ABSTRACT
This case report describes the diagnosis of secondary malignant lymphoedema in two dogs that had undergone a mastectomy. A remarkable severe oedematous lesion associated with lameness in the right hindlimb was observed in both cases. Diagnostic imaging examinations, including direct pedal lymphangiography (case 1) and lymphoscintigraphy (case 2), showed obstruction of lymph flow in the lymphatics of the right hindlimbs. Although the recommended medical management and physiotherapy had been applied to resolve the problems, oedema did not improve in the damaged region in both cases. Results of histopathological examinations suggested that the cause of the obstructed lymph flow was neoplastic cells in the lymphatics of the right hindlimb in both dogs.
Subject(s)
Dog Diseases/diagnosis , Lymphedema/veterinary , Mastectomy/veterinary , Postoperative Complications/veterinary , Animals , Carcinoma/secondary , Carcinoma/surgery , Carcinoma/veterinary , Diagnosis, Differential , Dog Diseases/blood , Dog Diseases/physiopathology , Dogs , Female , Hindlimb , Lameness, Animal/etiology , Lymphedema/complications , Lymphedema/diagnosis , Mammary Neoplasms, Animal/pathology , Mammary Neoplasms, Animal/surgery , Neoplasm Metastasis , Postoperative Complications/diagnosisABSTRACT
Improvements in the overall treatment of patients with aggressive, large tumours involving the bone have made it possible to preserve and salvage limbs instead of amputating them. Each patient is unique in his clinical presentation and social circumstance. The different reconstructive options available allow us to choose the most appropriate method suited to the particular patient and with minimal delay, even when resources are limited. The patient and the relatives actively participate in the choice. The early experience of the different techniques for reconstructing these bone defects at our hospital are presented in this paper.
