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1.
Can Vet J ; 65(7): 655-660, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38952750

RESUMO

The clinical presentation, cytologic findings, radiographic findings, and postmortem assessment of a cat with primary pulmonary adenocarcinoma with multiple digital metastasis are described. An unusual shifting, waxing and waning pattern of lameness, suspected to be an early manifestation of digital metastasis before any gross lesions were visible, was documented. Initial cytologic finding of a lung nodule was equivocal for diagnosis of neoplasia despite being strongly suspicious. Palliative management was short-lived, with rapid progression culminating in widespread metastasis to multiple digits, muscles, and other organs. The diagnosis of pulmonary adenocarcinoma was confirmed via necropsy and histopathology. Key clinical message: This case report highlights that feline lung-digit syndrome is an important differential diagnosis for an acute, waxing and waning, shifting leg lameness in an older cat. This pattern of lameness should raise the index of suspicion for an underlying primary lung neoplasm, and thoracic imaging (radiographs) should be considered.


Syndrome pulmonaire-digital félin : un diagnostic différentiel des boiteries changeantes, croissantes et décroissantes chez un chatLa présentation clinique, les résultats cytologiques, les résultats radiographiques et l'évaluation post mortem d'un chat atteint d'adénocarcinome pulmonaire primaire avec métastases numériques multiples sont décrits. Un schéma inhabituel de boiterie, variable, croissante et décroissante, suspecté d'être une manifestation précoce de métastases digitales avant que des lésions macroscopiques ne soient visibles, a été documenté. La découverte cytologique initiale d'un nodule pulmonaire était équivoque pour le diagnostic de néoplasie bien qu'elle soit fortement suspecte. La prise en charge palliative a été de courte durée, avec une progression rapide aboutissant à des métastases généralisées à plusieurs doigts, muscles et autres organes. Le diagnostic d'adénocarcinome pulmonaire a été confirmé par autopsie et histopathologie.Message clinique clé :Ce rapport de cas souligne que le syndrome pulmonaire-digital félin est un diagnostic différentiel important pour une boiterie aiguë, croissante et décroissante et mobile des pattes chez un chat ágé. Ce type de boiterie devrait faire suspecter une tumeur primaire du poumon sous-jacente, et une imagerie thoracique (radiographies) devrait être envisagée.(Traduit par Dr Serge Messier).


Assuntos
Adenocarcinoma , Doenças do Gato , Coxeadura Animal , Neoplasias Pulmonares , Gatos , Animais , Doenças do Gato/diagnóstico , Doenças do Gato/patologia , Neoplasias Pulmonares/veterinária , Neoplasias Pulmonares/diagnóstico , Neoplasias Pulmonares/patologia , Coxeadura Animal/diagnóstico , Coxeadura Animal/etiologia , Diagnóstico Diferencial , Adenocarcinoma/veterinária , Adenocarcinoma/diagnóstico , Adenocarcinoma/patologia , Masculino , Síndrome , Adenocarcinoma de Pulmão/veterinária , Adenocarcinoma de Pulmão/diagnóstico , Adenocarcinoma de Pulmão/patologia , Feminino
2.
Open Vet J ; 14(5): 1216-1223, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38938438

RESUMO

Background: Pulmonary capillary hemangiomatosis (PCH) is an idiopathic disease with the anomalous proliferation of a small capillary-like vessel in the pulmonary tissue, which can lead to a severe form of PH. There are only several cases of PCH described in veterinary literature: 27 cases in dogs and 2 cases in cats. In veterinary medicine, PH is mostly recognized as a consequence of left heart failure as a progression of the postcapillary PH to the precapillary form. PCH is mostly described as a primary disease, but resistant postcapillary PH with the high possibility of pulmonary edema raises speculation that PCH could be a secondary malformation to the left heart disease. Aim: Discover the features associated with the shift between left- and right-sided heart disease in the context of PH development. Methods: Retrospective analysis of materials from cats and dogs with histological markers of PCH (sPCH) versus those with right heart failure (RHF). Results: Animals with histological and immunohistochemistry markers of PCH had a previous history of disease with left heart volume overload. There were no differences between the groups in radiography and gross pathology. Histologically, pulmonary fibrosis and arteriopathy could be found in RHF; in sPCH-a duplication of capillaries in alveolar septa and bizarre proliferation in surrounding structures. Conclusion: PCH could be a secondary pattern of vascular remodeling due to volume overload.


