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1例犬肝腺瘤的诊断与治疗

作  者:
李松玲;刘艳海;杨德吉
单  位:
南京农业大学动物医学院;AMC河西中心动物医院
关键词:
肝脏;腺瘤;CT;手术治疗
摘  要:
为了诊断8岁萨摩耶患犬腹腔不明肿块,采用临床检查、实验室检查、影像学检查、病理诊断等方法,检测其一般体征、血液指标、影像表现及病理组织形态。结果显示:超声显示有一巨大异常不均质回声团块,后壁回声增强,团块边界不清,形态不规整,与肝脏邻接且血流异常丰富;CT增强扫描显示肿块略低密度或等密度占位性病变,边界清楚;病理组织学诊断可见肿瘤呈扩张性生长,边缘没有浸润性,正常肝小叶结构丧失,缺乏门静脉束,小梁取向异常。结论:该犬所患为肝腺瘤,需手术切除并后续跟踪治疗。期望该病例能丰富肝腺瘤病例资料,以供类似疾病诊疗时作为参考。
译  名:
Diagnosis and treatment of a case of canine hepatic adenoma
作  者:
LI Songling;LIU Yanhai;YANG Deji;College of Veterinary Medicine, Nanjing Agricultural University;Animal Medical Center;
关键词:
liver;;adenoma;;CT;;surgical treatment
摘  要:
In order to diagnose an unidentified abdominal mass in an 8-year-old Samoyed dog, the general signs, blood index values, imaging manifestations and pathological tissue morphology of the afflicted animal were identified by clinical examination, laboratory test, imaging detection, and pathological diagnosis. The results showed that there was a huge abnormal heterogeneous echoing mass on the ultrasound, the echo of the back wall was stronger, the boundary of the mass was unclear, the shape was irregular, the mass was adjacent to the liver tissues, and the blood flow in the mass was abnormally rich. Enhanced CT scan showed a slightly low density or isodensity mass with a clear boundary. Histopathological diagnosis showed that the tumor was expanding in growth, its edge was not invasive, the structure of the normal liver lobules was missing, and the trabecular orientation was abnormal. In conclusion, the dog had developed a hepatic adenoma, which required surgical resection and follow-up treatment. It is expected that this case might enrich the case data of hepatic adenomas for reference in the diagnosis and treatment of similar diseases.

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