Fibroblastic osteosarcoma in a guinea pig (Cavia porcellus)

The article describes the case of a 3 year 6 months old Guinea Pig (Cavia porcellus) that was assisted at the Wildlife and Exotic Animal Practice of the Faculty of Veterinary Sciences, National University of Asunción. The patient presented a hard mass in the right hind limb extending from the proximal portion of the femur, projecting caudally to the proximal tuberosity of the calcaneus, with an increase in temperature, and a marked increase in sensitivity. Radiographic diagnosis refers to a mass with amorphous areas of mineral density. Fine needle aspiration puncture revealed an undifferentiated malignant proliferative process, requiring histopathological analysis to characterize the process. Disarticulation was performed and subsequent histopathologic diagnosis under hematoxylin-eosin and Masson's trichrome stain revealed fibroblastic osteosarcoma.(AU)

Primary hypothyroidism due to thyroid carcinoma in a feline / Hipotireoidismo primário devido a carcinoma de tireóide em um felino

Hypothyroidism is rarely observed in cats. This article reports the case of a thirteen-year-old feline with a one-year history of bilateral cervical swelling that had majorly grown in size two weeks prior to the animal's admission. The cat presented with dysphonia, lethargy, weight gain, and constipation. On physical examination, hypothermia was observed, with a rectal temperature of 36.5 ºC. Fine-needle aspiration cytology suggested thyroid neoplasia. The serum levels of total T4 and thyroid stimulating hormone (TSH), along with the exclusion of non-thyroid diseases, confirmed the diagnosis of hypothyroidism. This is the first report of feline hypothyroidism in Brazil secondary to thyroid neoplasia, classified as a follicular-compact carcinoma and confirmed by histopathology.

Hipotireoidismo é uma doença rara na espécie felina. Esse trabalho relata um felino de treze anos de idade com histórico de inchaço cervical bilateral há um ano, que havia crescido principalmente duas semanas antes da admissão do animal. O felino apresentava disfonia, letargia, ganho de peso e constipação. No exame físico, hipotermia foi observado com temperatura retal de 36,5 ºC. Citologia aspirativa de agulha fina sugeriu neoplasia de tireoide. A dosagem sérica de T4 total e TSH junto com a exclusão de doenças não tireoidianas confirmaram o diagnóstico de hipotireoidismo. Esse é o primeiro relato de hipotireoidismo felino no Brasil devido a uma neoplasia de tireoide, classificado como carcinoma folicular-compacto, confirmado na histopatologia.

Cutaneous epitheliotropic lymphoma in a Lhasa Apso

Background: Lymphoma neoplasms originate from the lymphocytes. Anatomically, these tumors can be classified into multicentric, digestive, mediastinal, and cutaneous forms. The etiology of cutaneous lymphoma remains unclear; however, it has been associated with chronic skin inflammation. The definitive diagnosis is based on histological analysis and immunohistochemistry, although fine-needle aspiration cytology has shown good results. The aim of this paper is to describe the clinicopathological aspects of a case of cutaneous epitheliotropic T cell lymphoma, classified as mycosis fungoides, in a Lhasa Apso dog. Case: A 8-year-old bitch Lhasa Apso with multiple non-pruritic skin nodules and history of 10-day evolution was referred to the Veterinary Hospital of the Centro Universitário do Espírito Santo (UNESC), Colatina, ES, Brazil. The nodules were erythematous, exophytic, firm, circumscribed, and measured 0.2-4 cm in diameter in locations throughout the animal's body. An incisional biopsy was performed with an 8-mm punch and sent for histopathological examination. An infiltrative, poorly demarcated, non-encapsulated, densely cellular neoplasm, which was replacing the dermal collagen and displacing the adnexa, was observed in the dermis. The tumor was composed of a population of round cells, with generally distinct cell borders and a small-to-moderate amount of eosinophilic cytoplasm. The nuclei were irregularly rounded and occasionally edentulous, with vesicular chromatin, a visible nucleus, and 11 mitotic figures in an area of 2.37 mm2 . The immunohistochemical test, which was positive for the CD3 marker, confirmed the diagnosis of T cell lymphoma. On an ultrasound to identify metastasis, the liver showed heterogeneous parenchyma, heterogeneous expansive formation, areas of cavitary appearance, and cytology compatible with lymphoma. Antineoplastic chemotherapy was administered using the CHOP regimen (cyclophosphamide, doxorubicin, vincristine, and prednisone). However, the animal died after 45 days. Discussion: A diagnosis of the mycosis fungoides type of cutaneous epitheliotropic T cell lymphoma was established based on clinical, laboratory, anatomopathological, and immunohistochemical findings. Pruritus is a common clinical condition in animals with mycosis fungoides, particularly in those with the erythrodermic form of the disease. Epitheliotropic lymphomas have no sexual or racial predilections and usually affect dogs over 9 years of age. The Cocker Spaniel, English Bulldog, Boxer, Golden Retriever, Scottish Terrier, Briard, English Springer Spaniel, Beagle, German Shepherd, and English Cocker Spaniel breeds are frequently affected by these lymphomas. These neoplasms can have a primary skin origin, or they can be secondary and associated with lymphoma found elsewhere in the body. Chemotherapy is the treatment of choice, especially in cases with multifocal distribution. Protocol preference varies with disease stage, patient clinical and laboratory conditions, and the degree of toxicity. Commonly used chemotherapy regimens include L-CHOP (vincristine, cyclophosphamide, doxorubicin, L-asparaginase, and prednisolone), CHOP, COP (cyclophosphamide, vincristine, and prednisone), LAP (lomustine, L-asparaginase, and prednisolone), LOPP (lomustine, vincristine, procarbazine, prednisolone), chlorambucil, and prednisolone. The prognosis of canine epitheliotropic cutaneous lymphoma is unfavorable, with a survival time ranging from a few months to 2 years. The animal in this study survived for 105 days. In addition, epitheliotropic cutaneous T cell lymphoma is aggressive, which may result in a shorter survival time in animals affected by this type of tumor.