Assuntos
Doenças do Gato , Doenças do Cão , Hipertensão Pulmonar , Animais , Cães , Doenças do Gato/patologia , Doenças do Gato/diagnóstico , Doenças do Cão/patologia , Doenças do Cão/diagnóstico , Gatos , Hipertensão Pulmonar/veterinária , Hipertensão Pulmonar/patologia , Hipertensão Pulmonar/etiologia , Estudos Retrospectivos , Masculino , Feminino , Hemangioma Capilar/veterinária , Hemangioma Capilar/patologia , Hemangioma Capilar/complicações , Insuficiência Cardíaca/veterinária , Insuficiência Cardíaca/etiologia , Insuficiência Cardíaca/patologia , Neoplasias Pulmonares/veterinária , Neoplasias Pulmonares/patologia , Neoplasias Pulmonares/complicações
3.
Artigo em Inglês | MEDLINE | ID: mdl-38701808

RESUMO

A captive 15-year-old male common raven (Corvus corax) was presented for post-mortem examination. It had been previously presented to a local veterinarian due to a 3-4 weeks long history of abnormal respiratory sounds. Upon admission, the bird demonstrated severe dyspnea and a massive amount of mucous in the oropharynx. After symptomatic treatment, dyspnea deteriorated dramatically, and euthanasia was elicited because of poor prognosis. The necropsy revealed a 2.65 x 2.15 x 2.18 cm expansile and poorly delineated cauliflower-shaped mass around the glottis and extending inside the tracheal lumen. Additionally, a dilated salivary gland in the adjacent tissue and multifocal reddish-fleshy areas in the lung parenchyma were detected. Histopathological examination identified the mass as moderately differentiated, tubular adenocarcinoma with invasive growth and moderate to marked cellular atypia and numerous mitoses. The presumptive origin of the neoplasia was one of the salivary glands. Multiple metastases were identified in the lung both macroscopically and histologically. Bacterial culture and molecular testing for West Nile and Usutu viruses were negative. To the authors' knowledge, this is the first report of metastatic laryngeal and oropharyngeal adenocarcinoma in a common raven.


Assuntos
Adenocarcinoma , Doenças das Aves , Neoplasias Laríngeas , Neoplasias Pulmonares , Neoplasias Orofaríngeas , Animais , Masculino , Neoplasias Pulmonares/veterinária , Neoplasias Pulmonares/patologia , Neoplasias Pulmonares/secundário , Adenocarcinoma/veterinária , Adenocarcinoma/patologia , Adenocarcinoma/diagnóstico , Doenças das Aves/patologia , Neoplasias Orofaríngeas/veterinária , Neoplasias Orofaríngeas/patologia , Neoplasias Laríngeas/veterinária , Neoplasias Laríngeas/patologia , Evolução Fatal
4.
J Vet Med Sci ; 86(5): 596-599, 2024 May 25.
Artigo em Inglês | MEDLINE | ID: mdl-38583979

RESUMO

There are few studies on diseases affecting endangered African wild dogs. We report our findings on malignant tumors in two African wild dogs. Case 1 was a 6-year-old intact female diagnosed with inflammatory mammary carcinoma with pulmonary metastasis. Case 2 was an 11-year-old male diagnosed with primary hemangiosarcoma of the left atrial coronary sulcus with metastasis to multiple organs. Additionally, the tumor had grown through the cardiac wall, causing cardiac tamponade. The identification of disease incidence trends provides important information which will allow for the early detection and treatment of malignant tumors, and aid in the conservation of this species.


Assuntos
Canidae , Hemangiossarcoma , Neoplasias Mamárias Animais , Animais , Hemangiossarcoma/veterinária , Hemangiossarcoma/patologia , Feminino , Neoplasias Mamárias Animais/patologia , Masculino , Carcinoma/veterinária , Carcinoma/patologia , Neoplasias Cardíacas/veterinária , Neoplasias Cardíacas/patologia , Neoplasias Cardíacas/secundário , Neoplasias Pulmonares/veterinária , Neoplasias Pulmonares/patologia , Neoplasias Pulmonares/secundário
5.
J Wildl Dis ; 60(3): 779-782, 2024 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-38688514

RESUMO

A free-living female Korean water deer (Hydropotes inermis argyropus) was found with swelling in the left femur. Radiographic and histopathologic examination confirmed distal femoral osteosarcoma with metastases to the inguinal lymph node and the lungs; there are no previous reports of osteosarcoma in water deer.


