Paraganglioma de corpo aórtico em cão / Aortic body paraganglioma in dog

Background: Aortic body paragangliomas are uncommon neoplasms that develop mainly in aortic and carotid bodies. It has been supposed that genetic factors and chronic hypoxia may stimulate tumor development. The brachycephalic dog breeds, as Boxer, are most predisposed to present this neoplasm. The clinical symptomatology is related to tumor size and localization. Usually aortic body paraganglioma has benign biological behavior, when it is malignant, rarely promotes metastases. The aim of this study was to report a case of the aortic body paraganglioma as death cause in a dog. Case: A canine, 10-year-old, male, cross breed, presented clinical signs as anorexia, emesis, cough, dyspnea and exercise intolerance. After death the animal was examined at the Department of Veterinary Pathology at the Federal Rural University of Amazonia. On necropsy, no pericardial effusion was identified, however pleural and abdominal effusion was observed, volume like 1000 and 700 mL, respectively. The heart had a neoplasm near the left atrium, it measured 6.5 x 8.2 cm, had irregular surface, firm consistency, grayish color, and at the cut showed infiltration in the myocardium, as well as obstruction of the left atrial lumen and left ventricle concentric hypertrophy. No distant metastases were found. Microscopically, the tumor consisted of polyhedral morphology cells, eosinophilic cytoplasm, spherical and hyperchromatic nucleus. Cells were grouped into lobes separated by fibrovascular stroma, large cells (less uniform cells), low mitotic rate and myocardial infiltration. On immunohistochemical analysis anti-cytokeratin, anti-vimentin and anti-S-100 antibodies were used. Tumour cells stained was absent for anti-cytokeratin and anti-vimentin, but was anti-S-100 positive. A case of malignant aortic body paraganglioma grade II was diagnosed.[…](AU)

Paraganglioma de corpo aórtico em cão / Aortic body paraganglioma in dog

Background: Aortic body paragangliomas are uncommon neoplasms that develop mainly in aortic and carotid bodies. It has been supposed that genetic factors and chronic hypoxia may stimulate tumor development. The brachycephalic dog breeds, as Boxer, are most predisposed to present this neoplasm. The clinical symptomatology is related to tumor size and localization. Usually aortic body paraganglioma has benign biological behavior, when it is malignant, rarely promotes metastases. The aim of this study was to report a case of the aortic body paraganglioma as death cause in a dog. Case: A canine, 10-year-old, male, cross breed, presented clinical signs as anorexia, emesis, cough, dyspnea and exercise intolerance. After death the animal was examined at the Department of Veterinary Pathology at the Federal Rural University of Amazonia. On necropsy, no pericardial effusion was identified, however pleural and abdominal effusion was observed, volume like 1000 and 700 mL, respectively. The heart had a neoplasm near the left atrium, it measured 6.5 x 8.2 cm, had irregular surface, firm consistency, grayish color, and at the cut showed infiltration in the myocardium, as well as obstruction of the left atrial lumen and left ventricle concentric hypertrophy. No distant metastases were found. Microscopically, the tumor consisted of polyhedral morphology cells, eosinophilic cytoplasm, spherical and hyperchromatic nucleus. Cells were grouped into lobes separated by fibrovascular stroma, large cells (less uniform cells), low mitotic rate and myocardial infiltration. On immunohistochemical analysis anti-cytokeratin, anti-vimentin and anti-S-100 antibodies were used. Tumour cells stained was absent for anti-cytokeratin and anti-vimentin, but was anti-S-100 positive. A case of malignant aortic body paraganglioma grade II was diagnosed.[…]

Quimiodectoma em equino: relato de caso / Chemodectoma in equine: case report / Quimiodectoma en equina: presentación de un caso

O quimiodectoma corresponde à neoplasia dos quimiorreceptores periféricos que detectam alterações de pH, temperatura e pressões parciais de O2 e CO2 na corrente sanguínea. A partir desta detecção, esses transmitem impulsos nervosos para os centros cerebrais respiratórios e cardíacos para promoção da homeostase, através do sistema nervoso autônomo. Em levantamento bibliográfico há relato de apenas dois casos em equinos, um no corpo aórtico de uma fêmea de 5 anos e em um macho castrado de 13 anos de idade. O objetivo do presente trabalho é relatar um caso de quimiodectoma em equino diagnosticado em necropsia no Hospital Veterinário de Uberaba.

