育种加拉戈(Otolemur garnettii)的鳞状乳腺肿瘤。

Comparative medicine Pub Date : 2016-01-01
Carissa P Jones, Troy M Apple, Bryce J Burton, Melinda E Sanders, Kelli L Boyd, Kenneth J Salleng
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摘要

在人类中,乳腺梭形细胞瘤是一种罕见的纤维上皮性肿瘤,根据其组织形态学特征可进一步分为良性、边缘性或恶性。除切除术外,皮样瘤对其他治疗的反应很差。与人类相比,非人类动物患乳腺肿瘤的频率要低得多,而且之前报道的非人类动物的病变都不符合鳞状上皮细胞瘤的特征。在此,我们介绍了一例北部大加拉果(Otolemur garnettii)的乳腺肿瘤病例,从组织学角度来看,该病例具有恶性蝶形花瘤的特征。一只 11 岁的怀孕多胎大加拉戈(Galago)右侧乳腺中部出现肿块。细针抽吸术发现了肿瘤性上皮细胞。由于该动物是孕妇,且没有皮肤溃烂、疼痛或窘迫的迹象,因此允许其分娩并哺育婴儿。在初次发病 20 周后,婴儿断奶,母亲被安乐死。尸体解剖时,乳腺肿块的大小为 3.5 × 2.5 × 1.5 厘米,体积比初次发病时增加了 13 倍。经检查,引流淋巴结、肺部或其他组织均无转移迹象。肿瘤由肿瘤基质、腺体和脂肪组织组成,鉴于其基质细胞性高、有丝分裂率高和明显不典型,被诊断为恶性鳞状上皮细胞瘤。该肿瘤还表现出脂肪肉瘤样分化,这在恶性蝶形花序瘤中经常出现。据我们所知,该报告是首例涉及非人类动物的乳腺肿瘤病例,其特征与人类蝶形花瘤一致。
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A Phyllodes-like Mammary Tumor in a Breeding Galago (Otolemur garnettii).

In humans, phyllodes tumors of the breast are rare fibroepithelial tumors that are further characterized as benign, borderline, or malignant according to their histomorphologic features. Phyllodes tumors are poorly responsive to treatment other than excision. NHP have a much lower frequency of mammary neoplasia than do humans, and none of the lesions reported previously in NHP are consistent with phyllodes tumors. Here we present the case of a mammary tumor in a northern greater galago (Otolemur garnettii) that was histologically characteristic of a malignant phyllodes tumor. An 11-y-old, multiparous, pregnant galago presented with a mass in the right middle mammary gland. A fine-needle aspirate yielded neoplastic epithelial cells. Because the animal was pregnant and showed no signs of skin ulceration, pain, or distress, she was allowed to deliver and nurse the infant. At 20 wk after initial presentation, the infant was weaned and the mother was euthanized. At necropsy, the mammary mass measured 3.5 × 2.5 × 1.5 cm, a 13-fold increase in volume since initial presentation. There was no evidence of metastasis in draining lymph nodes, lungs, or any other tissue examined. The tumor was composed of neoplastic stromal, glandular, and adipose tissues and was diagnosed as a malignant phyllodes tumor in light of its high stromal cellularity, high mitotic rate, and marked atypia. This tumor also exhibited liposarcomatous differentiation, which occurs frequently in malignant phyllodes tumors. To our knowledge, this report represents the first described case involving an NHP of a mammary tumor with characteristics consistent with human phyllodes tumors.

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