| dc.description.abstract | ÖSSZEFOGLALÁS
A szerzők egy lymphomás ló esetén keresztül mutatják be a kórkép oktanát,
klinikai tüneteit, diagnosztikai és gyógykezelési lehetőségeit. A lovat mellkasi
folyadékgyülem miatt szállították az Állatorvostudományi Egyetem Lógyógyászati
Tanszék és Klinikájára. A ló klinikai vizsgálatakor a következő elváltozásokat találták:
emelkedett pulzus- és légzésszám, nagy mennyiségű vörhenyes mellűri folyadék, a mellüregben a rekesszel összefüggésben látható képlet. A vizsgálat során
daganat gyanúja merült fel. Az intenzív terápia ellenére a ló állapota romlott, így
véglegesen elaltatták. A kórbonctani vizsgálat során multicentrikus lymphomát
állapítottak meg.
SUMMARY
Background: Although lymphoma is the most common malignant neoplasm
in the horse and have a highly variable clinical presentation and course, only
limited information is available about its clinical signs, diagnosis and therapy in
the Hungarian literature.
Objective: Through the case of a 5 years old Zangersheide mare, the authors
review the classification, clinical signs, diagnostic and treatment options, and
outcome of lymphoma.
Material and Methods: The horse was referred as an emergency case to the
Department and Clinic of Equine Medicine of the University of Veterinary Medicine
Budapest. The mare had lethargy, inappetence and fever on the day of presentation. On admission, the horse showed signs of fever, ventral oedema, distended
jugular veins, muffled heart sounds, tachycardia, pleural and peritoneal effusion.
The pleural fluid collected via thoracocentesis was grossly serosanguineous.
Routine haematology revealed anaemia, thrombocytopenia, and leukocytosis with
neutrophilia. Ultrasonography of the thorax showed a mass on the diaphragm.
Cytology of a needle aspiration sample revealed lymphocytic infiltration, without evidence of neoplastic cells. The mare was treated with blood transfusion, a
haemostatic drug, non-steroidal anti-inflammatory drugs, antibiotics and
vitamins.
Results and discussion: After 1 month of hospitalisation, the mare started to
show colic signs, and had abdominal bleeding. Because of the poor prognosis,
the horse was euthanised. Necropsy revealed a multicentric lymphoma, tumours
were on the kidneys, ovaries, abdominal lymph nodes and diaphragm. Lymphoma,
although rare, is the most common haematopoietic neoplasm encountered in
horses and can occur at any age. According to studies, a better prognosis can be
achieved with early diagnosis. It is important to inform owners that treatment
may not be curative, only palliative. | en_US |