The chemodectoma corresponds to the peripheral chemoreceptors neoplasia which detect changes in pH, temperature and partial pressures of 02 and C02 in the bloodstream. From this detection, these transmit nerve impulses to the brain respiratory and cardiac centers to promote homeostasis, through the autonomic nervous system. In literature there are reports of only two cases in horses, one in aortic body of a female of 5 years and in a castrated male 13 years old. The aim of this study is to report a case of chemodectomaequinus diagnosed at autopsy at the Veterinary Hospital of Uberaba.

El quimiodectoma corresponde a la neoplasia de los quimiorreceptores periféricos que detectan alteraciones de pH, temperatura y presiones parciales de O2 y CO2 en la corrí ente sanguínea. A partir de esta detección, estos transmiten impulsos nerviosos para los centros cerebrales, respiratorios y cardíacos para promoción de la homeostase, através del sistema nervioso autónomo. En el levantamiento bibliográfico, hay relatos de apenas dos casos en equinos, uno en el cuerpo aórtico de una hembra de 5 anos yotro en un macho castrado de 13 anos de edad. El objetivo del presente trabajo es relatar un caso de quimiodectoma en equino diagnosticado en necropsia en el Hospital Veterinário de Uberaba.

Quimiodectoma em equino: relato de caso / Chemodectoma in equine: case report / Quimiodectoma en equina: presentación de un caso

O quimiodectoma corresponde à neoplasia dos quimiorreceptores periféricos que detectam alterações de pH, temperatura e pressões parciais de O2 e CO2 na corrente sanguínea. A partir desta detecção, esses transmitem impulsos nervosos para os centros cerebrais respiratórios e cardíacos para promoção da homeostase, através do sistema nervoso autônomo. Em levantamento bibliográfico há relato de apenas dois casos em equinos, um no corpo aórtico de uma fêmea de 5 anos e em um macho castrado de 13 anos de idade. O objetivo do presente trabalho é relatar um caso de quimiodectoma em equino diagnosticado em necropsia no Hospital Veterinário de Uberaba.(AU)

The chemodectoma corresponds to the peripheral chemoreceptors neoplasia which detect changes in pH, temperature and partial pressures of 02 and C02 in the bloodstream. From this detection, these transmit nerve impulses to the brain respiratory and cardiac centers to promote homeostasis, through the autonomic nervous system. In literature there are reports of only two cases in horses, one in aortic body of a female of 5 years and in a castrated male 13 years old. The aim of this study is to report a case of chemodectomaequinus diagnosed at autopsy at the Veterinary Hospital of Uberaba.(AU)

El quimiodectoma corresponde a la neoplasia de los quimiorreceptores periféricos que detectan alteraciones de pH, temperatura y presiones parciales de O2 y CO2 en la corrí ente sanguínea. A partir de esta detección, estos transmiten impulsos nerviosos para los centros cerebrales, respiratorios y cardíacos para promoción de la homeostase, através del sistema nervioso autónomo. En el levantamiento bibliográfico, hay relatos de apenas dos casos en equinos, uno en el cuerpo aórtico de una hembra de 5 anos yotro en un macho castrado de 13 anos de edad. El objetivo del presente trabajo es relatar un caso de quimiodectoma en equino diagnosticado en necropsia en el Hospital Veterinário de Uberaba.(AU)

Stereotactic radiosurgery for the treatment of Glomus Jugulare Tumors.

