Cholangiocarcinoma in a bitch - multimodal diagnosis

Background: Hepatic tumors of primary origin account for 0.6% to 2.9% of cases in canine species, less common than hepatic metastases. The hepatic tumors are divided into hepatocellular tumors, neuroendocrine tumors, bile duct tumors or cholangiocarcinomas, and mesenchymal tumors. Cholangiocarcinomas, are classified according to their origin, being intrahepatic, extrahepatic, or gallbladder type. Cholangiocarcinomas are considered rare in dogs and cats with a ratio of 29% to 71% compared to hepatocellular carcinomas, accounting for 9% of the hepatic tumors. The present study aims to describe a case of cholangiocarcinoma in a bitch, focusing on the diagnostic approach. Case: A 10-year-old castrated bitch Poodle was attended presenting hypoglycemia and seizure crisis. The patient had previous exams of hemogram and serum biochemical profile, showing a discrete increase of the hepatic enzymes alanine aminotransferase (ALT) and aspartate aminotransferase (AST), besides hypoglycemia. Previous ultrasound exam revealed the presence of a hepatic mass located between the right and square lobes, immeasurable, and significant splenomegaly. Abdominal palpation revealed the presence of immeasurable abdominal formation of undetermined origin. Abdominal computerized tomography (CT), glycemic curve, and insulin dosage were requested. Tomography exam showed an increase in hepatic volume with the presence of a heterogeneous formation in the right lateral lobe topography; increase in spleen dimensions and the presence of multiple nodules; and the presence of a nodule in the right lung, at the caudal thoracic region. The glycemic curve showed acute variations, and insulin dosage was between normal values. The animal was referred for surgery, as in abdominocentesis, it was observed the presence of hemorrhagic fluid, confirming active bleeding by ultrasonography. The owners chose for euthanasia. In the post-mortem evaluation the main lesion was confirmed of hepatic origin, with a massive, irregular, cavitary presentation, involving multiple hepatic lobes, and a single nodule was observed in the right caudal lobe of the right lung. Histopathological evaluation was considered inconclusive. Immunohistochemistry was performed and the association of the immunohistochemical profile with the morphological characteristics indicated diagnosis of cholangiocarcinoma. Discussion: The related symptomatology, in hepatic neoplasms, is generally considered non-specific, with reports of lethargy, vomiting, dyspnea, anorexia and weight loss, however, the dog in this study presented a unique manifestation of hypoglycemia and one episode of convulsive crisis resulting from it. The clinical manifestation observed was extremely unspecific making initial diagnosis difficult. The ultrasonographic examination was effective in evidencing the abdominal mass. In addition, abdominal CT was also performed, which confirmed the hepatic origin, detailing the macroscopic aspect. Biochemical analyses of ALT and AST showed a discrete increase. Biochemical changes may occur in dogs with hepatic neoplasms, although they are not specific. Functional pancreatic beta-cell tumors producing insulin are the most common cause of paraneoplastic hypoglycemia, although in the case the insulin dosage was within normal limits. In cases of nonislet cell tumor the mechanism is frequently associated with the production of insulin-like growth factor (IGF). In most cases the definitive diagnosis of cholangiocarcinoma can be obtained by histopathological examination, although in the present report the result obtained was inconclusive, requiring an immunohistochemical examination. Due to the aggressive and metastatic character of this neoplastic type, early detection becomes extremely important in order to maximize therapeutic chances, however, diagnosis may be difficult.

Lomustine for treatment of canine transmissible venereal tumor / Eficácia da lomustina no tratamento do tumor venéreo transmissível canino

Canine transmissible venereal tumor (TVTC) is a highly casuistic transmissible neoplasm in Brazil. Chemotherapy with vincristine sulfate is considered the treatment of choice, but the need for weekly applications and hematological monitoring, in addition to costs, are obstacles to owners' adhesion to the treatment. Lomustine is an alkylating class antineoplastic agent, and because it is administered orally, it is a more practical and less costly treatment option for the owners of animals with neoplasms sensitive to the drug. This study evaluated the therapeutic efficacy of lomustine in dogs affected by TVTC. Twelve dogs with cytopathological diagnosis of natural genital TVTC were selected. The dogs were submitted to the experimental protocol with lomustine administration at doses of 70 to 85 mg/m2 orally every 21 days, totaling a maximum of two administration cycles. The animals were reevaluated every 7 days until a maximum of +49 days after the first dose of lomustine, to monitor the regression of neoplastic lesions through measurements. Among the 12 dogs submitted to the lomustine protocol, 8/12 achieved complete remission of the neoplasm and were considered cured (66.6%), 1/12 had partial response to treatment (8.33%) and 3/12 had stable disease (25%). Important adverse effects such as severe neutrophilic leukopenia were detected in 3/12 dogs (25%). The clinical study indicated that lomustine may be a treatment option for TVTC.

O tumor venéreo transmissível canino (TVTC) é uma neoplasia transmissível de elevada casuística no Brasil. A quimioterapia com sulfato de vincristina é considerada o tratamento de escolha, mas a necessidade de aplicações semanais e acompanhamento hematológico, além dos custos, são obstáculos à adesão dos proprietários ao tratamento. A lomustina é um antineoplásico da classe dos agentes alquilantes e, por ser administrado por via oral, representa um opção de tratamento mais prática e menos onerosa para os proprietários de animais com neoplasias. O objetivo deste estudo foi avaliar a eficácia terapêutica da lomustina em cães acometidos por TVTC. Foram selecionados 12 cães com diagnóstico citopatológico de TVTC genital de ocorrência natural. Os cães foram submetidos ao protocolo experimental com administração de lomustina nas doses de 70 a 85 mg/m2 por via oral a cada 21 dias, totalizando no máximo dois ciclos de administração. Os animais foram reavaliados a cada sete dias até um máximo de +49 dias após a primeira dose de lomustina, para monitorar a regressão das lesões neoplásicas por meio de mensuração das lesões. Entre os 12 cães submetidos ao protocolo, 8/12 obtiveram remissão completa da neoplasia e foram considerados curados (66,6%), 1/12 tiveram resposta parcial ao tratamento (8,33%) e 3/12 tiveram doença estável (25%). Efeitos adversos importantes, como leucopenia neutrofílica grave, foram detectados em 3/12 cães (25%). O estudo clínico indicou que a lomustina pode ser uma opção de tratamento para TVTC.

