemopoiesis and haemosiderin deposition (n = 14) was also recognised. A diagnosis of non-specific pathology was more frequently recorded when portions of spleen, as opposed to the entire organ, were submitted for assessment. Splenic infarction, with (n = 3) or without (n = 7) torsion, abscessation (n = 2) and focal mast cell proliferation (n = 1) accounted for the remainder of the cases. Clinical follow-up was available for 35 cases and revealed good long-term survival in cases of splenic haematoma or haemangioma, with relatively poor survival with a diagnosis of splenic haemangiosarcoma or anaplastic sarcoma. A range of splenic disorders was recognised in dogs of the labrador breed (16 of 87 cases) and three of 17 cases of haemangiosarcoma occurred in German shepherd dogs. The possible predisposition of dogs of these breeds to splenic disorders is discussed.
本文呈现了87例通过腹部触诊、放射成像或剖腹探查临床诊断出的犬脾脏异常的病理结果。最常见的诊断是脾脏肿瘤(n = 38),最常确诊的犬脾脏肿瘤是血管肉瘤(38例中的17例)。继发于结节性增生(n = 6)、血肿(n = 16)或包括淤血、出血、髓外造血和含铁血黄素沉积在内的非特异性变化(n = 14)的良性脾脏肿大也有发现。当送检的是部分脾脏而非整个器官时,非特异性病理诊断的记录更为常见。脾梗死伴(n = 3)或不伴(n = 7)扭转、脓肿形成(n = 2)和局灶性肥大细胞增生(n = 1)占其余病例。35例有临床随访,结果显示脾脏血肿或血管瘤病例长期存活良好,而诊断为脾脏血管肉瘤或间变性肉瘤的病例存活率相对较低。在拉布拉多犬种中发现了一系列脾脏疾病(87例中的16例),17例血管肉瘤中有3例发生在德国牧羊犬中。本文讨论了这些犬种可能易患脾脏疾病的因素。