Efficacy of fine needle aspiration in the diagnosis of spontaneous mammary tumors / Eficácia da citologia aspirativa no diagnóstico de tumores mamários espôntaneos / La eficacia de la aspiración con aguja fina en el diagnóstico de tumores mamarios espontáneos

The cytopathology exam has been utilized to diagnose mammary disorders in female dogs. The success of cytopathology results depends on, among other factors, the diagnostic accuracy of the exam. The present study aimed to compare the cytopathological and histopathological findings from mammary disorder cases in female dogs and evaluate the lesion cytopathology exam accuracy. The concordance degree was evaluated between the cytopathology and histopathology exams of 67 female dogs, carriers of palpable breast lumps, cared for at the university hospital from which the following indicators were calculated: sensitivity, specificity, positive predictive value, negative predictive value, false positives, false negatives, and exam accuracy. The sensitivity was 95.23%, the specificity 75%, positive predictive value 98.36%, negative predictive value 60%, and accuracy 94.02%. There were 2 false negatives and 1 false positive. In conclusion the cytopathology exam can be amply utilized as a means of diagnosis with high accuracy and sensitivity in the first examination of female dogs with mammary tumors.(AU)

O exame citológico tem sido utilizado no diagnóstico das afecções mamárias das cadelas. O êxito no resultado da citologia dependerá, além de outros fatores, da acurácia diagnóstica deste exame. O objetivo deste estudo foi comparar os achados citológicos e histológicos das afecções mamárias de cadelas e avaliar a acurácia do exame citológico nestas lesões. Avaliou-se o grau de concordância entre os exames citológico e histológico de 67 cadelas, portadoras de nódulo mamário palpável, atendidas em um hospital universitário e foram calculados os indicadores: sensibilidade, especificidade, valor preditivo positivo, valor preditivo negativo, falso positivo, falso negativo e acurácia do exame. A sensibilidade foi de 95,23%, a especificidade de 75%, o valor preditivo positivo de 98,36%, o valor preditivo negativo de 60% e a acurácia de 94,02%. Ocorreu 1 resultado falso positivo e 2 falso negativos. Conclui-se que o exame citológico pode ser amplamente utilizado como meio de diagnóstico com elevada acurácia e sensibilidade no atendimento primário das cadelas com tumor de mama.(AU)

El examen citológico se ha usado en el diagnóstico de cáncer de mama en perras. El éxito de la citología depende, entre otros factores, la precisión diagnóstica de este examen. El objetivo de este estudio fue comparar los resultados de citología y examen histológico de las enfermedades de mama en las perras y evaluar la exactitud de la citología de estas lesiones. Se evaluó el grado de acuerdo entre los exámenes citológicos e histológicos de 67 perros, que sufren de bulto palpable en la mama atendidos en un hospital universitario y se calcularon los indicadores: sensibilidad, especificidad, valor predictivo positivo, valor predictivo negativo, falsos positivos, falsos negativo y exactitud de la prueba. La sensibilidad fue del 95,23%, especificidad 75%, valor predictivo positivo del 98,36%, valor predictivo negativo del 60% y el 94,02% de precisión. Hubo un resultado positivo falso y dos falsos negativos. Se concluye que el examen citológico puede ser ampliamente utilizado como una herramienta de diagnóstico de alta precisión y sensibilidad en la atención primaria de perros con cáncer de mama. (AU)

Linfoma renal primário em cão / Primary kidney lymphoma in a dog

Background: Lymphoma is a malignant lymphoid tumor originating in the lymph nodes or other solid organs and comprises90% of all hematopoietic tumors in dogs. However, primary kidney lymphoma is rare and is associated with nonspecificclinical signs. Tumor invasion in both kidneys can cause severe clinical signs due to renal failure, complicating the patient’streatment and prognosis. The aim of this case was to report the case of a dog affected by bilateral primary kidney lymphoma. In addition, to characterize the clinical and histopathological presentation due to the intense morphological changes.Case: A 5-year-old male Poodle dog was admitted showing apathy and emesis for 5 days. On physical examination, thedog showed 10% of dehydration, reddish oral mucous membranes, poor body condition (score 1/5), uremic breath, andpain in the kidney area. Complementary tests revealed severe low white blood cells count, high BUN levels, high levels ofpotassium, calcium, and phosphorus (serum biochemistry). Abdominal ultrasound showed bilateral kidney enlargement.Fine needle aspiration of the mass (guided by ultrasound) revealed round cell tumor. Radiographs showed no alterations.The dog died due to his poor condition and necropsy was performed. On post-mortem examination, the kidneys were bothenlarged, pale, and with an irregular subcapsular surface. The histopathological diagnostic was primary renal lymphoma.Immunohistochemical staining revealed that neoplastic cells were strongly positive for anti CD20 and PAX5, while negative for CD3, supporting the diagnosis of B-cell lymphoma.Discussion: The diagnosis was based on clinical, complementary tests, fine needle aspiration, histopathological andimmunohistochemical findings. In dogs, primary kidney tumors are uncommon and usually malignant. The presence ofvomiting, uremic breath, dehydration, weight loss, and erosive and ulcerative lesions on the tongue (uremic glossitis)...

