RESUMEN
OBJECTIVES: To report the clinical presentation, magnetic resonance imaging features, treatments and outcomes of canine vertebral chondrosarcoma. MATERIALS AND METHODS: Retrospective review of medical records of dogs with confirmed vertebral chondrosarcoma and magnetic resonance imaging of the lesions, from four different veterinary referral institutions. RESULTS: A total of six dogs were included in this report. In all cases, magnetic resonance imaging revealed a lobulated mass involving the dorsal vertebral compartment, markedly hyperintense with few foci of hypointensity on T2-weighted images, iso to hypointense on T1-weighted images with contrast enhancement after gadolinium administration. Intralesional surgical resection was performed in three dogs and medical management in one, two dogs were euthanased and all lesions were submitted for histopathology. Magnetic resonance imaging findings correlated with histological findings of a low tumour grade. Rapid clinical improvement was noted after surgery but two of three dogs had local regrowth. CLINICAL SIGNIFICANCE: Chondrosarcomas show local aggressiveness and resistance to conventional radiotherapy and chemotherapy, and so prognosis depends on feasibility of en bloc resection. Magnetic resonance imaging may be helpful in establishing a presumptive diagnosis and prognosis based on the feasibility of surgical resection.
Asunto(s)
Neoplasias Óseas/veterinaria , Condrosarcoma/veterinaria , Enfermedades de los Perros/diagnóstico por imagen , Animales , Neoplasias Óseas/diagnóstico por imagen , Condrosarcoma/diagnóstico por imagen , Diagnóstico Diferencial , Enfermedades de los Perros/tratamiento farmacológico , Perros , Femenino , Imagen por Resonancia Magnética/veterinaria , Masculino , Columna Vertebral/diagnóstico por imagenRESUMEN
Idiopathic hypertrophic pachymeningitis has been described in humans as a rare, chronic progressive non-specific inflammatory and fibrotic disease of the dura mater. This is a case series of six canine cases of presumptive or confirmed intracranial idiopathic hypertrophic pachymeningitis. These dogs were included in this retrospective study, based on magnetic resonance imaging findings. All presented with pachymeningeal thickening and enhancement without involvement of the leptomeninges on magnetic resonance imaging and no underlying cause identified on cerebrospinal fluid analysis, complete blood count, serum biochemistry and infectious disease titres. Histopathological examination was available in one case. Response to immunomodulatory treatment (corticosteroids and cytosine arabinoside) was achieved in five cases. Idiopathic hypertrophic pachymeningitis should be considered as a possible differential diagnosis for dogs with pachymeningeal thickening on magnetic resonance imaging and no identified underlying cause. The prognosis appears to be fair to poor.
Asunto(s)
Enfermedades de los Perros/diagnóstico , Imagen por Resonancia Magnética/veterinaria , Meningitis/veterinaria , Animales , Líquido Cefalorraquídeo/metabolismo , Enfermedades de los Perros/tratamiento farmacológico , Enfermedades de los Perros/patología , Perros , Femenino , Hipertrofia/diagnóstico , Hipertrofia/tratamiento farmacológico , Hipertrofia/patología , Hipertrofia/veterinaria , Inmunomodulación , Masculino , Meningitis/diagnóstico , Meningitis/tratamiento farmacológico , Meningitis/patología , Pronóstico , Estudios Retrospectivos , Resultado del TratamientoRESUMEN
Klinefelter syndrome is defined by the presence of a supernumerary X chromosome in a phenotypic male. It is the most frequent gonosomic anomaly in infertile men with an incidence of 0.1 to 0.2% in newborn males. The presence of an additional X chromosome induces spermatogenic failure but when gametes are present, they are usually normal. The risk of transmission of the chromosomal anomaly remains low. In the literature, only one 47,XXY foetus resulting from more than a hundred births from fathers with Klinefelter syndrome, has been reported. One can estimate, that a TESE performed in half of the patients with non-mosaic 47,XXY will be positive and may enable IVF/ICSI to be achieved.