Assuntos
Cervos , Osteossarcoma , Animais , Osteossarcoma/veterinária , Osteossarcoma/patologia , Feminino , Neoplasias Ósseas/veterinária , Neoplasias Ósseas/patologia , Neoplasias Pulmonares/veterinária , Neoplasias Pulmonares/secundário , Neoplasias Pulmonares/patologia , Fêmur/patologia , Neoplasias Femorais/veterinária , Neoplasias Femorais/patologia , Metástase Linfática
6.
Vet Pathol ; 61(2): 179-189, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-37638494

RESUMO

Primary pulmonary neoplasms in cattle are rare. There are few studies on the pathological findings of these neoplasms in this species. This study aimed to describe the histological and immunohistochemical findings of primary and metastatic pulmonary carcinomas in cattle. We conducted a retrospective study of 19 cases of epithelial neoplasms with pulmonary involvement. Histologically, most of the neoplasms were classified as primary pulmonary neoplasms, including different adenocarcinoma subtypes (4/19, 21%) and adenosquamous carcinomas (3/19, 16%), followed by squamous cell carcinoma (6/19, 32%), metastatic uterine adenocarcinoma (4/19, 21%), metastatic hepatocellular carcinoma (1/19, 5%), and metastatic cholangiocarcinoma (1/19, 5%). By immunohistochemistry, all neoplasms were positive for pancytokeratin, and 4/19 (21%) were positive for vimentin. Primary pulmonary neoplasms had immunoreactivity for thyroid transcription factor-1 (6/7), while only 2 of these cases were positive for napsin A. All cases with squamous differentiation (9/9) had immunoreactivity for cytokeratin (CK) 5/6, while only 7 of these cases were positive for p40. CK20, CK7, and CK8/18 showed varied immunoreactivity in the primary and metastatic pulmonary carcinomas but were important markers to confirm the diagnosis of primary mucinous adenocarcinoma and metastatic cholangiocarcinoma. HepPar-1 was only positive in the metastatic hepatocellular carcinoma. The limited number of cases of metastatic uterine adenocarcinomas in this study precluded identification of a specific immunophenotype for this tumor. Immunohistochemistry proved to be an important tool to confirm the proper classification of these neoplasms.


Assuntos
Adenocarcinoma , Carcinoma Hepatocelular , Doenças dos Bovinos , Colangiocarcinoma , Neoplasias Hepáticas , Neoplasias Pulmonares , Bovinos , Animais , Carcinoma Hepatocelular/veterinária , Carcinoma Hepatocelular/diagnóstico , Estudos Retrospectivos , Biomarcadores Tumorais , Adenocarcinoma/veterinária , Adenocarcinoma/diagnóstico , Neoplasias Pulmonares/diagnóstico , Neoplasias Pulmonares/veterinária , Neoplasias Hepáticas/veterinária , Neoplasias Hepáticas/diagnóstico , Colangiocarcinoma/diagnóstico , Colangiocarcinoma/veterinária , Diagnóstico Diferencial , Doenças dos Bovinos/diagnóstico
7.
J Vet Med Sci ; 86(1): 49-53, 2024 Jan 10.
Artigo em Inglês | MEDLINE | ID: mdl-37940547

RESUMO

After an Egyptian fruit bat (Rousettus aegyptiacus) in a zoo became emaciated and died, a necropsy revealed multiple nodules on the liver and lung surfaces. Microscopy revealed that the liver nodules consisted of neoplastic hepatocytes and showed metastasis in the lung lobes. Most of the neoplastic cells in the liver and lung showed positive labeling for HepPar-1, cytokeratin 19, glypican-3, and Ki-67. Hepatocellular degeneration and necrosis were diffuse in the liver parenchyma. Berlin blue staining revealed large amounts of iron in normal and neoplastic cells. Based on these pieces of evidence, this case was diagnosed as hepatocellular carcinoma with hemochromatosis. This is believed to be the first report of hepatocellular carcinoma in an Egyptian fruit bat that has been immunophenotypically examined in detail by pathological examination.


Assuntos
Carcinoma Hepatocelular , Quirópteros , Hemocromatose , Neoplasias Hepáticas , Neoplasias Pulmonares , Animais , Hemocromatose/veterinária , Carcinoma Hepatocelular/veterinária , Neoplasias Hepáticas/veterinária , Neoplasias Pulmonares/veterinária
8.
Vet Res Commun ; 48(2): 1257-1262, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38113016

RESUMO

Neoplasms in wild felids are more frequently observed in captive animals, of which clinicopathological features of pulmonary tumors are not commonly described. This study aimed to describe the clinical and pathological aspects of a case of diffuse pulmonary acinar adenocarcinoma in a 23-year-old, captive lioness with clinical history of dyspnea, progressive weight loss and inappetence. At necropsy, the lungs were mildly pale, moderately firm, and the pleural surface was diffusely irregular with multifocal to coalescent, grey to white areas. No masses or superficial nodules were detected, but, on the cut surface, there were numerous, spherical, firm, white to yellow areas up to 0.5 cm in diameter affecting all pulmonary lobes. Histologically, in the lungs, there were extensive, non-delineated areas of neoplastic proliferation of columnar, ciliated epithelial cells arranged in irregular tubuloacinar structures. Immunohistochemical analysis revealed immunolabeling of neoplastic cells for pan-cytokeratin and thyroid transcription factor-1. Napsin-A exhibited only scarce and scattered immunolabeling in the neoplastic cells. The gross, histologic and immunohistochemical findings confirmed the final diagnosis of primary diffuse pulmonary adenocarcinoma.