Linfoma renal primário em cão / Primary kidney lymphoma in a dog

Background: Lymphoma is a malignant lymphoid tumor originating in the lymph nodes or other solid organs and comprises90% of all hematopoietic tumors in dogs. However, primary kidney lymphoma is rare and is associated with nonspecificclinical signs. Tumor invasion in both kidneys can cause severe clinical signs due to renal failure, complicating the patientstreatment and prognosis. The aim of this case was to report the case of a dog affected by bilateral primary kidney lymphoma. In addition, to characterize the clinical and histopathological presentation due to the intense morphological changes.Case: A 5-year-old male Poodle dog was admitted showing apathy and emesis for 5 days. On physical examination, thedog showed 10% of dehydration, reddish oral mucous membranes, poor body condition (score 1/5), uremic breath, andpain in the kidney area. Complementary tests revealed severe low white blood cells count, high BUN levels, high levels ofpotassium, calcium, and phosphorus (serum biochemistry). Abdominal ultrasound showed bilateral kidney enlargement.Fine needle aspiration of the mass (guided by ultrasound) revealed round cell tumor. Radiographs showed no alterations.The dog died due to his poor condition and necropsy was performed. On post-mortem examination, the kidneys were bothenlarged, pale, and with an irregular subcapsular surface. The histopathological diagnostic was primary renal lymphoma.Immunohistochemical staining revealed that neoplastic cells were strongly positive for anti CD20 and PAX5, while negative for CD3, supporting the diagnosis of B-cell lymphoma.Discussion: The diagnosis was based on clinical, complementary tests, fine needle aspiration, histopathological andimmunohistochemical findings. In dogs, primary kidney tumors are uncommon and usually malignant. The presence ofvomiting, uremic breath, dehydration, weight loss, and erosive and ulcerative lesions on the tongue (uremic glossitis)...(AU)

Chronic expanding hematoma secondary to excision of recurrent myxomas in a bitch

Background: Expanding chronic hematoma is a relatively common postoperative complication in humans, not in dogs, nevertheless, is important understand this condition because it may affect the animal's health. A hematoma could be formed within hours and usually stabilizes spontaneously with the reabsorption of its content. However, occasionally the hematoma slowly expands, becomes encapsulated and forms a mass, causing a chronic expanding hematoma. Possibly skin and adipose tissue are displaced secondary to trauma, causing the formation of blood-filled cysts surrounded by a fibrous capsule. The aim of this document is to present the first report of a postsurgical chronic expanding hematoma in dog. Case: A case of chronic expanding hematoma secondary to excision of recurrent myxoma in a bitch was described. Physical examination showed a hard, firm, non-mobile mass enclosed within the deep muscular layers. This mass was between the sternum and the cranial abdomen, similar to previous lesions excised by another veterinarian. Fine needle aspiration indicated the presence of blood. Radiology demonstrated that the bone-cartilage tissue was not involved. Due to the size of the mass, a skin stretching pre-suturing technique using self-adhesive tape was applied around the mass 48 h before surgery. The mass was removed with wide excision margins and portions of the affected muscles, but a large wound with great tension was created; consequently, a parallel to the wound incision and the thoraco-lumbar vertebrae was made. Six months after surgery, the animal presented recurrence of the same lesion, which was also removed. The bleeding times were within the normal range, but the animal was diagnosed with hyperadrenocorticism. After both surgeries histopathological exam revealed a hematoma, that had thrombosis and granulation tissue with fibrosis and severe panniculitis, in addition of multifocal, chronic, moderate lymphohistiocytic myositis; all these changes were compatible with a chronic expanding hematoma. Discussion: Chronic expanding hematoma is a mass that grows slowly secondary to hemorrhage and does not exhibit elements of malignancy. However, it can occasionally be confused for a soft-tissue neoplasm. It has been reported frequently in humans but not in small animals. The first case was reported in 2002: 5 puppies with a cervical hematoma classified as a chronic expanding hematoma was described. In addition, 3 cases were reported: 1 cat with perirenal chronic expanding hematoma; 1 bitch with intra-abdominal presentation, and 1 cat with this pathology on the right pelvic limb after an intramuscular injection. The etiology of chronic expansive hematoma is unidentified in dogs, nevertheless, it is stipulated that is not an inflammatory process as previously assumed, but rather a neoplastic process. As in other cases, it was difficult to determine the origin of the chronic expanding hematoma. The coagulation times and platelets count were within ranges. Similarly, it is very complicated to relate hyperadrenocorticism with chronic expanding hematoma because dogs with Cushing's disease generally present hypercoagulopathies. Myxomas are associated with endocrinopathies in humans and dogs, therefore, hyperadrenocorticism is possibly related with this neoplasia. Myxomas have an expansive growth pattern, contrasting with myxosarcomas, which are infiltrating; Although in the present case the skin mass appeared to be invasive, both macroscopical and histopathological appearance of it corresponded to a well-shaped capsule compatible with chronic expanding hematoma. In summary, to the best of our knowledge, this is the first report of a post-surgical chronic expanding hematoma in a dog.

