RESUMEN
In human and veterinary medicine, mixed Müllerian tumors (MMTs) are rarely diagnosed neoplasms of the tubular female genital tract. Although there are case reports of malignant MMTs in various species, benign MMTs have only been described once in a macaque. Here we present a case of benign MMT in a 12-y-old goat, and review the literature on uterine, cervical, and vaginal neoplasia in goats. The doe was presented with vaginal discharge and was euthanized because of the high suspicion of intraabdominal neoplasia. On gross examination, an ulcerated vaginal mass was identified. Histologically, 2 distinct cell populations were present: smooth muscle cells that were well differentiated and positive for alpha-smooth muscle actin, and ciliated columnar epithelial cells that lined ductal structures and had no signs of malignancy. These findings led to the diagnosis of neoplasia of Müllerian origin. Benign MMT should be considered as a differential diagnosis for uterine and vaginal neoplasms in goats.
Asunto(s)
Enfermedades de las Cabras , Tumor Mulleriano Mixto , Neoplasias Vaginales , Animales , Diagnóstico Diferencial , Femenino , Enfermedades de las Cabras/diagnóstico , Enfermedades de las Cabras/patología , Cabras , Humanos , Tumor Mulleriano Mixto/diagnóstico , Tumor Mulleriano Mixto/patología , Tumor Mulleriano Mixto/veterinaria , Vagina , Neoplasias Vaginales/diagnóstico , Neoplasias Vaginales/patología , Neoplasias Vaginales/veterinariaRESUMEN
Spindle cell epitheliomas of the vagina are rare benign tumors of uncertain histogenesis. It has been hypothesized that they originate from a pluripotent cell population. Here, we report 2 cases of spindle cell epitheliomas of the vagina. Both patients presented with a painless vaginal nodule. The resected lesions were solid, well circumscribed, and composed of a proliferation of epithelioid or epithelial cells admixed with spindle cells without atypia. The 2 cellular populations expressed epithelial and mesenchymal markers. Based on these morphologic and immunohistochemical findings, a diagnosis of spindle cell epithelioma was rendered in both cases. Furthermore, we describe for the first time the expression of WT-1 (Wilms' tumor protein 1) and calretinin in addition to the previously defined immunohistochemical profile.
Asunto(s)
Biomarcadores de Tumor/análisis , Carcinoma/patología , Neoplasias Vaginales/patología , Adulto , Femenino , Humanos , InmunohistoquímicaRESUMEN
Spindle cell epithelioma is a very rare benign tumour of the vagina, which contains epithelial and mesenchymal components and co-expresses the markers for both. It has its origin in the epithelial cells of the remnants of the vestibular gland. The presence of glandular structures and the pattern of immunostaining, help in the differentiation of these tumours from the other common vaginal tumours.