Osteopatia hipertrófica idiopática em um gatoˆipt / Hypertrophic osteopathy in a catˆien

Background: Hypertrophic osteopathy (OH) is a syndrome characterized by progressive bilateral periosteal bone neofor-mation that mainly affects the thoracic and pelvic limb bones’ metaphyses and diaphyses. In most cases, it is secondary to a chronic primary lesion located in the thoracic cavity but can be associated with an abdominal injury that has already been occurred. The occurrence of this condition without being associated with a primary lesion is considered infrequent in animals. The purpose of this report was to describe a case of idiopathic hypertrophic osteopathy in a cat with a description of clinical signs and radiographic and anatomopathological findings.Case: A male adult cat was brought to the veterinarian with an initial observation by the owner of four limbs’ volume in-crease, apathy, and reluctance to move. Upon clinical examination, the animal presented dehydration, mucosal hyperemia, hyperthermia, and bilateral edema of the thoracic and pelvic limbs. Based on the radiographic examination, a periosteal reaction with palisade-like appearance was found in the metacarpals, radios, ulna, humerus, scapulae, tibias, and fibulae. There were no significant changes in additional exams. Due to poor prognosis, the cat was euthanized and referred for necropsy and histopathological examination. All organs were examined both macroscopically and microscopically. Frag-ments were fixed in 10% formalin and routinely processed for histological slides with hematoxylin–eosin and Masson’s trichrome, and limb bones that were not fixed in formalin were macerated. Lesions were observed only in the thoracic and pelvic limbs. Macroscopically, there was a diffuse, regular, slightly firm volume increase, covered by abundant gelati-nous whitish tissue. The periosteal bone neoformations were characterized by numerous papillary projections distributed throughout the phalanges, radius, ulna, humerus, scapulae, tibia and fibulae. Histologically...

Gastrointestinal stromal tumor associated with hypertrophic osteopathy in a dog

Background: Gastrointestinal stromal tumor (GIST) is a malignant mesenchymal neoplasm rarely described in the veterinary routine. The aim of this study was to report a case of GIST accompanied by a periosteal reaction, suggestive ofhypertrophic osteopathy, in a dog.Case: An 11-year-old male dog had a history of progressive weight loss, difficulty in locomotion, and dyspnea. During clinical care, increased bone volume was observed. Blood samples were collected for a complete blood count and biochemicalanalysis. The dog also underwent thoracic radiography and abdominal ultrasonography. The test results revealed anemia,leukocytosis, hypocalcemia, hypoalbuminemia, and hypocholesterolemia. The radiographic images of the limbs showeda generalized periosteal reaction, and thoracic radiography indicated changes compatible with mild chronic lung disease.Ultrasonographic findings indicated a neoformation in the intestinal loop of the right mesogastric region and increasedvolume in the left testicle, both of which were indicative of neoplasia. Therefore, the dog was referred for surgery, whereinthe intestinal mass and both testes were removed; the intestinal mass and left testicle were subjected to histopathologicaldiagnosis. The results of the biopsies confirmed that the testicular neoplasm was a seminoma, whereas the intestinal nodulewas compatible with GIST, and immunohistochemical analysis was necessary to confirm the diagnosis. On the basis ofpositive labeling for the antibodies vimentin, desmin, S100, and c-kit, the diagnosis of GIST was confirmed. Therefore,the animal underwent metronomic chemotherapy with 12 mg/m2 cyclophosphamide every 24 h for 3 months, and thereafter every 48 h for 6 months. Moreover, the dog was periodically monitored via imaging (radiography of the anteriorand posterior limbs, abdominal ultrasonography, and computed tomography)...

Osteopatia hipertrófica idiopática em um gatoˆipt / Hypertrophic osteopathy in a catˆien

Background: Hypertrophic osteopathy (OH) is a syndrome characterized by progressive bilateral periosteal bone neofor-mation that mainly affects the thoracic and pelvic limb bones metaphyses and diaphyses. In most cases, it is secondary to a chronic primary lesion located in the thoracic cavity but can be associated with an abdominal injury that has already been occurred. The occurrence of this condition without being associated with a primary lesion is considered infrequent in animals. The purpose of this report was to describe a case of idiopathic hypertrophic osteopathy in a cat with a description of clinical signs and radiographic and anatomopathological findings.Case: A male adult cat was brought to the veterinarian with an initial observation by the owner of four limbs volume in-crease, apathy, and reluctance to move. Upon clinical examination, the animal presented dehydration, mucosal hyperemia, hyperthermia, and bilateral edema of the thoracic and pelvic limbs. Based on the radiographic examination, a periosteal reaction with palisade-like appearance was found in the metacarpals, radios, ulna, humerus, scapulae, tibias, and fibulae. There were no significant changes in additional exams. Due to poor prognosis, the cat was euthanized and referred for necropsy and histopathological examination. All organs were examined both macroscopically and microscopically. Frag-ments were fixed in 10% formalin and routinely processed for histological slides with hematoxylin–eosin and Massons trichrome, and limb bones that were not fixed in formalin were macerated. Lesions were observed only in the thoracic and pelvic limbs. Macroscopically, there was a diffuse, regular, slightly firm volume increase, covered by abundant gelati-nous whitish tissue. The periosteal bone neoformations were characterized by numerous papillary projections distributed throughout the phalanges, radius, ulna, humerus, scapulae, tibia and fibulae. Histologically...(AU)

Gastrointestinal stromal tumor associated with hypertrophic osteopathy in a dog

Background: Gastrointestinal stromal tumor (GIST) is a malignant mesenchymal neoplasm rarely described in the veterinary routine. The aim of this study was to report a case of GIST accompanied by a periosteal reaction, suggestive ofhypertrophic osteopathy, in a dog.Case: An 11-year-old male dog had a history of progressive weight loss, difficulty in locomotion, and dyspnea. During clinical care, increased bone volume was observed. Blood samples were collected for a complete blood count and biochemicalanalysis. The dog also underwent thoracic radiography and abdominal ultrasonography. The test results revealed anemia,leukocytosis, hypocalcemia, hypoalbuminemia, and hypocholesterolemia. The radiographic images of the limbs showeda generalized periosteal reaction, and thoracic radiography indicated changes compatible with mild chronic lung disease.Ultrasonographic findings indicated a neoformation in the intestinal loop of the right mesogastric region and increasedvolume in the left testicle, both of which were indicative of neoplasia. Therefore, the dog was referred for surgery, whereinthe intestinal mass and both testes were removed; the intestinal mass and left testicle were subjected to histopathologicaldiagnosis. The results of the biopsies confirmed that the testicular neoplasm was a seminoma, whereas the intestinal nodulewas compatible with GIST, and immunohistochemical analysis was necessary to confirm the diagnosis. On the basis ofpositive labeling for the antibodies vimentin, desmin, S100, and c-kit, the diagnosis of GIST was confirmed. Therefore,the animal underwent metronomic chemotherapy with 12 mg/m2 cyclophosphamide every 24 h for 3 months, and thereafter every 48 h for 6 months. Moreover, the dog was periodically monitored via imaging (radiography of the anteriorand posterior limbs, abdominal ultrasonography, and computed tomography)...(AU)