纯种马阴茎鳞状细胞癌伴全身转移

Wen-Ta Li, Chun-Hao Chang, C. Jeng, V. Pang, Fun-In Wang
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引用次数: 1

摘要

一匹22岁的纯种马因阴茎脱垂而身体状况不佳。尸检发现肺、大网膜和多个淋巴结有大量白色结节/斑块,在阴茎龟头到内部褶皱处有几个溃疡和花椰菜样生长。组织学上,白色结节/斑块由相似的肿瘤鳞状细胞组成,细胞角蛋白(CK)、CK 5/6和P63免疫染色阳性。菜花样生长被诊断为鳞状乳头状瘤、内翻状乳头状瘤和阴茎鳞状细胞癌(PSCC)。推测本病例的肺转移及腹膜癌病变来源于PSCC。经聚合酶链反应,阴茎和网膜病变组织对马尾乳头瘤病毒2型(EcPV2)呈阴性。这一发现表明阴茎病变可能与EcPV2无关,进一步表明马PSCC的发展存在多种致病机制。
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A PENILE SQUAMOUS CELL CARCINOMA WITH SYSTEMIC METASTASIS IN A THOROUGHBRED HORSE
A 22-year-old gelding Thoroughbred horse had been in poor physical condition with a prolapsed penis. On necropsy, numerous white nodules/plaques were found on the lungs, omentum, and multiple lymph nodes, as well as several ulcerations and cauliflower-like growths throughout the glans penis to the internal fold. Histologically, the white nodules/plaques were composed of similar neoplastic squamous cells, which were immunostained positive for cytokeratin (CK), CK 5/6, and P63. The cauliflower-like growths were diagnosed as squamous papilloma, inverted papilloma, and penile squamous cell carcinoma (PSCC). It is speculated that the lung metastasis and peritoneal carcinomatosis in this case are derived from the PSCC. The lesion tissues from the penis and omentum were characterized negative, by polymerase chain reaction, for Equus caballus papillomavirus 2 (EcPV2). This finding suggests that the penile lesions may have been irrelevant to the EcPV2, further implying that multiple pathogeneses exist for the development of an equine PSCC.
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