Assuntos
Adenocarcinoma , Leões , Neoplasias Pulmonares , Animais , Adenocarcinoma/diagnóstico , Adenocarcinoma/veterinária , Adenocarcinoma/patologia , Pulmão , Neoplasias Pulmonares/diagnóstico , Neoplasias Pulmonares/veterinária
9.
J Comp Pathol ; 207: 83-86, 2023 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-37988915

RESUMO

This report describes the pathological findings in a 15-year-old spayed female Domestic Shorthaired cat with a pulmonary adenocarcinoma characterized by feline lung-digit syndrome (FLDS) and unusual tongue metastasis. Felis catus papillomavirus type 3 (FcaPV-3) DNA was amplified from the lingual sample but not from samples of the pulmonary mass or digital or splenic metastatic lesions, indicating the presence of FcaPV-3 in the oral cavity but not suggesting a role for FcaPVs in tumour pathogenesis. FLDS is a clinical entity in which primary lung tumours present because of metastatic digital lesions. In humans, tongue metastasis may be a rare initial presentation of lung cancer, whereas, to the best of our knowledge, tongue metastasis of feline tumours has not been reported. Although lingual metastases are rare, the present findings serve to remind clinicians that metastatic manifestations of primary lung tumours in cats may involve multiple extrapulmonary sites, including the tongue.


Assuntos
Adenocarcinoma de Pulmão , Doenças do Gato , Neoplasias Pulmonares , Humanos , Gatos , Animais , Feminino , DNA Viral/genética , Adenocarcinoma de Pulmão/veterinária , Neoplasias Pulmonares/veterinária , Neoplasias Pulmonares/patologia , Língua/patologia , Papillomaviridae/genética , Pulmão/patologia
10.
Vet Comp Oncol ; 21(4): 634-645, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-37709554

RESUMO

The Hippo signalling pathway is involved in breast cancer and canine mammary tumour (CMT). This study sought to evaluate the efficacy of fluvastatin on the Hippo pathway and its main effectors, YAP and TAZ, in vivo in a murine CMT cell line xenograft model. On treatment day 1, mice were divided into four groups: vehicle, fluvastatin, doxorubicin or a combination therapy. Tumour volumes were monitored with callipers and tissues harvested on day 28th of treatment. Histopathological examination of tumour tissues and major organs was performed as well as tumour evaluation of necrosis, apoptosis, cellular proliferation, expression of YAP, TAZ and the mRNA levels of four of their target genes (CTGF, CYR61, ANKRD1 and RHAMM2). Results showed a statistically significant variation in tumour volumes only for the combination therapy and final tumour weight only for the doxorubicin group compared to control. There was no significant difference in tumour necrosis, expression of CC3, ki-67, YAP and TAZ measured by immunohistochemistry and in the mRNA levels of the target genes. Unexpectedly, lung metastases were found in the control group (9) and not in the fluvastatin treated group (7). In addition, mass spectrometry-based quantification of fluvastatin reveals concentrations comparable to levels reported to exert therapeutic effects. This study shows that fluvastatin tumours concentration reached therapeutic levels without having an effect on the hippo pathway or various tumour parameters. Interestingly, only the control group had lung metastases. This study is the first to explore the repurposing of statins for cancer treatment in veterinary medicine.


Assuntos
Neoplasias da Mama , Doenças do Cão , Neoplasias Pulmonares , Glândulas Mamárias Humanas , Neoplasias Mamárias Animais , Humanos , Animais , Cães , Camundongos , Feminino , Fluvastatina/uso terapêutico , Fatores de Transcrição/metabolismo , Xenoenxertos , Glândulas Mamárias Humanas/metabolismo , Linhagem Celular Tumoral , Doenças do Cão/tratamento farmacológico , Doenças do Cão/metabolismo , Neoplasias da Mama/veterinária , Neoplasias Mamárias Animais/tratamento farmacológico , Neoplasias Mamárias Animais/metabolismo , Neoplasias Pulmonares/tratamento farmacológico , Neoplasias Pulmonares/veterinária , Necrose/veterinária , Doxorrubicina , RNA Mensageiro
11.
Vet Comp Oncol ; 21(4): 656-664, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-37620018

