猫葡萄膜黑色素瘤的综合诊断结果

V. V. Gulyaeva, A. A. Nikitina, V. A. Trushkin, V. N. Gaponova, P. A. Polistovskaya
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摘要

据统计,黑素细胞瘤是猫眼部最常见的肿瘤,在2614例原发性眼部肿瘤中占67%。猫弥漫性虹膜黑色素瘤(FDIM)是迄今为止最常见的眼部黑色素细胞瘤。本研究的目的是对猫的眼部疾病进行全面诊断,并确定虹膜黑色素瘤病程的特征。对患有虹膜色素沉着的猫进行了全面的眼科检查——裂隙灯生物显微镜、角膜镜和间接眼科检查。研究结果发现,5只动物有色素沉着的病变,看起来像虹膜表面的扁平棕色斑点。这些前驱病变被认为是良性的,被称为虹膜黑变症。在10只动物中,还检测到虹膜增厚、失焦、瞳孔活动性下降和前房色素分散;其中2例在病理过程中观察到虹膜角膜角受累,4例继发性青光眼,由于肿瘤浸润虹膜角膜角。根据计算机断层扫描结果,3只猫的肝脏发生了转移。在我们的研究中,一只猫接受了虹膜活检以区分黑色素瘤和多形性淋巴瘤。其余病例未行活检,因为有9例患者有明显的病理改变,需要去核,5例患者需随时间监测病理过程。猫提出评估色素沉着的虹膜病变应进行完整的临床和眼科检查,包括角膜镜检查。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Results of comprehensive diagnostics of feline uveal melanoma
According to available statistics, melanocytic neoplasia is the most common form of ocular tumor in cats, accounting for 67% of cases in an analysis of 2614 cases of primary ocular neoplasia. Feline diffuse iris melanoma (FDIM) is by far the most common form of melanocytic neoplasia of the eye. The purpose of the study was to conduct a comprehensive diagnosis of eye diseases and identify the features of the course of iris melanoma in cats. Study cats with iris hyperpigmentation underwent a complete ophthalmological examination - slit-lamp biomicroscopy, gonioscopy and indirect ophthalmoscopy. As a result of the research, it was found that 5 animals had hyperpigmented lesions, which look like flat brown spots on the surface of the iris. These precursor lesions are considered benign and are known as iris melanosis. In 10 animals, thickening of the iris, dyscoria, decreased pupil mobility, and dispersion of pigment in the anterior chamber were additionally detected; in 2 of them, involvement of the iridocorneal angle in the pathological process was observed, in 4 - secondary glaucoma, due to tumor infiltration of the iridocorneal angle. According to the results of computed tomography, 3 cats had metastases in the liver. During our studies, one cat underwent an iris biopsy to differentiate melanoma from pleomorphic lymphoma. In the remaining cases, a biopsy was not performed, since 9 patients with obvious pathological changes required enucleation, and in 5 patients monitoring of the pathological process over time was prescribed. Cats presenting for evaluation of hyperpigmented iris lesions should undergo a complete clinical and ophthalmologic examination, including gonioscopy.
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