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Aspectos clínico-patológicos e imuno-histoquímicos de um caso de leiomiossarcoma esofágico canino

机译:一例犬食管平滑肌肉瘤的临床病理和免疫组化研究

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摘要

Oesophageal leiomyosarcoma is a malignant neoplasm of smooth muscle fibres that is infrequently reported in the literature. Because of the importance of definitive diagnosis and the low incidence of this tumour in dogs, it was reported a case of oesophageal leiomyosarcoma in a dog. A 13-year-old intact male Rottweiler presented regurgitation, hyporexia, and chronic weight loss. After an imaging examination, tumour in the thoracic oesophagus was suspected and a biopsy was sugested for definitive diagnosis. However, the owner did not permit the procedure. Six months after the clinical diagnosis, the patient was brought for evaluation of anorexia, apathy, and severe dyspnoea. Because of the patient's clinical signs and lack of response to emergency treatment, he was euthanized. Upon necropsy, it was identified the neoplastic formation, previously identified in the radiographic examination in the thoracic oesophagus, near the diaphragm. Histopathology revealed a proliferation of mesenchymal cells, and the diagnosis of leiomyosarcoma was confirmed by immunohistochemical examination. Despite the low incidence of oesophageal leiomyosarcoma, it should be included as a differential diagnosis for animals with chronic regurgitation.
机译:食道平滑肌肉瘤是平滑肌纤维的恶性肿瘤,在文献中很少报道。由于确定性诊断的重要性和该肿瘤在犬中的低发生率,据报道有一例犬食道平滑肌肉瘤。一名13岁完整男性罗威纳犬出现反流,低氧和慢性体重减轻。影像学检查后,怀疑是胸腔食管中的肿瘤,并进行了活检以明确诊断。但是,所有者不允许该程序。临床诊断后六个月,患者被带到厌食症,冷漠和​​严重呼吸困难的评估。由于患者的临床体征和对紧急治疗的反应缺乏,他被安乐死。尸检时,鉴定出赘生物形成,先前在放射学检查中在隔膜附近的胸部食道中鉴定出了赘生物。组织病理学显示间充质细胞增殖,并通过免疫组织化学检查证实了平滑肌肉瘤的诊断。尽管食道平滑肌肉瘤的发生率较低,但应将其作为对慢性反流动物的鉴别诊断。

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