Atypical mandibular osteomyelitis in an ewe caused by coinfection of Pseudomonas aeruginosa and Lactococcus raffinolactis

Background: Osteomyelitis is defined as a bone inflammation involving the cortical and medullary regions, usually caused by the local invasion of opportunistic microorganisms. The inflammatory reaction of bone may extend to the periosteum and soft tissues, compromising adjacent structures far from the initially infected foci. Different classifications of transmission routes, gravity levels, and tissues involved in animal and human osteomyelitis are available. In humans, the infection can reach bone tissue by exogenous or hematogenous pathways. This paper reports an atypical case of mandibular pyogranulomatous osteomyelitis in an ewe caused by concomitant Pseudomonas aeruginosa and Lactococcus raffinolactis infection. Case: The animal presented a 1-month history of progressive mandibular enlargement refractory to conventional therapy. In a physical examination, an increased volume located in the ventrolateral region of the right ramus of the mandible was observed. Fine-needle aspiration of the lesion enabled isolation in bacteriological culture of Pseudomonas aeruginosa and Lactococcus raffinolactis using matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDITOF MS). Besides support care procedures and antimicrobial treatment approaches for the sheep based on in vitro tests, the animal died due to the severity of the clinical signs and the progressive worsening of the general health status. The radiographic image examination of the mandibular region revealed a severe and infiltrative periodontal reaction, with a predominance of a great number of neutrophils and macrophages, necrotic areas, and bone destruction, characterized histologically as a pyogranulomatous rection. At post mortem examination, a large pyogranuloma was observed in the entire horizontal branch of the mandible as well, showing a dark yellowish content of coarse consistency, caseous appearance, and bone fragmentation. Discussion: Ovine mandibular osteomyelitis is a well-established bone inflammation involving the cortical and medullary regions, characterized clinically by local enlargement, asymmetry, pain sensitivity, edema, hyperthermia, infiltrate caseous or suppurative material, and bone rarefaction. In the current report, 1-month history of progressive enlargement of the mandibular region, prostration, and weight loss in an ewe were referred. Where clinical and epidemiological features, bacteriological, cytological, histological, and mass spectrometry diagnostic approaches were assessed to diagnostic. Most reports involving the etiology of ovine mandibular osteomyelitis have been diagnosed based on classical phenotypic tests. Here, the concomitant identification of P. aeruginosa and L. raffinolactis infection was possible using mass spectrometry (MALDI-TOF), highlighting the importance of molecular methods in the diagnosis of animal diseases. In addition, the differentiation between Lactococcus and Enterococcus species is difficult, which could underestimate the diagnosis of Lactococcus species as a primary pathogen from animal diseases. We report, for the first time, a fatal case of mandibular pyogranulomatous osteomyelitis in a sheep caused by Pseudomonas aeruginosa and Lactococcus raffinolactis coinfection.

Granulomatous lymphadenitis in a dog caused by Mycobacterium intracellulare

Background: Mycobacteriosis is caused by bacteria belonging to the genus Mycobacterium, with considerable zoonoticpotential and risk to public health. Infection in dogs is rare and is usually associated with immunosuppression, resultingfrom eating meat or contact with contaminated soil or fomites. Dogs are also known as potential sources for the spread ofatypical tuberculosis in humans and other animals. This paper aims to describe the clinical, cytological, histopathological,and molecular findings of a male canine seen at University Veterinary Hospital of Cuiabá, Mato Grosso, with generalizedlymphadenomegaly associated Mycobacterium intracellulare infection.Case: A 2-year-old male Lhasa Apso dog was referred to the University Veterinary Hospital in Cuiabá city, located in theMidwest region of Brazil. The patient had a history of intermittent claudication of the left pelvic limb for approximately6 months and lymphadenomegaly with progression for approximately 2 months. The dog had wheezing and generalizedlymphadenopathy (submandibular, axillary, and popliteal lymph nodes); cryptorchidism was also observed. A completeblood count revealed nonspecific results, and in the serum biochemical profile, the values of urea, creatinine, albumin, andalanine aminotransferase were within the reference range. No changes were observed on the radiography of the femurotibiopatellar joints. Considering the generalised lymphadenopathy, fine needle aspiration cytology and histopathologicalexamination through biopsy of the lymph nodes was performed. On the cytology and histopathology, numerous negativeimages of moderately refringent bacillary structures distending the cytoplasm from the macrophages was found. Thesamples were also subjected to special Ziehl-Neelsen staining, which confirmed an accentuated and diffuse granulomatouslymphadenitis associated with alcohol...

Granulomatous lymphadenitis in a dog caused by Mycobacterium intracellulare

Background: Mycobacteriosis is caused by bacteria belonging to the genus Mycobacterium, with considerable zoonoticpotential and risk to public health. Infection in dogs is rare and is usually associated with immunosuppression, resultingfrom eating meat or contact with contaminated soil or fomites. Dogs are also known as potential sources for the spread ofatypical tuberculosis in humans and other animals. This paper aims to describe the clinical, cytological, histopathological,and molecular findings of a male canine seen at University Veterinary Hospital of Cuiabá, Mato Grosso, with generalizedlymphadenomegaly associated Mycobacterium intracellulare infection.Case: A 2-year-old male Lhasa Apso dog was referred to the University Veterinary Hospital in Cuiabá city, located in theMidwest region of Brazil. The patient had a history of intermittent claudication of the left pelvic limb for approximately6 months and lymphadenomegaly with progression for approximately 2 months. The dog had wheezing and generalizedlymphadenopathy (submandibular, axillary, and popliteal lymph nodes); cryptorchidism was also observed. A completeblood count revealed nonspecific results, and in the serum biochemical profile, the values of urea, creatinine, albumin, andalanine aminotransferase were within the reference range. No changes were observed on the radiography of the femurotibiopatellar joints. Considering the generalised lymphadenopathy, fine needle aspiration cytology and histopathologicalexamination through biopsy of the lymph nodes was performed. On the cytology and histopathology, numerous negativeimages of moderately refringent bacillary structures distending the cytoplasm from the macrophages was found. Thesamples were also subjected to special Ziehl-Neelsen staining, which confirmed an accentuated and diffuse granulomatouslymphadenitis associated with alcohol...(AU)

