Rivers B J, Walter P A, Feeney D A, Johnston G R
Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Minnesota, St. Paul 55108, USA.
Vet Radiol Ultrasound. 1997 Jul-Aug;38(4):300-6. doi: 10.1111/j.1740-8261.1997.tb00859.x.
Adenocarcinoma, followed by lymphosarcoma, are the most common feline intestinal neoplasms. Clinicopathological, survey radiographic, and ultrasonographic findings of five cats with intestinal adenocarcinoma are reported. An abdominal mass was palpable in all five cats, but the mass could be localized to bowel in only two cats. Radiographically an abdominal mass was detected in only one cat. Ultrasonographically there was a segmental intestinal mural mass in all five cats. The mass was characterized by circumferential bowel wall thickening with transmural loss of normal sonographic wall layers. In one cat, the circumferential symmetric hypoechoic bowel wall thickening was similar to that reported for segmental lymphoma. In the other four cats, the sonographic features of the thickened bowel wall were varied, being mixed echogenicity and asymmetric in 3 cats and mixed echogenicity and symmetric in one. The results of the present report suggest that sonographic observation of mixed echogenicity segmental intestinal wall thickening in the cat represents adenocarcinoma rather than lymphosarcoma, although other infiltrative diseases should be considered.
腺癌是继淋巴肉瘤之后最常见的猫肠道肿瘤。本文报告了五只患有肠道腺癌的猫的临床病理、X线造影和超声检查结果。所有五只猫均可触及腹部肿块,但只有两只猫的肿块可定位在肠道。X线造影仅在一只猫中检测到腹部肿块。超声检查发现所有五只猫均有节段性肠壁肿块。该肿块的特征是肠壁周向增厚,正常超声壁层出现透壁性丧失。在一只猫中,周向对称的低回声肠壁增厚与节段性淋巴瘤的表现相似。在其他四只猫中,增厚肠壁的超声特征各不相同,3只猫为混合回声且不对称,1只猫为混合回声且对称。本报告结果表明,猫肠道壁节段性增厚且回声混合的超声表现提示为腺癌而非淋巴肉瘤,不过也应考虑其他浸润性疾病。