RESUMO

Canine primary pulmonary carcinomas (PCCs) are commonly treated with surgery with overall median survival times (MST) around a year; however, due to extent of disease, prognosis, or client preference, alternative treatments have been considered. Stereotactic body radiation therapy (SBRT) has been utilized in human cancer patients for local control of lung tumours as a surgical alternative. Twenty-one PCCs in 19 dogs that received SBRT for local control were retrospectively evaluated. Dogs were staged according to the canine lung carcinoma stage classification (CLCSC) system with three as Stage 1, five as Stage 2, three as Stage 3, and eight as Stage 4. Overall MST was 343 days with 38% of patients alive at 1 year. Stage did not significantly impact survival time (p = .72). Five (26%) dogs had lymphadenopathy and MST was not significantly different from dogs without lymphadenopathy (343 vs. 353 days; p = .54). Five out of 18 evaluable dogs (28%) experienced acute lung VRTOG effects and 2 of 12 dogs (17%) experienced late lung VRTOG effects. Median lung dose, V5, V20, and D30 to the lung did not correlate significantly with the development of adverse radiation events. Twelve dogs had follow-up imaging and the best response included a complete response (17%), partial response (42%), and stable disease (42%). Progressive disease was noted in seven dogs a median of 229 days after SBRT. SBRT was documented to be a safe and effective alternative to surgery and may have survival advantages for Stage 3 or 4 dogs according to the CLCSC.


Assuntos
Carcinoma , Doenças do Cão , Neoplasias Pulmonares , Linfadenopatia , Radiocirurgia , Humanos , Cães , Animais , Estudos Retrospectivos , Radiocirurgia/veterinária , Radiocirurgia/métodos , Resultado do Tratamento , Doenças do Cão/radioterapia , Doenças do Cão/cirurgia , Doenças do Cão/patologia , Neoplasias Pulmonares/radioterapia , Neoplasias Pulmonares/veterinária , Linfadenopatia/veterinária , Carcinoma/cirurgia , Carcinoma/veterinária
12.
Vet Clin Pathol ; 52(4): 661-669, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-37528057

RESUMO

BACKGROUND: Distinguishing primary and secondary pulmonary neoplasms can be challenging via cytology, and a rapid, inexpensive diagnostic tool to differentiate these neoplasms is unavailable. Alkaline phosphatase cytochemistry (ALP-CC) has been used to identify primary pulmonary carcinomas in human patients, and we hypothesized it could be applied to canine lung aspirates. OBJECTIVE: We aimed to characterize ALP-CC expression in fine-needle aspirate (FNA) samples of canine pulmonary neoplastic and non-neoplastic tumors. METHODS: A retrospective case search was conducted to identify cases with contemporaneous cytology and histopathology reports from pulmonary lesions, including neoplastic and non-neoplastic etiologies. Slides prepared from pulmonary aspirates were stained for ALP-CC activity, and the percentage of ALP-CC-positive primary pulmonary epithelial tumors was determined. To characterize the ALP-CC expression in non-neoplastic cellular constituents of pulmonary FNA samples, mesothelial cells were also evaluated. RESULTS: Forty-eight canine cases met the inclusion criteria. ALP-CC-positive cells were seen in both neoplastic and non-neoplastic lesions. In non-neoplastic lesions, pulmonary epithelial cells were ALP-CC positive. Eighty-nine percent of primary pulmonary epithelial neoplasms were ALP-CC positive, and no ALP-CC positivity was noted in mesothelial cells. ALP-CC-positive neoplastic cells were seen in a metastatic amelanotic melanoma. CONCLUSIONS: Primary pulmonary epithelial neoplasms are frequently ALP-CC positive, but such positivity is not restricted to this tumor type. Non-neoplastic pulmonary epithelial cells can be ALP-CC positive, whereas mesothelial cells are negative.


Assuntos
Carcinoma , Doenças do Cão , Neoplasias Pulmonares , Melanoma , Humanos , Animais , Cães , Fosfatase Alcalina , Estudos Retrospectivos , Sensibilidade e Especificidade , Carcinoma/patologia , Carcinoma/veterinária , Neoplasias Pulmonares/diagnóstico , Neoplasias Pulmonares/veterinária , Neoplasias Pulmonares/patologia , Biópsia por Agulha Fina/veterinária , Corantes , Melanoma/veterinária , Histocitoquímica/veterinária , Doenças do Cão/diagnóstico , Doenças do Cão/patologia
13.
Vet Radiol Ultrasound ; 64(6): E68-E72, 2023 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-37582509

RESUMO

A geriatric dog presented for lethargy, dyspnea, and urinary incontinence. Thoracic radiographs demonstrated a large, mixed fat, and soft tissue opaque axillary mass and a pulmonary mass. Computed tomography (CT) further characterized these masses and revealed innumerable fat-attenuating hepatic masses and cranial mediastinal lymphadenopathy. Histopathology of the axillary and hepatic masses confirmed grade two primary axillary liposarcoma with hepatic metastasis. Cytology of the pulmonary mass was consistent with a pulmonary carcinoma. This is the first published CT description of fat-attenuating metastatic hepatic liposarcoma in a dog.