Canine mast cell tumour lomustine's sensitization by tyrosine kinase inhibitors

Background: Tyrosine kinase inhibitors (TKIs) may sensitize neoplasms to conventional antineoplastic agents, however such studies are scarse in the veterinary literature and there is no in vivo study about this subject. Although the literature recommend consensual about the use of masitinib for unresectable or metastatic MCTs, the potential of tumour sensitization to chemotherapeutic agents exerted by the drug is poorly explored in veterinary medicine. The objective of this paper was to report, for the first time, the sensitization of 2 canine mast cell tumours (MCTs) to lomustine, with the use of 2 tyrosine kinase inhibitors: masitinib and toceranib. Cases: Two dogs were referred due tumour recurrence in the left pelvic limb (dog 1), and unilateral mass in the right nasal mucocutaneous region (dog 2). The first case was a 8-year-old female Pinscher, and the second case refers to a 8-year-old male mixed-breed dog. Fine needle aspiration of both lesions was performed, and the cytological analysis were compatible with high grade canine MCT. In the first case, it was started a chemotherapeutic treatment with intravenous vinblastine (2 mg/m² ), associated with prednisolone (40 mg/m2 , every 24 h for 7 days), followed by 25 mg/m2 every 24 h, for more 30 days, tramadol (4 mg/kg every 8 h, until new recommendations) and gabapentin (3 mg/kg every 12 h, until new recommendations). However, there was no objective response, and vinblastine was substituted by lomustine (60 mg/m2 every 21 days), however there was also no response after 2 doses. After masitinib importation, the same was started at 12.5 mg/kg orally every 24 h, but there was also no objective response. However, after new lomustine administration the lesion showed complete remission. The second dog initiated its treatment with toceranib, recently licensed in Brazil, at a dosage of 2.7 mg/kg every 48 h, and after 30 days, there was partial remission. However, the remaining lesion still deemed unresectable, and systemic chemotherapy with lomustine (50 mg/m2 ) was initiated along with continuous toceranib. After 3 weeks of the first chemotherapy complete remission was noted and a second dose was administered. Once the patient remained in complete clinical remission, only toceranib was maintained at the same dose. After 11 months using the toceranib, there was sign of disease recurrence and lomustine was re-initiated resulting in complete remission. Discussion: The TKIs masitinib and toceranib might be considered the first-line therapy for unresectable and/or metastatic canine MCT, but also for those cases with confirmed internal tandem duplications in the exon 11 of the c-KIT protooncogene. Masitinib appears to be more selective than others TKI, such as toceranib, imatinib, dasatinib and sunitinib, because it causes weak inhibition of BCR/ABL (breakpoint cluster region-Abelson), Fms (macrophage colony-stimulating factor receptor), Flt-3 (FMS-like tyrosine kinase-3) and VEGFR (vascular endothelial growth factor receptor), which may partially explains its increased safety and lower risk of cardiotoxicity. In the first case, the animal has been treated with lomustine associated to masitinib and showed a progression-free interval of 33 days, however, the response reported may have been lower, due previously exposition to chemotherapeutic agents, which might compromise the response to TKI. The second case, with the association of lomustine and toceranib, was followed up for 365 days, presenting only one recurrence in the final third of the follow-up, however, with subsequent new complete remission. Sensitization of canine MCT to lomustine with TKIs increases the therapeutic possibilities for this neoplasm, mainly in patients with advanced stage and high-grade tumours.

Squamous cell carcinoma in the third eyelid of a dog

Background: Squamous cell carcinoma is a malignant neoplasm that originates from the keratinized stratified squamous epithelium and predominantly affect light-skinned animals. In dogs, breeds such as American Staffordshire Terriers, white or speckled Bull Terriers, and Beagles have a higher predisposition. Squamous cell carcinoma presents in the skin, at slightly pigmented or hairy sites, especially in digits, but also may occur in the nasal planum, oral mucosa, and rarely, in the eye. Considering that few reports have been published on eye neoplasms, the aim of this paper is to describe a dog with a lesion in the third eyelid of his right eye which was diagnosticated with squamous cell carcinoma. Case: A 10-year-old male American Staffordshire dog was admitted to the Veterinary Medical Teaching Hospital of the Veterinary Medicine and Zootechnics College, Universidade Federal de Mato Grosso do Sul (UFMS), Campo Grande, Brazil with injury to the right eye. During the physical examination, there was also a non-adhered lump near the foreskin, measuring 1.5 cm in diameter. In addition, there was another lump in the third eyelid of the right eye, approximately 3 mm in diameter. Cytology of the dermal nodule was performed by fine-needle aspiration cytology; however, the sample was insufficient for cytological evaluation. Therefore, the animal was placed under general anesthesia for skin lump excision and for fine-needle aspiration cytology of the third eyelid nodule. The histopathological exam revealed high cellularity of epithelial cells, intense anisocytosis and pleomorphism, cytoplasmic basophilia and vacuolation, multiple evident nucleoli, and anisocariosis and coarse chromatin. These finds were compatible with squamous cell carcinoma, which was the same result suggested by fine-needle aspiration cytology of the third...

