犬淋巴细胞性肾上腺髓质炎术前怀疑为肾上腺肿瘤1例

Saki Araie, Hiromichi Matsunaga, Ai Yoshida, Sonoko Komai, Tsuyoshi Ozawa
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摘要

摘要:一位5- 7个月的法国斗牛犬被送到我院,在诊断成像时偶然发现了右肾上腺肿块。影像上肿块直径> 20mm,尾侧腔静脉见肿瘤血栓样结构。我们通过内分泌学检查和两次增强计算机断层检查诊断肾上腺大肿块为良性肿瘤。考虑到尾腔静脉肿块的并发症风险,手术切除。手术标本的组织病理学检查显示,肾上腺大肿块和尾腔静脉肿块分别为淋巴细胞性肾上腺髓质炎和血栓形成。两个肿块均未见肿瘤改变。手术后,虽然在尾腔静脉中发现了一个小血块,但患者预后良好,无症状。然而,患者在第一次就诊后290天死于一种无关疾病。─ 〜
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A Case of Dog Lymphocytic Adrenal Medullitis that was Suspected to be an Adrenal Tumor Preoperatively
SUMMARY A female 5-year 7-month old French Bulldog was presented to our hospital, and a right adrenal mass was inci-dentally detected during diagnostic imaging. The diameter of mass was > 20 mm on the images, and a tumor thrombus-like structure was identified in the caudal vena cava. We diagnosed the adrenal grand mass as a benign tumor using endocrinologic and two contrast-enhanced computed tomography examinations. Surgical resection was performed, considering the risk of complications due to the mass in the caudal vena cava. Histo-pathological examinations of the surgical specimen revealed that the adrenal grand mass and the mass in the caudal vena cava were lymphocytic adrenal medullitis and thrombosis, respectively. Neither of the masses showed neoplastic changes. After surgery, although a small clot was found in the caudal vena cava, the patient had a good outcome and was asymptomatic. However, the patient died because of an unrelated disease 290 days after the first visit. ─ 〜
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