Assuntos
Doenças do Cão , Lipossarcoma , Neoplasias Hepáticas , Neoplasias Pulmonares , Animais , Cães , Lipossarcoma/diagnóstico por imagem , Lipossarcoma/veterinária , Lipossarcoma/patologia , Tomografia Computadorizada por Raios X/veterinária , Neoplasias Hepáticas/diagnóstico por imagem , Neoplasias Hepáticas/veterinária , Neoplasias Pulmonares/veterinária , Doenças do Cão/diagnóstico por imagem , Doenças do Cão/patologia
14.
Vet Radiol Ultrasound ; 64(5): 881-889, 2023 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-37549965

RESUMO

Advancements in the field of artificial intelligence (AI) are modest in veterinary medicine relative to their substantial growth in human medicine. However, interest in this field is increasing, and commercially available veterinary AI products are already on the market. In this retrospective, diagnostic accuracy study, the accuracy of a commercially available convolutional neural network AI product (Vetology AI®) is assessed on 56 thoracic radiographic studies of pulmonary nodules and masses, as well as 32 control cases. Positive cases were confirmed to have pulmonary pathology consistent with a nodule/mass either by CT, cytology, or histopathology. The AI software detected pulmonary nodules/masses in 31 of 56 confirmed cases and correctly classified 30 of 32 control cases. The AI model accuracy is 69.3%, balanced accuracy 74.6%, F1-score 0.7, sensitivity 55.4%, and specificity 93.75%. Building on these results, both the current clinical relevance of AI and how veterinarians can be expected to use available commercial products are discussed.


Assuntos
Doenças do Cão , Neoplasias Pulmonares , Nódulos Pulmonares Múltiplos , Animais , Cães , Humanos , Inteligência Artificial , Neoplasias Pulmonares/diagnóstico por imagem , Neoplasias Pulmonares/veterinária , Estudos Retrospectivos , Tomografia Computadorizada por Raios X/veterinária , Tomografia Computadorizada por Raios X/métodos , Nódulos Pulmonares Múltiplos/veterinária , Software , Radiografia Torácica/veterinária , Radiografia Torácica/métodos , Sensibilidade e Especificidade , Doenças do Cão/diagnóstico por imagem
15.
Can Vet J ; 64(7): 627-632, 2023 07.
Artigo em Inglês | MEDLINE | ID: mdl-37397690

RESUMO

Primary squamous cell carcinoma of the head and neck occurs in the skin or squamous epithelial lining tissues of the oral cavity, pharynx, larynx, and sinonasal tract. Although it is a common tumor in horses, distant metastatic spread to the lung is rare. This report describes a case of metastatic pulmonary squamous cell carcinoma in a 23-year-old Morgan gelding. The clinical signs displayed by this gelding in some ways mimicked the typical presentation of equine multinodular pulmonary fibrosis or thoracic lymphoma. The postmortem diagnosis in this case was head and neck squamous cell carcinoma, but a primary site of origin could not be ascertained. Cancer-associated heterotopic ossification (HO) was also identified in this case; this is an exceedingly rare finding with equine pulmonary neoplasia. Key clinical message: Careful physical examination should be undertaken in all horses presenting with clinical signs of intrathoracic disease. Clinical and radiographic abnormalities in this case of pulmonary metastatic disease resembled some of those associated with interstitial pneumonia. Rarely encountered in domestic animal species, there has been only 1 previous report of HO in a case of oronasal carcinoma in a horse.


Carcinome épidermoïde de la tête et du cou avec ossification hétérotopique, envahissement lymphovasculaire et métastases ganglionnaires et pulmonaires chez un hongre Morgan de 23 ans. Le carcinome épidermoïde primitif de la tête et du cou survient dans la peau ou les tissus épithéliaux squameux de la cavité buccale, du pharynx, du larynx et du tractus naso-sinusien. Bien qu'il s'agisse d'une tumeur courante chez les chevaux, la propagation métastatique à distance au poumon est rare. Ce rapport décrit un cas de carcinome épidermoïde pulmonaire métastatique chez un hongre Morgan de 23 ans. Les signes cliniques présentés par ce hongre imitaient à certains égards la présentation typique de la fibrose pulmonaire multinodulaire équine ou du lymphome thoracique. Le diagnostic post-mortem dans ce cas était un carcinome épidermoïde de la tête et du cou, mais un site d'origine primaire n'a pas pu être déterminé. L'ossification hétérotopique associée au cancer (HO) a également été identifiée dans ce cas; il s'agit d'une découverte extrêmement rare avec la néoplasie pulmonaire équine.Message clinique clé :Un examen physique attentif doit être entrepris chez tous les chevaux présentant des signes cliniques de maladie intrathoracique. Les anomalies cliniques et radiographiques dans ce cas de maladie pulmonaire métastatique ressemblaient à certaines de celles associées à la pneumonie interstitielle. Rarement rencontré chez les espèces animales domestiques, il n'y a eu qu'un seul signalement antérieur d'HO dans un cas de carcinome oronasal chez un cheval.(Traduit par Dr Serge Messier).


