尼日利亚白化马眼睑的鳞状细胞癌

J. Zamdayu, J. Amaje, H. Yunusa, A. Ali, E. U. Mbuk, E. C. Nwokike, U. Garba, U. Auwal
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引用次数: 0

摘要

鳞状细胞癌是马皮肤最常见的肿瘤。一匹用于军事阅兵仪式的尼日利亚土著(Arewa)品种的成年白化种马,其主要主诉是左侧下眼睑生长和单侧上睑下垂。初步诊断眼睑鳞状细胞癌并成功处理。采用氯丙嗪镇静剂和物理方法,动物右侧侧卧位进行手术。2%利多卡因肾上腺素局部麻醉。肿瘤生长只被抑制一次,化疗使用长春新碱1mg局部浸润一次,2mg静脉注射两次,间隔3周。组织标本在10%甲醛中保存,进行组织病理学检查。血液学表现:治疗前中性粒细胞减少32%(52 ~ 70%),高蛋白血症10.2 g/dL (6.0 ~ 8.5g/dL),治疗后变为中性粒细胞增多16.1 x 109/L (5.6 ~ 12.1 x 109/L)。组织病理学结果是角蛋白珍珠的焦点区域,周围是一个同心聚集的角质鳞状上皮细胞。在有丝分裂的不同阶段还观察到大量未分化的肿瘤细胞和炎症细胞。结论:手术切除病变并间隔3周两次长春新碱治疗是治疗马眼睑鳞状细胞癌的有效方法。建议在治疗白化马眼睑鳞状细胞癌时,应采用手术切除肿瘤和静脉及局部浸润给药长春新碱治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Squamous cell carcinoma on the eyelid of Nigerian albino horse
Squamous cell carcinoma is the most common neoplasia of the skin in horses. An adult albino stallion of Nigerian indigenous (Arewa) breed used for military ceremonial parade was presented with the chief complaints of growth on left side lower eyelid and unilateral epiphora. Tentatively diagnosis of eyelid squamous cell carcinoma was made and managed successfully. Restraint was achieved using chlorpromazine as tranquilizer and physical method with the animal on right lateral recumbency for the surgery. Lidocaine-adrenaline 2% was used for local anaesthesia. The growth was debulked only once and chemotherapeutically treated using vincristine 1 mg for local infiltration once and 2 mg intravenously twice at 3 weeks apart. Tissue sample was preserved in formaldehyde-10% and processed for histopathological examination. Haematological findings pre-treatment were neutropenia, 32% (52 to 70%) and hyperproteinemia, 10.2 g/d L (6.0 to 8.5g/dL) which became neutrophilic leucocytosis 16.1 x 109/L (5.6-12.1 x 109/L) post-treatment. Histopathological findings were focal areas of keratin pearls surrounded by a concentric aggregation of cornified squamous epithelial cells. Massive undifferentiated tumour cells and inflammatory cells at different stages of mitosis were also observed. It was concluded that surgical excision of lesion and vincristine therapy twice at 3 weeks apart only was effective to cure the eyelid squamous cell carcinoma in the horse. It was recommended that surgical excision of growths and vincristine therapy given by intravenous and local infiltration routes should be used in management of eyelid squamous cell carcinoma in albino horses.
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