Resposta metabólica ao trauma cirúrgico / Metabolic response to surgical trauma

Os efeitos do trauma cirúrgico no organismo, os quais são amplamente estudados pela medicina humana e veterinária, resultam em uma complexa resposta neuroendócrina e imunológica, desencadeadas para restabelecer a homeostase e preservar a vida. A resposta metabólica ao trauma é caracterizada pelo aumento da secreção de hormônios hipofisários, ativação do sistema nervoso simpático e secreção de citocinas pró-inflamatórias. Essa resposta tem por objetivo manter a perfusão tecidual, controlar a proliferação de microrganismos e mobilizar substratos para garantir a integridade das funções celulares e promover reparação tecidual. Diferentes fatores podem influenciar a intensidade da resposta do organismo ao trauma, incluindo magnitude e duração dos estímulos, enfermidades ou eventos traumáticos pré-existentes, protocolos anestésicos e técnicas cirúrgicas utilizadas. Respostas metabólicas exacerbadas ocasionam complicações pós-operatórias, tempo prolongado de recuperação dos pacientes e óbito. Através da identificação dos principais eventos relacionados à resposta metabólica ao trauma cirúrgico, é possível atuar de forma a reduzir os danos associados, melhorando a qualidade e minimizando os riscos do período pós-operatório. Sendo assim, este trabalho tem como objetivo apresentar uma revisão descrevendo a fisiopatologia e as consequências da resposta metabólica ao trauma cirúrgico, em suas diferentes formas e origens, no período perioperatório.

The effects of surgical trauma on the organism, which are widely studied by human and veterinary medicine, result in a complex neuroendocrine and immune responses triggered to restore homeostasis and preserve life. The metabolic response to trauma is characterized by increased secretion of hypophyseal hormones, activation of the sympathetic nervous system, and secretion of pro-inflammatory cytokines. This response aims to maintain tissue perfusion, control the proliferation of microorganisms, and mobilize substrates to ensure the integrity of cellular functions and promote tissue repair. Different factors can influence the intensity of the organism's response to trauma, including magnitude and duration of stimuli, pre-existing infirmities or traumas, anaesthetic protocols, and surgical techniques applied. Exacerbated metabolic responses can cause post-operative complications, prolonged recovery time, and death. By identifying the main events related to the metabolic response to surgical trauma, it is possible to act to reduce the associated damages, improving quality and minimizing the risks of the postoperative period. Thus, the present paper aims to present a review describing the physiopathology and the consequences of the metabolic response to surgical trauma, in its different forms and origins, in the perioperative period.

Canine transmissible venereal tumor with spontaneous remission: case study with emphasis on clinical and cytopathological exams to monitor tumor evolution / Tumor venéreo transmissível canino com remissão espontânea: estudo de caso com ênfase aos exames clínico e citopatológico para monitoramento da evolução tumoral

The canine transmissible venereal tumor (TVTC) is a neoplasm transmitted mainly through copulation and with a high incidence in stray dogs in Brazil. In the process of tumor evolution of TVTC, the progression, stationary and regression phases are recognized. The host immunity is related to the disease's biological behavior, however, spontaneous regression observation in cases of naturally occurring TVTC is uncommon. A canine patient was attended, after beeing rescued from the street, due to an ulcerated mass in the external genitália and tick infestation. Cytopathological examination, which diagnosed TVTC, and laboratory tests that showed mild anemia and severe thrombocytopenia were performed. In view of the impossibility of carrying out other exams, it was made the presumptive diagnosis of canine monocytic ehrlichiosis (CME), and treatment was instituted. During follow-up it was observed quick improvement in clinical signs and laboratory changes, as well as a reduction in tumor mass. A new cytopathological evaluation was carried out, and was verified increase in mature lymphocytes and plasmocytes in the midst of the tumor cells, finding compatible with the stationary phase of the disease. From that moment on, it was decided to perform only clinical and cytopathological follow-up. In the following evaluations, continuous clinical remission and cytopathological findings compatible with those described in the regression phase were observed, until its complete remission. It is considered that the improvement in the general health of the patient after the treatment of CME is related to the spontaneous regression of TVTC, and that simultaneous performance of serial clinical and cytopathological exams may be feasible and useful for monitoring the stages of evolution of TVTC.

O tumor venéreo transmissível canino (TVTC) é uma neoplasia transmitida principalmente através da cópula, com elevada incidência em cães errantes no Brasil. No processo de evolução tumoral do TVTC, são reconhecidas as fases de progressão, estacionária e de regressão. O estado imunológico do hospedeiro está relacionado ao comportamento biológico da doença, contudo, a observação de regressão espontânea em casos de TVTC de ocorrência natural é incomum. Foi atendida uma paciente canina, resgatada da rua, por apresentar massa ulcerada na genitália externa e infestação por carrapatos. Foram realizados exame citopatológico, que diagnosticou TVTC, e exames laboratoriais que evidenciaram anemia discreta e grave trombocitopenia. Com isso e diante da impossibilidade de realizar outros exames, foi também estabelecido o diagnóstico presuntivo de erlichiose monocítica canina (EMC) e instituído tratamento para a hemoparasitose. Durante o acompanhamento, foi observada rápida melhora dos sinais clínicos e das alterações laboratoriais, bem como a redução espontânea da massa tumoral. Em sequência, foi realizada nova avaliação citopatológica do TVTC e verificado o aumento quantitativo de linfócitos maduros e plasmócitos, em meio as células tumorais, achado compatível com a fase estacionária da doença. A partir desse momento, optou-se por realizar apenas acompanhamento clínico e avaliação citopatológica da neoplasia. Foram observados contínua remissão clínica e achados microscópicos compatíveis com a fase de regressão do tumor, até sua remissão completa. Pondera-se que a melhora na saúde geral da paciente após o tratamento da EMC esteja relacionada à regressão espontânea do TVTC, e que realização simultânea de exames clínico e citopatológico seriados pode ser viável e útil ao acompanhamento das fases de evolução do TVTC.