Assuntos
Carcinoma de Células Escamosas , Neoplasias de Cabeça e Pescoço , Doenças dos Cavalos , Neoplasias Pulmonares , Neoplasias Cutâneas , Masculino , Animais , Cavalos , Carcinoma de Células Escamosas de Cabeça e Pescoço/veterinária , Carcinoma de Células Escamosas/veterinária , Neoplasias Cutâneas/patologia , Neoplasias Cutâneas/veterinária , Neoplasias Pulmonares/veterinária , Neoplasias Pulmonares/secundário , Neoplasias de Cabeça e Pescoço/veterinária , Doenças dos Cavalos/diagnóstico
17.
J Vet Intern Med ; 37(4): 1466-1474, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37226683

RESUMO

BACKGROUND: Tumor size is an important prognostic factor in lung cancer in dogs, and the canine lung carcinoma stage classification (CLCSC) recently has been proposed to subdivide tumor sizes. It is unclear if the same classification scheme can be used for small-breed dogs. OBJECTIVES: To investigate whether the tumor size classification of CLCS is prognostic for survival and progression outcomes in small-breed dogs with surgically resected pulmonary adenocarcinomas (PACs). ANIMALS: Fifty-two client-owned small-breed dogs with PAC. METHODS: Single-center retrospective cohort study conducted between 2005 and 2021. Medical records of dogs weighing <15 kg with surgically resected lung masses histologically diagnosed as PAC were examined. RESULTS: The numbers of dogs with tumor size ≤3 cm, >3 cm to ≤5 cm, >5 cm to ≤7 cm, or >7 cm were 15, 18, 14, and 5, respectively. The median progression-free interval (PFI) and overall survival time (OST) were 754 and 716 days, respectively. In univariable analysis, clinical signs, lymph node metastasis, margin, and histologic grade were associated with PFI, and age, clinical signs, margin, and lymph node metastasis were associated with OST. Tumor size classification of CLCS was associated with PFI in all categories, and tumor size >7 cm was associated with OST. In multivariable analysis, tumor size >5 cm to ≤7 cm and margin were associated with PFI, and age was associated with OST. CONCLUSIONS AND CLINICAL IMPORTANCE: The tumor size classification of CLCS would be an important prognostic factor in small-breed dogs with surgically resected PACs.


Assuntos
Adenocarcinoma , Doenças do Cão , Neoplasias Pulmonares , Humanos , Cães , Animais , Estudos Retrospectivos , Metástase Linfática , Prognóstico , Neoplasias Pulmonares/cirurgia , Neoplasias Pulmonares/veterinária , Pulmão/patologia , Adenocarcinoma/cirurgia , Adenocarcinoma/veterinária , Adenocarcinoma/patologia , Estadiamento de Neoplasias , Doenças do Cão/cirurgia , Doenças do Cão/patologia
18.
J Am Vet Med Assoc ; 261(10): 1-7, 2023 10 01.
Artigo em Inglês | MEDLINE | ID: mdl-37217176

RESUMO

OBJECTIVE: To investigate the CT features of cavitary pulmonary lesions and determine their utility to differentiate malignant from benign lesions. ANIMALS: This retrospective study included cases from 5 veterinary medical centers between January 1 2010, and December 31, 2020. Inclusion criteria included having a gas-filled cavitary pulmonary lesion on thoracic CT and definitive diagnosis by either cytology or histopathology. Forty-two animals (27 dogs and 15 cats) were included in this study. PROCEDURES: Medical records systems/imaging databases were searched, and cases meeting inclusion criteria were selected. The CT studies were interpreted by a third-year radiology resident, and findings were reviewed by a board-certified veterinary radiologist. RESULTS: 7 of the 13 lesion characteristics investigated were not statistically associated with the final diagnosis of the lesion, whereas 6 were statistically associated. Those that were associated included the presence of intralesional contrast enhancement, type of intralesional contrast enhancement (heterogenous and homogenous analyzed separately), presence of additional nodules, wall thickness of the lesion at its thickest point, and wall thickness at the thinnest point. CLINICAL RELEVANCE: Results from the present study showed that thoracic CT imaging of cavitary pulmonary lesions can be used to further refine the list of differential diagnoses. Based on this data set, in lesions that have heterogenous contrast enhancement, additional pulmonary nodules, and wall thickness > 40 mm at their thickest point, it would be reasonable to consider malignant neoplastic disease higher on the list of differentials than other causes.


