犬喉黏液肉瘤的手术处理及结果

Andrew J. Lacqua, Jessica M Williams, R. S. Ranck
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摘要

摘要一只9月龄雌性绝育法国斗牛犬出现呼吸性喘鸣和运动不耐受。喉部检查显示左杓状软骨异常增厚。细针吸出的肿块与纺锤形细胞分化良好的增生一致。肿物经左侧蝶突入路行边缘切除。组织病理学证实为高分化黏液肉瘤。手术后,狗出现严重的呼吸困难和明显的呼吸性喘鸣,与继发于喉部水肿和炎症的气道阻塞一致。行永久性气管切开术。术后3个月狗完全恢复,但观察到早期肿瘤再生。这是首次报道喉黏液肉瘤在狗。永久性气管造口术在喉部肿瘤的早期外科治疗中应被考虑,当更多的侵入性手术不能被选择以获得良好的结果。
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Surgical management and outcome of a laryngeal myxosarcoma in a dog
Abstract A 9-month-old female spayed French Bulldog presented for respiratory stridor and exercise intolerance. Laryngeal examination showed an abnormally thickened left arytenoid cartilage. Fine needle aspirate of the mass was consistent with a well-differentiated spindle cell proliferation. The mass was marginally excised via a left-sided arytenoid approach and per os. Histopathology confirmed a well-differentiated myxosarcoma. Following surgery, the dog developed severe dyspnea and marked respiratory stridor consistent with airway obstruction secondary to laryngeal edema and inflammation. A permanent tracheostomy was performed. Three months post-operatively the dog was completely recovered, but early tumor regrowth was observed. This is the first report of laryngeal myxosarcoma in a dog. Permanent tracheostomy should be considered early in the surgical management of laryngeal neoplasia when more invasive surgical procedures are not elected to achieve a good outcome.
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