Acute phase protein and vitamin D concentration in dogs with multicentric lymphoma / Concentração de proteínas de fase aguda e vitamina D em cães com linfoma multicêntrico

This study aimed to evaluate the serum concentration of vitamin D (25-Hydroxyvitamin D) and acute phase proteins (APPs; alpha-1 acid glycoprotein, haptoglobin, transferrin, ceruloplasmin, albumin, IgA, IgG and alpha-1 - antitrypsin) as potential biomarkers for prognostic and therapy response in dogs with multicentric lymphoma submitted to the CHOP (Cyclophosphamide, Doxorubicin, Vincristine and Prednisone) chemotherapy protocol. Thirteen dogs with multicentric lymphoma classified as high grade by cytology were included in the treatment group (GL), while ten healthy dogs were included in the control group (GC). Serum was collected in the weeks T0, T5 and T10 of CHOP chemotherapy protocol, for the GL group, and in a single collection, for the GC group. All the collected samples were evaluated for the APPs and vitamin D concentrations through electrophoresis and chemiluminescence methods, respectively. Diagnostic and staging tests were performed for all the dogs in the GL group, and included cytopathology, histopathology and immunohistochemistry of the affected lymph node. Of these dogs, 9 achieved a complete response and 4 a partial response to the treatment. Data analysis was performed with the R software. The results demonstrated that serum concentrations of IgA, haptoglobin and α1-acid glycoprotein were significantly different between the groups and also between the different chemotherapy times analyzed (p<0.05), indicating that these proteins can be considered as sensitive biomarkers for lymphoma in dogs. Furthermore, the α1-acid glycoprotein showed prognostic value for the disease, with 63% specificity. However, vitamin D concentration was not correlated with prognosis of the dogs with lymphoma.

Objetivou-se caracterizar a concentração sérica da vitamina D e das PFAs (Proteínas de Fase Aguda) (alfa-1 glicoproteína ácida, haptoglobina, transferrina, ceruloplasmina, albumina, IgA, IgG e alfa-1 ­ antitripsina) em cães com linfoma multicêntrico, submetidos ao tratamento quimioterápico com protocolo CHOP (Ciclofosfamida, Doxorrubicina, Vincristina e Prednisona), determinando o valor prognóstico desses marcadores para a doença. Foram avaliadas as concentrações séricas das PFAs, através do método da eletroforese e as concentrações da vitamina D, através da quimioluminescência em dois grupos experimentais, um grupo de 13 cães com linfoma multicêntrico classificados como alto grau pela citologia (GL) durante as semanas T0, T5 e T10 do tratamento com protocolo quimioterápico antineoplásico e em um grupo de 10 animais saudáveis para compor o grupo controle (GC), em coleta única. Para isso, foi realizado o diagnóstico, estadiamento e avaliação de resposta terapêutica dos 13 pacientes com linfoma multicêntrico através de técnicas de citopatologia, histopatologia, imuno-histoquímica do linfonodo periférico acometido. Foi observado que 9 pacientes tiveram resposta completa e 4 pacientes tiveram resposta parcial ao tratamento. Os dados foram analisados através do software R. Os resultados indicam que as diferenças entre as variáveis IgA, haptoglobina e α1-glicoproteína ácida foram significativas entre os grupos, e entre os diferentes momentos da quimioterapia (p< 0,05), indicando que podem ser marcadores sensíveis ao linfoma em cães. A α1-glicoproteína ácida apresentou valor prognóstico para o linfoma, com 63% de especificidade. Porém a vitamina D não apresentou valor prognóstico para o linfoma multicêntrico em cães.

Tumor venéreo transmissível canino em laringe com metástase pulmonar / Canine transmissible venereal tumor in the larynx with pulmonary metastasis

Background: Canine transmissible venereal tumor (TVT) is one of the most common canine neoplasms in Brazil. Lesions develop mainly in the genital tissue and less frequently in other areas, in the extragenital form. Metastasis is rare, and the disease progression depends on the patient’s immune status. The treatment of choice is chemotherapy with vincristine sulfate, considered an effective and safe modality. The present work describes the first case of extragenital TVT in the larynx with pulmonary metastasis at the time of diagnosis. Case: An approximately 4-month-old mixed-breed bitch was attended manifesting acute clinical respiratory signs. The patient had been rescued from the street 2 months beforehand. Physical examination revealed pale mucous membranes and crackling pulmonary auscultation. Thoracic radiography was performed in 3 projections, showing multiple nodules in the lung parenchyma, followed by cytopathological examination using fine needle puncture guided by thoracic ultrasound, confirming the diagnosis of TVT. Considering the cytological finding and the absence of primary tumor lesions in the genital, oral, cutaneous or nasal regions, endoscopy was performed in order to locate a possible primary focus. The exam revealed a small erythematous tumor with smooth and regular surface, measuring approximately 2.5 cm, located in the larynx, between the arytenoid cartilages. Chemotherapy was performed with vincristine sulfate with radiographic follow-up throughout the treatment. Full remission of the pulmonary and laryngeal nodules was achieved at the end of the protocol. The animal remained in complete remission for a period of 2 years. Discussion: TVT is more frequently observed in animals of active reproductive age, and rarely in animals under 1 year of age, as in the case...

