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以肢体后肢跛行为表现的转移性癌:通过滑液细胞学进行诊断

Metastatic carcinoma presenting as hind-limb lameness: diagnosis by synovial fluid cytology.

作者信息

Meinkoth J H, Rochat M C, Cowell R L

机构信息

Department of Veterinary Pathology, College of Veterinary Medicine, Oklahoma State University, Stillwater 74078, USA.

出版信息

J Am Anim Hosp Assoc. 1997 Jul-Aug;33(4):325-8. doi: 10.5326/15473317-33-4-325.

DOI:10.5326/15473317-33-4-325
PMID:9204468
Abstract

A dog presented for evaluation of left hind-limb lameness and pain associated with manipulation of the tail. Synovial metastasis of a carcinoma was diagnosed by joint fluid examination. A primary bronchiolar-alveolar carcinoma with widespread (including synovial and skeletal) metastases was diagnosed on postmortem examination. Metastasis to synovial surfaces is uncommon, but when it occurs, the metastasis-induced arthritis may be the initial presenting complaint for which medical attention is sought. Although rarely reported, cytological examination of synovial fluid may be diagnostic. This paper presents an interesting clinical case and reviews the literature concerning metastatic disease of the synovium.

摘要

一只犬因左后肢跛行及尾巴触诊疼痛前来评估。通过关节液检查诊断为癌的滑膜转移。尸检诊断为原发性细支气管肺泡癌伴广泛转移(包括滑膜和骨骼转移)。滑膜表面转移并不常见,但一旦发生,转移所致关节炎可能是寻求医疗关注的首发主诉。尽管报道较少,但滑膜液细胞学检查可能具有诊断价值。本文介绍了一个有趣的临床病例并复习了有关滑膜转移性疾病的文献。

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