課件.細胞學(xué)病例討論

How

to

collect

cells

from

this

patient?對這個病例如何采樣？By

imprint

通過觸片By

swab

通過拭子Feline

Acne貓痤瘡Domestic

Shorthair

cat,

female,

5

years家養(yǎng)短毛貓，雌性，5歲What

kind

of

inflammation?是哪類炎癥？What

kind

of

inflammation?是哪類炎癥？1. Purulent

inflammation

化膿性炎癥What

kind

of

inflammation?是哪類炎癥？Purulent

inflammation

化膿性炎癥Septic

inflammation

敗血性炎癥What

kind

of

inflammation?是哪類炎癥？Purulent

inflammation

化膿性炎癥Septic

inflammation

敗血性炎癥Pyogranulomatous

inflammation膿性肉芽腫性炎癥Pyogranulomatous

inflammation

due

to

Alternaria由鏈格孢霉引起的膿性肉芽腫性炎癥過Periodic

Acid

Schiff

(PAS)

Stain碘酸

染色Irish

Wolfhound,

male,

15

months愛爾蘭狼犬，雄性，15月齡What

kind

of

tissue

origine

of

tumor?是哪種組織的腫瘤？What

kind

of

tissue

origine

of

tumor?是哪種組織的腫瘤？1. Round

cell

tumor/hematopoieticWhat

kind

of

tissue

origine

of

tumor?是哪種組織的腫瘤？1. Round

cell

tumor/hematopoietic圓形細胞瘤/造血系統(tǒng)的Histiocytoma

組織細胞瘤Labrador,

male,

3

years

old拉布拉多，雄性，3歲Transmissible

VenerealTumor

(condyloma)傳染性

瘤（

）Transmissible

Venereal

Tumor

(condyloma)