Carcinoma uretral primário em uma cadela - tratamento multimodal / Primary urethral carcinoma in a bitch - multimodal treatment

Background: Urethral tumors are uncommon in canines, represented predominantly by transitional cell carcinoma, marked by aggressive behavior associated with short life expectancy. Definitive diagnosis is achieved by histopathological analysis. Surgery associated with chemotherapy is the main therapeutic alternative. The aim of this paper is to report a case of primary transitional cell carcinoma of the urethra in a bitch, submitted to surgical treatment associated with conventional adjuvant chemotherapy and metronomic chemotherapy, achieving survival of 21 months, to date. Case: A 12-year-old bitch mixed breed was admitted at the Veterinary Hospital of Federal Rural University of Rio de Janeiro (UFRRJ), manifesting hematuria and urinary incontinence for one month. Physical examination indicated that vital parameters were within normal limits. Laboratory tests of blood count and serum biochemistry, urinalysis, culture, urinary antibiogram, and abdominal ultrasound were performed. The ultrasound image suggested a neoplastic urethral process. Because of the suspicion of neoplasm, a thoracic X-ray was performed, showing no evidence of metastasis. Computed tomography (CT) of the abdominal region was performed, revealing an expansive lesion in the urethra with loss of definition of the walls and urethral lumen extending to the level of the pelvic floor, measuring about 2.9 x 1.4 x 1.2 cm. After preanesthetic exams, the animal underwent resection and surgical anastomosis of the affected urethral region. The sectioned tissue was sent for histopathological analysis, with diagnosis of transitional cell carcinoma. Adjuvant chemotherapy was performed using carboplatin at a dose of 250 mg/m², intravenously, every 21 days for 6 sessions. After completing the protocol, abdominal ultrasonography was performed again, which showed a cicatricial process in the urethral region of the surgical excision, with no sign of tumor recurrence. A metronomic chemotherapy protocol was then started with cyclophosphamide at a dose of 15 mg/m², daily for 6 months, with periodic oncological follow-up. At the end of the period, the animal remained under periodic follow-up with ultrasound exams performed at 2-month intervals, and has been free from recurrence for 21 months until now. Discussion: Urethral neoplasms account for 0.5 - 2% of all canine tumors, and are represented mostly by transitional cell carcinomas. Clinical signs of urinary obstruction and hematuria are the most common, as reported in the patient in question. The definitive diagnosis is by histopathological examination. However, imaging tests such as computed tomography are important in the initial investigation and surgical planning. The indicated treatment is surgical resection of the mass with subsequent adjuvant chemotherapy or radiotherapy. The chemotherapy protocol associating cisplatin and piroxicam can achieve remission rates of 70%, but this association has a high nephrotoxic effect. In the present case, cisplatin was replaced by carboplatin in order to reduce the nephrotoxic effects of chemotherapy. The metronomic protocol using cyclophosphamide was used as maintenance therapy, at the end of the conventional chemotherapy protocol. Survival achieved was longer than that described in the literature in cases of transitional cell carcinomas in the urethral region. Therefore, multimodal therapy using surgery associated with conventional and metronomic chemotherapy, is an option in canines with urethral carcinoma.

Surgical treatment associated with adjuvant chemotherapy with cyclophosphamide and piroxicam in cervical sarcoma of a blue-fronted amazon (Amazona aestiva): case report / Tratamento cirúrgico com uso de quimioterapia adjuvante com ciclofosfamida e piroxicam em sarcoma cervical de um papagaio-verdadeiro (Amazona aestiva): relato de caso

The occurrence of neoplasms in birds is still unknown, with the literature based mainly on scarce reports, in this context, data about epidemiology in specific species are almost nonexistent. Sarcomas are malignant mesenchymal origin neoplasms, which can develop from different tissues, such as adipose, cartilage, bone, among others. The occurrence of sarcomas in birds has been previously described, with different therapeutic approaches. The present report describes the clinical approach in a blue-fronted amazon (Amazona aestiva) diagnosed with a soft tissue sarcoma in the dorsal cervical region, with surgical excision associated with a metronomic chemotherapy protocol as an adjuvant. The therapeutic combination proved to be effective in controlling the disease, guaranteeing important survival, with clinical absence of side effects.

A ocorrência das neoplasias em aves ainda é desconhecida, com a literatura se baseando principalmente em relatos escassos, nesse contexto, dados acerca de epidemiologia em espécies específicas são quase inexistentes. Os sarcomas são neo-plasias malignas de origem mesenquimal, podendo se desenvolver a partir de tecidos diversos, como adiposo, cartilaginoso, ósseo, dentre outros. A ocorrência de sarcomas em aves já foi previamente descrita, com diferentes abordagens terapêuticas. O presente relato descreve a abordagem clínica em um papagaio-verdadeiro (Amazona aestiva) diagnosticado com um sarcoma de tecidos moles em região cervical dorsal, sendo realizada a exérese cirúrgica associada a protocolo quimioterápico metronô-mico em caráter adjuvante. A combinação terapêutica se mostrou eficaz no controle da doença, garantindo sobrevida impor-tante, na ausência clínica de efeitos colaterais.

Surgical treatment associated with adjuvant chemotherapy with cyclophosphamide and piroxicam in cervical sarcoma of a blue-fronted amazon (Amazona aestiva): case report / Tratamento cirúrgico com uso de quimioterapia adjuvante com ciclofosfamida e piroxicam em sarcoma cervical de um papagaio-verdadeiro (Amazona aestiva): relato de caso

The occurrence of neoplasms in birds is still unknown, with the literature based mainly on scarce reports, in this context, data about epidemiology in specific species are almost nonexistent. Sarcomas are malignant mesenchymal origin neoplasms, which can develop from different tissues, such as adipose, cartilage, bone, among others. The occurrence of sarcomas in birds has been previously described, with different therapeutic approaches. The present report describes the clinical approach in a blue-fronted amazon (Amazona aestiva) diagnosed with a soft tissue sarcoma in the dorsal cervical region, with surgical excision associated with a metronomic chemotherapy protocol as an adjuvant. The therapeutic combination proved to be effective in controlling the disease, guaranteeing important survival, with clinical absence of side effects.(AU)