Eosinophilic folliculitis in a dog

Background: Canine eosinophilic folliculitis is a dermatological disease of acute onset with development of erosive to ulcerative papular lesions, especially on the nasal bridge, that may cause severe skin abnormalities leading to discomfort and pain to the patient. The aim of this report was to characterize a case of a canine eosinophilic folliculitis with papular, ulcerative and crusting dermatitis on the nasal bridge, papules on eyelid and pinna, with confirmed diagnosis based on aspiration cytology, history and response to immunosuppressive therapy with glucocorticoid. Case: An 1-year-old intact Daschund was attended showing an acute onset (over 4 h) of generalized urticarial reaction and nonpruriginous lesion at the muzzle with mild serosanguineous exudate, which persisted for 96 h when the dog was evaluated. It was observed a papular and ulcerative dermatitis with serosanguineous exudate and hematic crusts at nasal bridge, papules measuring 2 mm in diameter in the medial and lateral canthus of the left eyelid, ulcerative papule with hematic crust in the border of left ear pinna, multifocal papules on the skin, dyskeratosis and generalized hair loss. The patient was anesthetized for blood sampling (CBC and serum biochemistry), lesions fine-needle aspiration, scraping and imprint for cytological examination, bacterial culture and nasal turbinates radiography. Fragments for histopathological evaluation were also collected. Erythrogram and platelet evaluation were unremarkable. Leukogram revealed leukocytosis (neutrophilia, lymphocytosis, monocytosis and eosinophilia). Serum biochemistry revealed hyperalbuminemia and discrete hyperproteinemia; values of alanine aminotransferase, creatinine and globulins were within normal range. In cytological examination, intense cellularity was observed with predominance of eosinophils (60%), neutrophils (35%), macrophages performing cytophagocytosis (5%) and degenerated cells. There was no bacterial growth within 48 h after incubation of nasal bridge lesion swab. There were no abnormalities identified at radiographic evaluation of nasal turbinates. As the patient was already with antibiotic therapy and steroidal anti-inflammatory, it was opted to maintain it, since interruption between the day of examination and laboratory results could cause more prejudice than benefit, corticosteroid dose, however, was readjusted (prednisone 2 mg/kg/per os/every 24h). After 1 week of treatment the owner reported significant improvement of clinical signs without any further complaint. Discussion: Typically, type I hypersensitivity reactions such as insect bites do not exceed clinical signs of erythema, local edema and pruritus, with spontaneous remission of clinical signs within few hours after exposure to the antigen. Eosinophilic folliculitis, however, may cause more severe clinical alterations, such as pain, apathy and hyporexia. Nasal bridge is the predominant site described to be affected in cases of eosinophilic folliculitis, being auricular pinna, thorax and limbs considered atypical presentations which can delay proper diagnosis, since in endemic regions for diseases such as visceral leishmaniasis, infectious etiology may be listed first. Differential diagnosis also includes superficial pyoderma, juvenile cellulitis, pemphigus foliaceus and pharmacodermia. The case described in this report emphasize the importance of an accurate diagnosis as well as an early and adequate treatment in order to promote satisfactory response. Also, highlights inadequate use of antimicrobials as a direct consequence of lack of laboratorial investigation.

Leiomioma intestinal intrapélvico em cão - desafio diagnóstico e terapêutico / Intrapelvic intestinal leiomyoma in a dog - diagnostic and therapeutic challenges

Background: Rectal tumors are uncommon in dogs and cats. The clinical signs result from intra- and extraluminal compression. Diagnosis and treatment of rectal tumors are challenging due to their intraplevic location. Owing to considerable bonesuperposition, computed tomography is the best exam to evaluate the tumor and plan surgery; however, poor availabilityand high costs may hinder its use. The objective of this case report is to describe the successful use of a combination ofdiagnostic techniques, namely transrectal ultrasound, transrectal fine-needle aspiration, and colonoscopy, for diagnosisand surgery planning in a case of intrapelvic intestinal leiomyoma in a dog.Case: A 13-year-old female mongrel dog with tenesmus, low stool production, and hematochezia for two months was presented for examination. During this two-month period, a symptomatic treatment was administered, but there was no clinicalimprovement. In the clinical evaluation revealed a painless mass on the left dorsolateral region, at a depth of around 4 cm,with considerable luminal reduction. Abdominal ultrasound revealed a mass close to the descending colon; however, bonesuperposition precluded identification of its origin or delimitation of its boundaries. The patient was subjected to transrectalultrasound imaging, colonoscopy, and cytological examination of fine-needle aspiration biopsy material collected under generalanesthesia. The mass was located at the final portion of the descending colon; it was extraluminal, and measured around 7 x7 cm. The integrity of the intestinal wall was preserved. Next, radiographic examination of the thorax using three projections(ventrodorsal, left lateral, and right lateral) was performed to check for metastases, and no alteration was detected. Cytologysuggested presence of leiomyoma. The patient underwent exploratory laparotomy with pubic osteotomy for intrapelvic access...

Leiomioma intestinal intrapélvico em cão - desafio diagnóstico e terapêutico / Intrapelvic intestinal leiomyoma in a dog - diagnostic and therapeutic challenges

Background: Rectal tumors are uncommon in dogs and cats. The clinical signs result from intra- and extraluminal compression. Diagnosis and treatment of rectal tumors are challenging due to their intraplevic location. Owing to considerable bonesuperposition, computed tomography is the best exam to evaluate the tumor and plan surgery; however, poor availabilityand high costs may hinder its use. The objective of this case report is to describe the successful use of a combination ofdiagnostic techniques, namely transrectal ultrasound, transrectal fine-needle aspiration, and colonoscopy, for diagnosisand surgery planning in a case of intrapelvic intestinal leiomyoma in a dog.Case: A 13-year-old female mongrel dog with tenesmus, low stool production, and hematochezia for two months was presented for examination. During this two-month period, a symptomatic treatment was administered, but there was no clinicalimprovement. In the clinical evaluation revealed a painless mass on the left dorsolateral region, at a depth of around 4 cm,with considerable luminal reduction. Abdominal ultrasound revealed a mass close to the descending colon; however, bonesuperposition precluded identification of its origin or delimitation of its boundaries. The patient was subjected to transrectalultrasound imaging, colonoscopy, and cytological examination of fine-needle aspiration biopsy material collected under generalanesthesia. The mass was located at the final portion of the descending colon; it was extraluminal, and measured around 7 x7 cm. The integrity of the intestinal wall was preserved. Next, radiographic examination of the thorax using three projections(ventrodorsal, left lateral, and right lateral) was performed to check for metastases, and no alteration was detected. Cytologysuggested presence of leiomyoma. The patient underwent exploratory laparotomy with pubic osteotomy for intrapelvic access...(AU)