Different

case另一個傳染性 瘤病例（

）Which

other

animal

has

atransmissible

tumour?還有哪種動物會

傳染性腫瘤？Tasmanian

Devil袋獾Which

other

animal

has

atransmissible

tumour?還有哪種動物會

傳染性腫瘤？Tasmanian

Devil袋獾Which

other

animal

has

atransmissible

tumour?還有哪種動物會

傳染性腫瘤？Tasmanian

Devil袋獾Domestic

Shorthair

cat,

male

castrated,

8

years家養(yǎng)短毛貓，雄性去勢，8歲How

to

collect

cells

from

this

patient?對這個病例如何采樣？How

to

collect

cells

from

this

patient?對這個病例如何采樣？1. By

scra

刮片How

to

collect

cells

from

this

patient?對這個病例如何采樣？By

scra

刮片By

swab

拭子How

to

collect

cells

from

this

patient?對這個病例如何采樣？By

scra

刮片By

swab

拭子By

FNA

without

anaesthesia(Lympho)plasmacytic

gingivitis（淋巴）漿細胞性牙齦炎Boxer

male,

10

years

oldMass

hind

leg,

already

for10

months拳師犬雄性，10歲，后肢腫物，已存在10個月Mastcell

tumor肥大細胞瘤Intermixture

withfibroblasts混有成纖維細胞Strands

ofcollagendue

to

collagenolysis膠原溶解形成膠原條帶What

will

be

next

step

to

do

with

this

patient?對這個動物下一步做什么？What

will

be

next

step

to

do

with

this

patient?對這個動物下一步做什么？1. Remove

toe

截趾What

will

be

next

step

to

do

with

this

patient?對這個動物下一步做什么？Remove

toe

截趾FNA

of

popliteal

lymph

nodeDomestic

shorthair9cat,

female,yearsold家養(yǎng)短毛貓，雌性，9歲Cutaneous

mast

cell

tumor皮膚肥大細胞瘤犬Dog=><=

Cat

(very

fine

granulae)貓（非常細小的顆粒）Golden

retriever,

female

11

yearsSwollen

hind

leg

since

1

week,anorexia,

vomiting金毛，雌性11歲，后肢腫脹1周，厭食，Poorly

differentiated

mast

cell

tumor低分化肥大細胞瘤May-Grunwald

Giemsastain

邁格

薩染色Hemacolor

quick

stain:no

cytoplasmic

granulaevisibleHemacolor快速染色：沒有可見的胞漿顆粒British

shorthair,

female

5

years英國短毛貓，雌性5歲Eosinophilic

granuloma

嗜酸性肉芽腫What

will

be

the

most

likely

differential

diagnosis?最可能的鑒別

是什么？1. Melanoma

黑色素瘤What

will

be

the

most

likely

differential

diagnosis?最可能的鑒別

是什么？Melanoma

黑色素瘤Squamous

cell

carcinoma鱗狀上皮細胞癌Hematoma

血腫Domestic

Shorthaircat,

female,

13

years家養(yǎng)短毛貓，雌性，13歲Melanoma黑色素瘤Mixed

breed

dog,male,12

years混種犬，雄性，12歲Amelanotic

melanoma

無色素黑色素瘤Bernese

Mountain

dog,male8

years

oldAnorexia,

dyspnea

sincethree

days伯恩山犬，雄性8歲厭食，呼吸已有3天aHistiocytic組織細胞肉瘤Golden

Retriever,Male,

11

years

金毛，雄性，11歲Cutaneous

lymphoma皮膚淋巴瘤Multilobated

lymphoma多葉型淋巴瘤Belgian

shepherd,

female,

7

years比利時牧羊犬，雌性，7歲(Muco)cutaneousplasmacytoma（黏膜）皮膚漿細胞瘤(Muco)cutaneous

plasma

cell

tumor

is:（黏膜）皮膚漿細胞瘤是：1. A

malignant

tumor

一種(Muco)cutaneous

plasma

cell

tumor

is:（黏膜）皮膚漿細胞瘤是：A

malignant

tumor

一種A

metastasis

of

multiplemyeloma(Muco)cutaneous

plasma

cell

tumor

is:（黏膜）皮膚漿細胞瘤是：A

malignant

tumor

一種A

metastasis

of

multiplemyeloma是多腫骨髓瘤的轉(zhuǎn)移(Muco)cutaneous

plasma

cell

tumor

is:（黏膜）皮膚漿細胞瘤是：A

malignant

tumor

一種A

metastasis

of

multiplemyeloma是多腫骨髓瘤的轉(zhuǎn)移A

tumor

that

produces

a

monoclonalgammopathyGreyhound,

Male,

13

yearsAnorexia,

weight

loss,enlarged

peripheral

lymphnodes，雄性，13歲，厭食，體重下降，外周淋

腫大High

Gradelymphoma高度惡性淋巴瘤Labrador

retriever,

male

3

yearsPeriocular

dermatitis,

enlargedmanibular

lymph

nodes拉布拉多，雄性3歲，眼周皮炎，下頜淋

腫大Reactivehyperplasia反應(yīng)性增生Boxer,female,6

years

拳師犬，雌性，6歲Active,

polydipsia,活躍，多飲，Some

weeks

generalized

lymphadenopathy全身性淋

病史數(shù)周Low

grade

lymphoma低惡性淋巴瘤“Hand-mirror”

forms:

uropods,suggestive

of

T-cell

origin“手鏡”細胞：尾足，提示為T細胞DSH

cat,

10

years

old,

castrated

male家養(yǎng)短毛貓，10歲，雄性去勢Anorexia,

weight

loss

厭食，體重下降Mass

in

abdomen

腹部腫物Ultrasound:

enlarged

mesenterial

lymphnodes

and

liver超聲檢查：腸系膜淋

及肝臟腫大FNAB

of

enlarged

lymph

node對腫大的淋

進行細針抽吸活檢Large

cell

lymphoma大細胞淋巴瘤DSH

cat,

female,

13

years家養(yǎng)短毛貓，雌性，13歲Anorexia,

diarrhea,

weight

loss厭食，腹瀉，體重下降Ultrasound:

thick

intestinal

wall,

enlargedmesenterial

lymph

nodes超聲檢查：腸壁增厚，腸系膜淋

腫大FNAB細針抽吸活檢:What

kind

of

lesion

is

this?這是哪種病