A ocorrência das neoplasias em aves ainda é desconhecida, com a literatura se baseando principalmente em relatos escassos, nesse contexto, dados acerca de epidemiologia em espécies específicas são quase inexistentes. Os sarcomas são neo-plasias malignas de origem mesenquimal, podendo se desenvolver a partir de tecidos diversos, como adiposo, cartilaginoso, ósseo, dentre outros. A ocorrência de sarcomas em aves já foi previamente descrita, com diferentes abordagens terapêuticas. O presente relato descreve a abordagem clínica em um papagaio-verdadeiro (Amazona aestiva) diagnosticado com um sarcoma de tecidos moles em região cervical dorsal, sendo realizada a exérese cirúrgica associada a protocolo quimioterápico metronô-mico em caráter adjuvante. A combinação terapêutica se mostrou eficaz no controle da doença, garantindo sobrevida impor-tante, na ausência clínica de efeitos colaterais.(AU)

Terapia multimodal no tratamento de hemangiossarcoma cutâneo canino / Multimodal therapy in the treatment of cutaneous canine hemangiosarcoma

O hemangiossarcoma é uma neoplasia mesenquimal maligna de origem endotelial. Quando manifestada em região cutânea, os sinais clínicos estão ligados a variações hemostáticas, como petéquias e hemorragias. O diagnóstico definitivo é obtido por exame histopatológico. A conduta cirúrgica é a terapia de escolha, podendo ser necessária a realização de técnicas reconstrutivas a depender da localização da neoplasia. A quimioterapia adjuvante, metronômica ou convencional, pode ser empregada. Um canino, fêmea, sem raça definida, de oito anos de idade, atendido com um nódulo cutâneo em região ventro abdominal. O animal foi submetido a protocolo quimioterápico metronômico, devido à extensão do tumor que impedia a exérese cirúrgica em um primeiro momento. O tratamento levou à citorredução, viabilizando a exérese tumoral, desconsiderando as margens de segurança, em caráter paliativo. Após a cirurgia o protocolo quimioterápico foi retomado e mantido nos dois meses seguintes. O animal permaneceu livre da doença nos seis meses seguintes, realizando revisões periódicas. O presente trabalho relata a abordagem multimodal aplicada em um caso de hemangiossarcoma cutâneo, atingindo qualidade de vida e sobrevida satisfatórias.

Hemangiosarcoma is a malignant mesenchymal neoplasm of endothelial origin. When manifested in the cutaneous region, clinical signs are linked to hemostatic variations, such as petechiae and hemorrhages. The definitive diagnosis is obtained by histopathological examination. Surgical management is the therapy of choice, and reconstructive techniques may be necessary depending on the location of the neoplasia. Adjuvant chemotherapy, either metronomic or conventional, can be used. An eight-year-old female, mixed-breed canine was treated with a cutaneous nodule in the abdominal ventral region. The animal was submitted to a metronomic chemotherapy protocol, due to the extension of the tumor that prevented surgical excision at first. The treatment led to cytoreduction, making the tumor excision feasible, disregarding the safety margins, in a palliative character. After surgery, the chemotherapy protocol was resumed and maintained for the next two months. The animal remained free of the disease for the following six months, undergoing periodic reviews. The present work reports the multimodal approach applied in a case of cutaneous hemangiosarcoma, achieving satisfactory quality of life and survival.

Occurrence of oral cavity neoplasms in canines attended at the oncology service of the Federal Rural University of Rio de Janeiro (2011 to 2017) / Ocorrência de neoplasias em cavidade oral em caninos atendidos no serviço de oncologia da Universidade Federal Rural do Rio de Janeiro (2011 a2017)

The oral cavity is among the main sites of neoplasia, both benign and malignant. Those with characteristics of malignancy have an unfavorable prognosis due to their biological behavior and diagnostic and therapeutic difficulties. Epidemiological data are important to profile the affected population and establish an early treatment strategy, optimizing treatment and increasing the chances of cure and quality of life. The objective of this study was to present the clinical epidemiological aspects of dogs treated with neoplasms in the oral cavity at the Oncology Service of the Veterinary Hospital of the Federal Rural University of Rio de Janeiro between the years 2011 and 2017 through a retrospective study of all the medical records of the respective service. The epidemiological data extracted from the archives showed that out of 2832 cases of neoplasms treated in the oncology sector over a 7-year interval (2011 to 2017), 176 animals (6.21%) were affected by oral cavity neoplasms. The dogs without a defined breed were the most affected, the main site affected was the maxilla and melanoma was the most prevalent neoplasm.

A cavidade oral figura entre os principais sítios de acometimento por neoplasias, tanto benignas quanto malignas. Aquelas que possuem características de malignidade têm o prognóstico desfavorável pelo seu comportamento biológico e pela dificuldade diagnóstica e terapêutica. Os dados epidemiológicos são importantes para se traçar um perfil da população acometida e estabelecer uma estratégia de tratamento precoce otimizando o tratamento e aumentando as chances de cura e a qualidade de vida. O objetivo deste trabalho foi apresentar os aspectos clínicos epidemiológicos dos cães atendidos com neoplasias na cavidade oral no Serviço de Oncologia do Hospital Veterinário da Universidade Federal Rural do Rio de Janeiro entre os anos de 2011 e 2017 por meio de um estudo retrospectivo de todos os prontuários do referido serviço. Os dados epidemiológicos extraídos dos arquivos evidenciaram que dos 2832 casos de neoplasias atendidos no setor de oncologia em um intervalo de 7 anos (2011 a 2017), as neoplasias da cavidade oral acometeram 176 animais (6,21%). Os cães sem raça definida foram os mais acometidos, o principal local acometido foi a maxila e o melanoma foi a neoplasia mais prevalente.