Focal myositis associated with Leishmania spp. infection in a dog - diagnostic approach / Miosite focal associada à infecção por Leishmania spp. em um cão - abordagem diagnóstica

Canine visceral leishmaniasis is a systemic, zoonotic disease widely spread in several countries. The disease is caused by Leishmania spp., and the dog is the main reservoir of this parasite. Clinical signs in the muscle skeletal system consist of muscle atrophy, weakness, lameness, abnormal locomotion, osteitis, polyarthritis, heat and swelling of the joints, enlarged local lymph nodes and pain. In this note, a case of canine myositis of the lumbar region associated with Leishmania spp. infection is reported. Clinical signs included weakness, fever, mild dehydration, enlarged mandibular, pre-scapular and popliteal lymph nodes and a large palpable soft mass in the lumbar region, semi-adhered and not painful. Serologic diagnosis resulted reagent by indirect immunofluorescence reaction method. Findings of ultrasonography of the lower back are described, revealing the misalignment of muscle fibers, interspersed with anechoic areas compatible with edema. Local fine needle aspiration cytology was crucial for a definitive diagnosis, revealing amastigote forms. In endemic areas of leishmaniasis, clinicians should consider this disease as a differential diagnosis in the presence of musculoskeletal injuries with no apparent cause.(AU)

A leishmaniose canina visceral é uma doença sistêmica, zoonótica e amplamente difundida causada por parasitas do gênero Leishmania spp., sendo o cão importante hospedeiro. Os sinais clínicos de leishmaniose no sistema músculo esquelético se constituem em atrofia muscular, fraqueza, claudicação, locomoção anormal, osteíte, poliartrite, hipertermia, dor e edema das articulações. A presente nota descreve um caso de miosite lombar em cão associada à infecção por Leishmania spp. Os sinais clínicos incluíram fraqueza, febre, desidratação leve, aumento dos linfonodos mandibulares, pré-escapulares e poplíteos e uma grande massa macia palpável na região lombar, semi-aderida e não dolorosa. O diagnóstico sorológico resultou em reagente pelo método da reação de imunofluorescência indireta totalmente diluída. Os achados da ultrassonografia da região lombar são descritos, revelando o desalinhamento das fibras musculares, intercaladas com áreas anecóicas, compatíveis com edema. A citologia local de aspiração por agulha fina foi crucial para o diagnóstico definitivo, revelando formas amastigotas. Nas áreas endêmicas da leishmaniose, deve-se considerar esta doença como diagnóstico diferencial na presença de lesões musculoesqueléticas sem causa aparente.(AU)

Canine visceral leishmaniasis in Rondônia, Brazil: a report of an autochthonous case

Visceral Leishmaniasis (VL), also known as kala-azar, is a disseminated protozoan infection caused by Leishmania donovani complex. Traditionally the definite diagnosis is made by amastigote detection in the tissue. In August 2015, a female dog, mongrel, older than 2 years, apparently healthy, from the Zoonosis Control Center of the Rolim de Moura/RO, was subjected to the CVL diagnosis was using bone marrow aspirates smears and popliteal lymph nodesmears by Fine-needle aspiration biopsy (FNAB), stained slides with Diff-Quick screened for Leishmania amastigotes by means of direct opticmicroscopic examination (100×). Lymph node and bone marrow aspirates were to investigate the presence of L. infantum DNA by real-time PCR. The popliteal lymph node positive result was showed by observation of typical amastigotes, presenting nucleus and kinetoplast, associated with lymphoblastic proliferation, reactive macrophages, plasmocytes (not rarely Mott cells), eosinophyls and lymphoglandular hyperplasia. Positive bone marrow sample resulted from the observation of amastigotes in monocyte cytoplasm or free on the smear background. The presence of the L. infantum kDNA was detected in lymph node and bone marrow FNAB samples. This research note describes the autochthonous case of CVL recorded in the state of Rondônia (RO), Brazil, non-endemic area for visceral Leishmani

A Leishmaniose visceral (LV), também conhecida como kala-azar, é uma infecção disseminada por protozoários causada pelo complexo Leishmania donovani. Tradicionalmente, o diagnóstico definitivo é feito pela detecção de amastigo-tas no tecido. Em agosto de 2015, uma cadela, vira-lata, com idade superior a 2 anos, aparentemente saudável, do Centro de Controle de Zoonoses do Rolim de Moura / RO, foi submetida ao diagnóstico de CVL usando esfregaços de aspirado de medula óssea e linfonodos poplíteos por biópsia aspirativa por agulha fina (PAAF), lâminas coradas com Diff-Quick rastreado para amastigotas de Leishmania por meio de exame microscópico óptico direto (100 ×). Os aspirados de linfonodos e medula óssea foram investigados quanto a presença de DNA de L. infantum por PCR em tempo real. O resultado positivo dos lin-fonodos poplíteos foi demonstrado pela observação de amastigotas típicos, apresentando núcleo e cinetoplasto, associados à proliferação linfoblástica, macrófagos reativos, plasmócitos (não raramente células Mott), eosinófilos e hiperplasia linfoglan-dular. Amostras positivas de medula óssea resultaram da observação de amastigotas no citoplasma de monócitos ou livres no fundo do esfregaço. A presença do kDNA de L. infantum foi detectada em amostras de FNAB de linfonodo e medula óssea. Esta nota de pesquisa descreve o caso autóctone de CVL registrado no estado de Rondônia (RO), Brasil, área não endêmica de Leishmaniose visceral. Portanto, de acordo com os dados revelados, serão necessários estudos que incluam um número maior de animais para elucidar a característica epidemiológica do Leishmania em Rondônia, Brasil.

