Jaeyeop Jo, Mingyun Son, Yeon Chae, Taesik Yun, Yoonhoi Koo, Dohee Lee, Hyun-Gu Kang, Byeong-Teck Kang, Mhan-Pyo Yang, Hakhyun Kim
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引用次数: 0
Abstract
Background: To the best of our knowledge, this is the first report of female genital system infiltration of T-cell lymphoma in veterinary literature.
Case presentation: A 1.5-year-old, intact female Golden Retriever was referred due to melena and hyporexia that lasted for three weeks. Fever (40.5℃), tachycardia, tachypnoea, pale mucous membranes, and purulent vaginal discharge were identified on physical examination. Blood analyses revealed leucocytosis, anaemia, hypoalbuminemia, and increased lactate and C-reactive protein levels. On abdominal radiography, the small intestine was moderately deviated because of an oval-shaped mass (13 cm × 8.7 cm) located in the mid-abdomen. An enlarged tubular-shaped structure that had the opacity of soft tissue located in dorsal to the bladder to the middle of the abdomen, and an oval-shaped mass (5.28 cm × 3.26 cm), which was suspected to be a medial iliac lymph node located at the sixth to seventh lumbar level. Abdominal ultrasonography revealed gas and fluid in the lumen of the uterine horn with a severely thickened wall, round enlarged lymph nodes around the genitourinary system, and free fluid in the abdominal cavity. Based on these results, pyometra was suspected, and an exploratory laparotomy was performed for ovariohysterectomy. The resected ovary and uterus were macroscopically hypertrophied. Histopathological examination of the ovary and uterus revealed neoplastic proliferation of large round cells with strong immunoreactivity for CD3, indicating T-cell lymphoma. Therefore, the young dog was diagnosed with genital lymphoma.
Conclusions: The present report describes T-cell lymphoma infiltrating the uterus and ovaries in a young dog, which is rarely diagnosed and could aid in the differential diagnosis of genital diseases in young dogs.
背景:据我们所知,这是兽医文献中关于女性生殖系统浸润t细胞淋巴瘤的第一篇报道。病例介绍:一只1.5岁,完整的雌性金毛寻回犬因黑黑和缺氧持续三周而被转诊。体格检查发现发热(40.5℃),心动过速,呼吸急促,粘膜苍白,阴道脓性分泌物。血液分析显示白细胞增多、贫血、低白蛋白血症、乳酸和c反应蛋白水平升高。腹部x线摄影显示,腹部中部有一个椭圆形肿块(13 cm × 8.7 cm),小肠出现中度偏曲。膀胱背侧至腹部中部有软组织混浊的增大管状结构,椭圆形肿块(5.28 cm × 3.26 cm),怀疑为位于第6至第7腰椎的髂内侧淋巴结。腹部超声示子宫角腔内有气体和液体,壁严重增厚,泌尿生殖系统周围淋巴结肿大,腹腔内有游离液体。基于这些结果,我们怀疑子宫积脓,并进行了探查性剖腹手术进行卵巢子宫切除术。切除的卵巢和子宫在宏观上肥大。卵巢和子宫组织病理学检查显示肿瘤增生的大圆形细胞,对CD3免疫反应性强,提示t细胞淋巴瘤。因此,这只幼犬被诊断为生殖器淋巴瘤。结论:本报告描述了幼犬的t细胞淋巴瘤浸润子宫和卵巢,这种情况很少被诊断出来,可以帮助幼犬生殖器疾病的鉴别诊断。
期刊介绍:
Irish Veterinary Journal is an open access journal with a vision to make a substantial contribution to the dissemination of evidence-based knowledge that will promote optimal health and welfare of both domestic and wild species of animals.
Irish Veterinary Journal has a clinical research focus with an emphasis on the effective management of health in both individual and populations of animals. Published studies will be relevant to both the international veterinary profession and veterinary scientists. Papers relating to veterinary education, veterinary ethics, veterinary public health, or relevant studies in the area of social science (participatory research) are also within the scope of Irish Veterinary Journal.