Lung-digit syndrome related to an adenosquamous feline lung carcinoma

Background: The lung-digit syndrome is a rare syndrome characterized by the presence of a primary pulmonar neoplasiamanifesting metastasis to the digit, occurring exclusively in felines. The diagnosis is based on the clinical signs, associatedwith radiographic and histopathological exams. There are no therapeutic protocols well-established, and surgical excisionis considered controversial due to high recurrence and metastasis rates. The prognosis is considered poor, with low survivalrates. The aim of this paper is to report a case of lung-digit syndrome attended in Rio de Janeiro.Case: A 12-year-old female cat, no defined race, was attend with the complaint of weight loss and injury in the right thoraciclimb, already having histopathological diagnosis of squamous differentiation adenocarcinoma through biopsy. Physicalexamination showed no other clinical signs at first, including no signs of respiratory disease. Laboratory and imaging examswere performed, and the radiographic examination showed alterations in the pulmonary parenchyma showing a nodulararea of increased radiographic density. Followed up by the manifestation of breathing noise at rest, as the first respiratorysigns. The association of the clinical evaluation, medical history, and histopathological report from the limb lesion, leadto the suspicion diagnostic of lung-digit syndrome. The owners decide for the palliative treatment with chemotherapy, using carboplatin and prednisolone. Only the first session was performed, with the animal being euthanized due to clinicalworsening 48 days after the initial manifestation of clinical signs. The diagnosis was confirmed...

Occurrence of oral cavity neoplasms in canines attended at the oncology service of the Federal Rural University of Rio de Janeiro (2011 to 2017) / Ocorrência de neoplasias em cavidade oral em caninos atendidos no serviço de oncologia da Universidade Federal Rural do Rio de Janeiro (2011 a2017)

The oral cavity is among the main sites of neoplasia, both benign and malignant. Those with characteristics of malignancy have an unfavorable prognosis due to their biological behavior and diagnostic and therapeutic difficulties. Epidemiological data are important to profile the affected population and establish an early treatment strategy, optimizing treatment and increasing the chances of cure and quality of life. The objective of this study was to present the clinical epidemiological aspects of dogs treated with neoplasms in the oral cavity at the Oncology Service of the Veterinary Hospital of the Federal Rural University of Rio de Janeiro between the years 2011 and 2017 through a retrospective study of all the medical records of the respective service. The epidemiological data extracted from the archives showed that out of 2832 cases of neoplasms treated in the oncology sector over a 7-year interval (2011 to 2017), 176 animals (6.21%) were affected by oral cavity neoplasms. The dogs without a defined breed were the most affected, the main site affected was the maxilla and melanoma was the most prevalent neoplasm.(AU)

A cavidade oral figura entre os principais sítios de acometimento por neoplasias, tanto benignas quanto malignas. Aquelas que possuem características de malignidade têm o prognóstico desfavorável pelo seu comportamento biológico e pela dificuldade diagnóstica e terapêutica. Os dados epidemiológicos são importantes para se traçar um perfil da população acometida e estabelecer uma estratégia de tratamento precoce otimizando o tratamento e aumentando as chances de cura e a qualidade de vida. O objetivo deste trabalho foi apresentar os aspectos clínicos epidemiológicos dos cães atendidos com neoplasias na cavidade oral no Serviço de Oncologia do Hospital Veterinário da Universidade Federal Rural do Rio de Janeiro entre os anos de 2011 e 2017 por meio de um estudo retrospectivo de todos os prontuários do referido serviço. Os dados epidemiológicos extraídos dos arquivos evidenciaram que dos 2832 casos de neoplasias atendidos no setor de oncologia em um intervalo de 7 anos (2011 a 2017), as neoplasias da cavidade oral acometeram 176 animais (6,21%). Os cães sem raça definida foram os mais acometidos, o principal local acometido foi a maxila e o melanoma foi a neoplasia mais prevalente.(AU)

Lung-digit syndrome related to an adenosquamous feline lung carcinoma

Background: The lung-digit syndrome is a rare syndrome characterized by the presence of a primary pulmonar neoplasiamanifesting metastasis to the digit, occurring exclusively in felines. The diagnosis is based on the clinical signs, associatedwith radiographic and histopathological exams. There are no therapeutic protocols well-established, and surgical excisionis considered controversial due to high recurrence and metastasis rates. The prognosis is considered poor, with low survivalrates. The aim of this paper is to report a case of lung-digit syndrome attended in Rio de Janeiro.Case: A 12-year-old female cat, no defined race, was attend with the complaint of weight loss and injury in the right thoraciclimb, already having histopathological diagnosis of squamous differentiation adenocarcinoma through biopsy. Physicalexamination showed no other clinical signs at first, including no signs of respiratory disease. Laboratory and imaging examswere performed, and the radiographic examination showed alterations in the pulmonary parenchyma showing a nodulararea of increased radiographic density. Followed up by the manifestation of breathing noise at rest, as the first respiratorysigns. The association of the clinical evaluation, medical history, and histopathological report from the limb lesion, leadto the suspicion diagnostic of lung-digit syndrome. The owners decide for the palliative treatment with chemotherapy, using carboplatin and prednisolone. Only the first session was performed, with the animal being euthanized due to clinicalworsening 48 days after the initial manifestation of clinical signs. The diagnosis was confirmed...(AU)

Terapia multimodal no tratamento de hemangiossarcoma cutâneo canino / Multimodal therapy in the treatment of cutaneous canine hemangiosarcoma