Granuloma lepróide canino em Mineiros região Centro-Oeste do Brasil / Canine leproid granuloma in mineiros city Mid-West region of Brazil

Background: Among the bacterial dermopathy the canine leproid granuloma (CLG) is a nodular pyogranulomatous disorder that affects the skin or subcutaneous tissue mainly in the dorsal face of ear pinna, head, and extremity of memberscaused by Mycobacterium spp. The pathogenicity is still not well clarified regarding the causative agent, which has notyet been completely typified, but phylogenetically, it is related to Mycobacterium tilburgii, M. simiae, and M. genavense,in Brazil, by the species M. murphy. The objective of this study is to report a case of canine leproid granuloma, throughcytology and histopathology, and present the therapeutic procedures until the regression of cutaneous lesion.Case: A 5-year-old Boxer breed, intac male weighing 32 kg, was assisted at the Veterinary Clinic of UNIFIMES, in MineirosCity, Mid-West Region of Brazil, GO, Brazil. The animal had 4 nodules in the ears with evolution of 30 days, with nopruritus and without previous treatment. During the physical exam, the animal had normal physiological parameters. Thecutaneous lesions were characterised by papules and alopecic nodules of firm to fibroelastic consistency, with progressiveincrease, located in the convex face of the ears. The fine needle aspiration puncture technique (FNAP) and histopathologyfor a definitive diagnosis was used, allowing the differentiation between inflammatory processes, infectious and neoplastic. Furthermore, blood was collected for hemogram and biochemical analysis for the assessment of renal and hepaticfunctions. In cytology, the stained blades by the Diff-quick stain in the microscopic exam had elevated cellularity, withseveral macrophages, and bacilliform structures in the negative image. Staining was also conducted....

Feline eosinophilic keratoconjunctivitis: nonsteroidal vs corticosteroid topical treatment

Background: Feline eosinophilic keratoconjunctivitis is a proliferative eye lesion of chronic aspect with usually unilateralpresentation that may initiate as a superficial vascularization that evolves to a proliferative, granular, irregular lesion ofwhitish-pink aspect. With its association with an immune-mediated response, nonsteroidal anti-inflammatories do notappear to be efficient, although few studies describe its use. This case report describes a case of a feline eosinophilic keratoconjunctivitis with its clinical evolution since the use of nonsteroidal topical anti-inflammatory drug in an undiagnosedpatient and the transition to a topical corticosteroid and cure after 14 days since diagnosis.Case: An 8-year-old female cat was attended at the Veterinary Hospital of the Dom Bosco Catholic University (UCDB),with main complaint being an eye injury with at least 36 days of evolution and unresponsive to treatment (topical tobramycin 0.3% every 12 h / ketorolac trometamol 0.5%/ every 12 h and ophthalmic lubricant/every 4 h). Since the patienthad free access to the street, the owners suspected of trauma-induced lesion. At physical examination, it was observed aproliferative lesion at the peri-limbal superotemporal quadrant of the right cornea with approximately 0.4 cm diameter,with color varying of pale to pink, with irregular surface and low vascularity, the adjacent conjunctiva was also affectedwith similar multiple nodular lesions (0.1 cm). Fluorescein test was negative as well as FIV/FeLV immunochromatographytesting. Feline herpesvirus investigation was not possible. The patient was anesthetized and a lesion specimen was acquiredwith a cotton swab scraping and a fine needle aspiration. Cytology showed predominance of eosinophils and mast cells,with rare corneal epithelial cells, with smear background containing mast cell...

Feline eosinophilic keratoconjunctivitis: nonsteroidal vs corticosteroid topical treatment

Background: Feline eosinophilic keratoconjunctivitis is a proliferative eye lesion of chronic aspect with usually unilateralpresentation that may initiate as a superficial vascularization that evolves to a proliferative, granular, irregular lesion ofwhitish-pink aspect. With its association with an immune-mediated response, nonsteroidal anti-inflammatories do notappear to be efficient, although few studies describe its use. This case report describes a case of a feline eosinophilic keratoconjunctivitis with its clinical evolution since the use of nonsteroidal topical anti-inflammatory drug in an undiagnosedpatient and the transition to a topical corticosteroid and cure after 14 days since diagnosis.Case: An 8-year-old female cat was attended at the Veterinary Hospital of the Dom Bosco Catholic University (UCDB),with main complaint being an eye injury with at least 36 days of evolution and unresponsive to treatment (topical tobramycin 0.3% every 12 h / ketorolac trometamol 0.5%/ every 12 h and ophthalmic lubricant/every 4 h). Since the patienthad free access to the street, the owners suspected of trauma-induced lesion. At physical examination, it was observed aproliferative lesion at the peri-limbal superotemporal quadrant of the right cornea with approximately 0.4 cm diameter,with color varying of pale to pink, with irregular surface and low vascularity, the adjacent conjunctiva was also affectedwith similar multiple nodular lesions (0.1 cm). Fluorescein test was negative as well as FIV/FeLV immunochromatographytesting. Feline herpesvirus investigation was not possible. The patient was anesthetized and a lesion specimen was acquiredwith a cotton swab scraping and a fine needle aspiration. Cytology showed predominance of eosinophils and mast cells,with rare corneal epithelial cells, with smear background containing mast cell...(AU)