犬气管肥大细胞瘤的手术入路与诊断。

Brazilian journal of veterinary medicine Pub Date : 2025-08-19 eCollection Date: 2025-01-01 DOI:10.29374/2527-2179.bjvm000525
Fernanda Rezende Souza, Karen Yumi Ribeiro Nakagaki, Fernanda Freitas Miranda, Leonardo Dias Mamão, Geovanni Dantas Cassali
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引用次数: 0

摘要

肥大细胞瘤(mct)是一种常见于犬类的皮肤肿瘤。虽然不太常见,但这种肿瘤可累及其他不累及皮肤的解剖部位,如气管。本病例报告的目的是描述犬气管MCT的临床、手术、组织病理学和免疫组织化学特征。一只8岁的混血公狗出现呼吸困难、咳嗽和窒息的症状。气管支气管镜检查发现气管颈部有肿块,几乎完全阻塞了气管腔。手术切除肿块和部分气管环。组织学上,气管呈全壁增厚,圆形细胞增生。甲苯胺蓝染色证实为皮外肥大细胞瘤。对c-KIT进行免疫组化,kit染色II和Ki67 >23个细胞/格(73.2%阳性细胞)。狗没有出现术后并发症。手术后四个月局部复发,动物的一般情况恶化,导致患者安乐死。肥大细胞瘤虽然罕见,但在犬的皮外结节和肿块的鉴别诊断中应予以考虑。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Tracheal mast cell tumor in a dog - surgical approach and diagnosis.

Tracheal mast cell tumor in a dog - surgical approach and diagnosis.

Tracheal mast cell tumor in a dog - surgical approach and diagnosis.

Mast cell tumors (MCTs) are a type of cutaneous neoplasm prevalent in canines. Although less frequent, such neoplasms can involve other anatomical sites with no skin involvement, such as the trachea. The objective of the present case report is to describe the clinical, surgical, histopathological, and immunohistochemical features of a tracheal MCT in a dog. An 8-y-old, mixed-breed, male dog showed signs of dyspnea, coughing and choking. Tracheobronchoscopy revealed a mass in the cervical part of the trachea, almost completely obstructing its lumen. Surgery was performed for removal of the mass and part of the tracheal rings. Histologically, the trachea showed transmural thickening with a round cell neoplastic proliferation. Extracutaneous mast cell tumor was confirmed by toluidine blue staining. Immunohistochemistry was performed for c-KIT with KIT-staining II and Ki67 >23 cells/grid (and 73.2% positive cells). The dog exhibited no postoperative complications. A local recurrence occurred four months after surgery and the animal's general condition deteriorated, which led to the patient's euthanasia. Although rare, mast cell tumors should be considered in the differential diagnosis of dogs with extracutaneous nodules and masses.

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