O hemangiossarcoma é uma neoplasia mesenquimal maligna de origem endotelial. Quando manifestada em região cutânea, os sinais clínicos estão ligados a variações hemostáticas, como petéquias e hemorragias. O diagnóstico definitivo é obtido por exame histopatológico. A conduta cirúrgica é a terapia de escolha, podendo ser necessária a realização de técnicas reconstrutivas a depender da localização da neoplasia. A quimioterapia adjuvante, metronômica ou convencional, pode ser empregada. Um canino, fêmea, sem raça definida, de oito anos de idade, atendido com um nódulo cutâneo em região ventro abdominal. O animal foi submetido a protocolo quimioterápico metronômico, devido à extensão do tumor que impedia a exérese cirúrgica em um primeiro momento. O tratamento levou à citorredução, viabilizando a exérese tumoral, desconsiderando as margens de segurança, em caráter paliativo. Após a cirurgia o protocolo quimioterápico foi retomado e mantido nos dois meses seguintes. O animal permaneceu livre da doença nos seis meses seguintes, realizando revisões periódicas. O presente trabalho relata a abordagem multimodal aplicada em um caso de hemangiossarcoma cutâneo, atingindo qualidade de vida e sobrevida satisfatórias.(AU)

Hemangiosarcoma is a malignant mesenchymal neoplasm of endothelial origin. When manifested in the cutaneous region, clinical signs are linked to hemostatic variations, such as petechiae and hemorrhages. The definitive diagnosis is obtained by histopathological examination. Surgical management is the therapy of choice, and reconstructive techniques may be necessary depending on the location of the neoplasia. Adjuvant chemotherapy, either metronomic or conventional, can be used. An eight-year-old female, mixed-breed canine was treated with a cutaneous nodule in the abdominal ventral region. The animal was submitted to a metronomic chemotherapy protocol, due to the extension of the tumor that prevented surgical excision at first. The treatment led to cytoreduction, making the tumor excision feasible, disregarding the safety margins, in a palliative character. After surgery, the chemotherapy protocol was resumed and maintained for the next two months. The animal remained free of the disease for the following six months, undergoing periodic reviews. The present work reports the multimodal approach applied in a case of cutaneous hemangiosarcoma, achieving satisfactory quality of life and survival.(AU)

Hemangiossarcoma em pele, cérebro e medula espinhal de uma cadela - relato de caso / Hemangiosarcoma in skin, brain and spinal cord of a bitch - case report / Hemangiosarcoma en piel, cerebro y médula espinal de una perra - relato de caso

O hemangiossarcoma é uma neoplasia que se origina do endotélio vascular e têm duas formas distintas de apresentação, a forma visceral e a não visceral. A forma visceral ocorre de maneira primária, principalmente no baço, com os principais focos de metástase em pulmão, fígado, omento e mesentério, e pode acometer o sistema nervoso central em raros casos. O presente trabalho relata um caso de hemangiossarcoma em uma cadela, com acometimento cutâneo e em sistema nervoso central. O animal apresentava sinais neurológicos acentuados com evolução clínica aguda, e foi submetido a eutanásia. No exame necroscópico foram observados múltiplos nódulos cutâneos e massas em cérebro e medula espinhal, que foram submetidas a exame histopatológico, sendo o diagnóstico final de hemangiossarcoma.

Hemangiosarcoma is a neoplasm which originates from the vascular endothelium, presenting itself in two distinct forms, visceral and non-visceral. The visceral form occurs mainly in the spleen, with main foci of metastasis in the lungs, liver, omentum and mesentery, affecting the central nervous system in rare cases. The present study reports on a case of hemangiosarcoma in a bitch, with cutaneous and central nervous system involvement. The animal presented important neurological signs with an acute clinical evolution, and was submitted to euthanasia. Necroscopic examination revealed multiple cutaneous nodules and masses in the brain and spinal cord, which were submitted to histopathological examination. The final diagnosis was hemangiosarcoma.

El hemangiosarcoma es una neoplasia que se origina del endotelio vascular y tiene dos tipos de presentación, la forma visceral y la no visceral. La forma visceral suele ser primaria y se da principalmente en bazo, cuyos principales órganos de metástasis son el pulmón, hígado, omento y mesenterio; en casos raros, esta forma afecta el sistema nervioso central. Este trabajo relata el caso de una perra con hemangiosarcoma cutáneo y en sistema nervioso central. El animal presentaba signos neurológicos acentuados, tuvo una evolución clínica aguda y fue sometido a la eutanasia. Durante la necropsia pudieron observarse múltiples nódulos cutáneos y masas en cerebro y médula espinal. Las muestras fueron enviadas para examen histopatológico, que dio como diagnóstico final un hemangiosarcoma.

Hemangiossarcoma em pele, cérebro e medula espinhal de uma cadela - relato de caso / Hemangiosarcoma in skin, brain and spinal cord of a bitch - case report / Hemangiosarcoma en piel, cerebro y médula espinal de una perra - relato de caso

O hemangiossarcoma é uma neoplasia que se origina do endotélio vascular e têm duas formas distintas de apresentação, a forma visceral e a não visceral. A forma visceral ocorre de maneira primária, principalmente no baço, com os principais focos de metástase em pulmão, fígado, omento e mesentério, e pode acometer o sistema nervoso central em raros casos. O presente trabalho relata um caso de hemangiossarcoma em uma cadela, com acometimento cutâneo e em sistema nervoso central. O animal apresentava sinais neurológicos acentuados com evolução clínica aguda, e foi submetido a eutanásia. No exame necroscópico foram observados múltiplos nódulos cutâneos e massas em cérebro e medula espinhal, que foram submetidas a exame histopatológico, sendo o diagnóstico final de hemangiossarcoma.(AU)

Hemangiosarcoma is a neoplasm which originates from the vascular endothelium, presenting itself in two distinct forms, visceral and non-visceral. The visceral form occurs mainly in the spleen, with main foci of metastasis in the lungs, liver, omentum and mesentery, affecting the central nervous system in rare cases. The present study reports on a case of hemangiosarcoma in a bitch, with cutaneous and central nervous system involvement. The animal presented important neurological signs with an acute clinical evolution, and was submitted to euthanasia. Necroscopic examination revealed multiple cutaneous nodules and masses in the brain and spinal cord, which were submitted to histopathological examination. The final diagnosis was hemangiosarcoma.(AU)