BACKGROUND: The glomus jugulare tumor is a slowly growing benign neoplasm originating from neural crest. There is a high morbidity associated with surgical resection of glomus jugulare. Radiosurgery play a relevant role as a therapeutic option in these tumors and its use has grown in popularity. The authors describe a retrospective series of 15 patients and reviewed the literature about the glomus jugulare tumors. METHODS: We reviewed retrospectively the data of 15 patients treated with stereotactic linear accelerator stereotactic radiosurgery (LINAC) radiosurgery between 2006 and 2011. RESULTS: The average tumor volume was 18.5 cm(3). The radiation dose to the tumor margin ranged between 12 and 20 Gy. The neurological status improved in three patients and remained unchanged in 12 patients. One patient developed a transient 7(th) nerve palsy that improved after clinical treatment. All tumors remained stable in size on follow-up with resonance magnetic images. CONCLUSIONS: The radiosurgery is a safe and effective therapy for patients with glomus jugulare tumor. Despite the short follow-up period and the limited number of patients analyzed, we can infer that radiosurgery produce a tumor growth control with low morbidity, and may be used as a good option to surgical resection in selected cases.

A importância da embolização pré-operatória no tratamento do tumor do corpo carotídeo: relato de caso e revisão da literatura / The importance of preoperative embolization for the treatment of the carotid body tumor: case report and review of the literature

Os tumores do corpo carotídeo são neoplasias raras, que se originam dos pequenos órgãos quimio e barorreceptores localizados na adventícia da bifurcação da artéria carótida comum. Constituem-se uma doença de grande interesse para o cirurgião vascular, na medida em que crescem aderidos à adventícia dos vasos que compõem essa bifurcação. Por isso, sua cirurgia requer não só o conhecimento anatômico da região, mas também perfeito reconhecimento das técnicas de reconstrução vascular. Representam um problema especial quanto a seu manejo, devido à sua rica vascularização e intimidade com estruturas nobres da região cervical, como nervos e grandes vasos. Neste caso, apresentamos um homem com um tumor de corpo carotídeo aderido à carótida direita, diagnosticado por punção biópsia e tratado em dois tempos, sendo o primeiro por tratamento endovascular, realizando embolização percutânea do tumor, e, no segundo, a ressecção cirúrgica do mesmo, o que evidencia o tratamento combinado, segundo atual literatura.

Carotid body tumors are rare neoplasms originating from the small chemo- and baroreceptors located in the adventitia of the common carotid artery bifurcation. They are a disease of great interest for vascular surgeons, given that they grow adhered to the adventitia of vessels comprising this bifurcation. For that, their surgery requires not only anatomical knowledge of the region, but also perfect familiarization with vascular repair techniques. Carotid body tumors are a particular problem as to their management, due to rich vascularization and intimacy with important structures of the cervical region, such as nerves and large vessels. We report on a male patient with carotid body tumor adhered to the right carotid artery, diagnosed by puncture biopsy and treated at two different time periods: first by endovascular treatment, with percutaneous embolization of the tumor; and later by surgical resection, which represents the combined treatment suggested in the current literature.

Fibrilação atrial em cão associada ao quimiodectoma infiltrativo atrial: relato de caso / Atrial fibrillation in dog associated with an infiltrative chemodectoma in the atrial myocardium: a case report

Relata-se o caso de um cão, sem raça definida, levado ao veterinário por apresentar cansaço fácil e episódios de síncope. Foram identificadas fibrilação atrial e extra-sístoles ventriculares isoladas ao exame eletrocardiográfico. O tratamento antiarrítmico não foi eficaz, e o animal morreu devido a um episódio de síncope. À necropsia, observou-se massa em região de base cardíaca, invadindo a luz do átrio esquerdo. Histologicamente, constatou-se a presença de quimiodectoma. A infiltração miocárdica atrial causou lesões nos miócitos, produzindo circuitos reentrantes e/ou focos ectópicos de despolarização atrial.(AU)

This case reports a mongrel dog referred to a veterinarian due to tiredness and syncope episodes. Atrial fibrillation and ventricular premature complex were observed during electrocardiographic exam. The anti-arrhythmic treatment was not effective and the dog died from syncope. At necropsy, a mass invading the internal area of the left atrium was evidenced in the base of the heart. The occurrence of chemodectoma was histologically exhibited. Infiltrations in the atrial myocardium caused alterations in the miocites and produced reentrant circuits and/or atrial depolarization ectopic points.(AU)