Assuntos
Doenças do Gato , Doenças do Cão , Neoplasias Pulmonares , Gatos , Cães , Animais , Estudos Retrospectivos , Doenças do Gato/diagnóstico por imagem , Doenças do Gato/patologia , Tomografia Computadorizada por Raios X/veterinária , Doenças do Cão/diagnóstico por imagem , Neoplasias Pulmonares/diagnóstico por imagem , Neoplasias Pulmonares/veterinária , Neoplasias Pulmonares/patologia , Diagnóstico Diferencial
19.
Open Vet J ; 13(2): 241-246, 2023 02.
Artigo em Inglês | MEDLINE | ID: mdl-37073247

RESUMO

Background: Primary lung neoplasms are, frequently represented by solid, solitary, or multiple formations. However, malignant cavitary lesions may be presented as lung adenocarcinomas. Those malignant lesions differ from benignant bullae by the thickness heterogeneity of its surrounding shape. Case Description: The present clinical case reports a 14-year-old female dog, of mixed breed, with an increase in the coughs frequency, fatigue, and exercise intolerance. A chest X-ray was taken, a large emphysematous cystic area was found, with thickened and irregular walls located in the left caudal pulmonary lobe, which measured 8 × 7.5 × 3 cm, and rejected the bronchial branch corresponding to the left caudal pulmonary lobe, in addition to thickening of the bronchial walls, compatible with bronchopathy. The tomographic examination of the cavity showed an air content structure, oval to round in shape, with irregular thick hyperattenuating walls measuring approximately 0.4 cm in thickness, occupying more than 30% of the left hemithorax, and pulmonary lobectomy was chosen. Histopathology confirmed the diagnosis of bronchoalveolar adenocarcinoma, with the presence of sparse areas of necrosis and dystrophic calcification. Conclusion: The present case successfully diagnosed a malignant bulae, after a surgical remove. The tomographic finds although not confirmatory, suggest a malignant component by the shape and thickness of its wall. The tomographic exam is of great importance, because only through it, it is possible to evaluate if there is lymph node or pleural involvement or the presence of small metastasis foci. There is indication for surgery and histopathological examination of the piece for a definitive diagnosis.


Assuntos
Vesícula , Doenças do Cão , Neoplasias Pulmonares , Animais , Cães , Feminino , Vesícula/diagnóstico , Vesícula/patologia , Vesícula/veterinária , Doenças do Cão/diagnóstico , Doenças do Cão/patologia , Doenças do Cão/cirurgia , Neoplasias Pulmonares/diagnóstico , Neoplasias Pulmonares/patologia , Neoplasias Pulmonares/veterinária , Tomografia Computadorizada por Raios X/veterinária
20.
Vet Med Sci ; 9(3): 1062-1068, 2023 05.
Artigo em Inglês | MEDLINE | ID: mdl-36745474

RESUMO

A 16-year-old intact female Miniature Dachshund (dog 1) and a 13-year-old intact female American Cocker Spaniel (dog 2) presented with a chief complaint of bleeding from a mammary gland tumour ulceration. Dog 1 was transferred to hospital from a local hospital in a haemorrhagic shock state with uncontrolled continuous bleeding. Thoracic radiographs revealed multiple nodular shadows suspected to be pulmonary metastasis. Dog 2 presented with intermittent bleeding from a mass lesion in the right fifth mammary gland. Due to high anaesthetic risk secondary to severe mitral valve insufficiency (ASA status III), the owner declined surgical excision of the tumour. Therefore, microwave ablation (MWA) under local anaesthesia was chosen in order to achieve adequate haemostasis. Both dogs received local anaesthesia around the bleeding mass lesion, and the disintegrated site was microwave-ablated; dog 1 underwent MWA after blood transfusion to improve the haemorrhagic shock. The ablation site was protected using a non-adhesive dressing. Scarring of the ulcerated site led to complete haemostasis in both cases. Dog 1 underwent tumorectomy on the 31st hospital day to prevent rebleeding; histopathology results were consistent with mammary adenocarcinoma with the ablation site covered by a capsule structure. To the authors' knowledge, this is the first case report describing the use of MWA to stop bleeding from mammary tumours in veterinary medicine. MWA is a feasible and potentially effective palliative treatment modality to stop bleeding from disintegrated mammary tumours in dogs under local anaesthesia.


Assuntos
Doenças do Cão , Neoplasias Pulmonares , Neoplasias Mamárias Animais , Ablação por Radiofrequência , Choque Hemorrágico , Cães , Feminino , Animais , Choque Hemorrágico/veterinária , Micro-Ondas/uso terapêutico , Ablação por Radiofrequência/veterinária , Resultado do Tratamento , Neoplasias Pulmonares/veterinária , Neoplasias Mamárias Animais/cirurgia , Doenças do Cão/cirurgia , Doenças do Cão/patologia
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