El hemangiosarcoma es una neoplasia que se origina del endotelio vascular y tiene dos tipos de presentación, la forma visceral y la no visceral. La forma visceral suele ser primaria y se da principalmente en bazo, cuyos principales órganos de metástasis son el pulmón, hígado, omento y mesenterio; en casos raros, esta forma afecta el sistema nervioso central. Este trabajo relata el caso de una perra con hemangiosarcoma cutáneo y en sistema nervioso central. El animal presentaba signos neurológicos acentuados, tuvo una evolución clínica aguda y fue sometido a la eutanasia. Durante la necropsia pudieron observarse múltiples nódulos cutáneos y masas en cerebro y médula espinal. Las muestras fueron enviadas para examen histopatológico, que dio como diagnóstico final un hemangiosarcoma.(AU)

Sobrevida de 574 dias em paciente canino com linfoma linfoblástico submetido a protocolos quimioterápicos relato de caso / 574-day survival time in canine patient with lymphoblastic lymphoma and treated with chemotherapy protocols - case report / Supervivencia de 574 días en un paciente canino con linfoma lifoblásticotratado con protocolos de quimioterapia - relato de un caso

Os caninos domésticos são animais muito suscetíveis ao aparecimento de neoplasias, estando os linfomas entre as mais comuns. O linfoma é caracterizado por uma proliferação aumentada de linfócitos anormais, interferindo diretamente na dinâmica hematopoiética. Sua causa é considerada multifatorial e não existe confirmação de predileção por sexo ou raças especificas, porém foi sugerido que cães geriatras são mais suscetíveis. O prognóstico é desfavorável e a sobrevida tende a ser reduzida. O presente artigo relata um caso de linfoma linfoblástico em um cão da raça labrador, macho, de quatro anos, que teve sobrevida de 574 dias, sendo submetido a quatro protocolos quimioterápicos com apresentação de três recidivas, e encaminhado à eutanasia após o quarto protocolo.

Domestic canines are very susceptible to developing cancer, and Iymphoma is the most common type of canine neoplasia. Lymphomas are characterized by the fast proliferation of abnormal Iymphoid cells, which interferes directly in hematopoietic dynamics. Lymphomas have multifactorial etiology and there is no confirmation of sexual or specific racial predilection, although it is suggested that older animals seem to be more susceptible. The prognosis is unfavorable and survival rates tend to be low. This article relates the case of a Iymphoblastic Iymphoma in a four-year-old male Labrador that survived for 574 days while treated with four chemotherapy protocols. The animal suffered three relapses, been subjected to euthanasia after the fourth.

Los caninos domésticos son animales muy susceptibles a la presentación de neoplasias, siendo los linfomas unas de las más frecuentes. El linfoma se caracteriza por una proliferación aumentada de linfocitos anormales, interfiriendo directamente en la dinámica hematopoyética. Su causa es considerada multifactorial y no existe predilección por sexo o raza, aunque ha sido sugerido que los perros viejos son más susceptibles. El pronóstico es desfavorable y la supervivencia tiende a ser reducida. El presente trabajo relata el caso de un perro labrador macho de cuatro años con linfoma linfoblástico, que tuvo una supervivencia de 574 días, y que fue sometido a cuatro protocolos quimioterápicos, presentando tres recidivas; el paciente fue llevado a eutanasia después del cuarto protocolo.

Sobrevida de 574 dias em paciente canino com linfoma linfoblástico submetido a protocolos quimioterápicos relato de caso / 574-day survival time in canine patient with lymphoblastic lymphoma and treated with chemotherapy protocols - case report / Supervivencia de 574 días en un paciente canino con linfoma lifoblásticotratado con protocolos de quimioterapia - relato de un caso

Os caninos domésticos são animais muito suscetíveis ao aparecimento de neoplasias, estando os linfomas entre as mais comuns. O linfoma é caracterizado por uma proliferação aumentada de linfócitos anormais, interferindo diretamente na dinâmica hematopoiética. Sua causa é considerada multifatorial e não existe confirmação de predileção por sexo ou raças especificas, porém foi sugerido que cães geriatras são mais suscetíveis. O prognóstico é desfavorável e a sobrevida tende a ser reduzida. O presente artigo relata um caso de linfoma linfoblástico em um cão da raça labrador, macho, de quatro anos, que teve sobrevida de 574 dias, sendo submetido a quatro protocolos quimioterápicos com apresentação de três recidivas, e encaminhado à eutanasia após o quarto protocolo.(AU)

Domestic canines are very susceptible to developing cancer, and Iymphoma is the most common type of canine neoplasia. Lymphomas are characterized by the fast proliferation of abnormal Iymphoid cells, which interferes directly in hematopoietic dynamics. Lymphomas have multifactorial etiology and there is no confirmation of sexual or specific racial predilection, although it is suggested that older animals seem to be more susceptible. The prognosis is unfavorable and survival rates tend to be low. This article relates the case of a Iymphoblastic Iymphoma in a four-year-old male Labrador that survived for 574 days while treated with four chemotherapy protocols. The animal suffered three relapses, been subjected to euthanasia after the fourth.(AU)

Los caninos domésticos son animales muy susceptibles a la presentación de neoplasias, siendo los linfomas unas de las más frecuentes. El linfoma se caracteriza por una proliferación aumentada de linfocitos anormales, interfiriendo directamente en la dinámica hematopoyética. Su causa es considerada multifactorial y no existe predilección por sexo o raza, aunque ha sido sugerido que los perros viejos son más susceptibles. El pronóstico es desfavorable y la supervivencia tiende a ser reducida. El presente trabajo relata el caso de un perro labrador macho de cuatro años con linfoma linfoblástico, que tuvo una supervivencia de 574 días, y que fue sometido a cuatro protocolos quimioterápicos, presentando tres recidivas; el paciente fue llevado a eutanasia después del cuarto protocolo.(AU)