RESUMEN
Canine cutaneous mast cell tumours (MCTs) represent a common neoplasm in veterinary practice. Several reported techniques are available to guide surgical excision. Our study examined one hundred cutaneous MCTs that were excised surgically using a modified proportional margin approach. A 2 cm lateral margin upper limit was applied for any tumour diameter that exceeded this size with a deep surgical margin of one fascial plane applied. A retrospective, cross-sectional study with follow-up was used to determine the clinical utility of this excision technique. Associations between explanatory variables of tumour size and grade were compared with outcomes of complete excision and size of histologic tumour-free margins (HTFM) using the appropriate Pearson's χ2 and Fisher's exact tests. Follow-up data evaluated tumour recurrence and patient survival. Ninety-five percent of MCTs (95/100) were completely excised. No significant association in the achievement of complete excision between low- and high-grade MCTs (P = .48) was noted. Tumour size was not associated with the rate of complete excision (P = .06). Tumour grade and size did not influence the size of the HTFM (P = .94 and P = .14, respectively). Overall, a recurrence rate of 3% (3/100 tumours) and de novo MCT development rate of 7.7% (5/65 dogs) was noted, with median follow-up period of 593 days (range 180-1460 days). Post-operative metastases were seen in 4.6% of dogs (3/65). Therefore, a modified proportional margin approach with 2 cm lateral margin upper limit is a suitable technique to guide surgical excision of canine cutaneous MCTs.
Asunto(s)
Enfermedades de los Perros , Mastocitoma Cutáneo , Neoplasias Cutáneas , Animales , Estudios Transversales , Enfermedades de los Perros/cirugía , Perros , Márgenes de Escisión , Mastocitoma Cutáneo/cirugía , Mastocitoma Cutáneo/veterinaria , Recurrencia Local de Neoplasia/cirugía , Recurrencia Local de Neoplasia/veterinaria , Estudios Retrospectivos , Neoplasias Cutáneas/cirugía , Neoplasias Cutáneas/veterinariaAsunto(s)
Mastocitoma Cutáneo/complicaciones , Urticaria/inmunología , Biopsia/métodos , Niño , Femenino , Humanos , Mastocitos/inmunología , Mastocitos/metabolismo , Mastocitoma Cutáneo/inmunología , Mastocitoma Cutáneo/patología , Mastocitoma Cutáneo/cirugía , Recurrencia , Pruebas Cutáneas , Vulva/patologíaAsunto(s)
Neoplasias de Cabeza y Cuello/diagnóstico por imagen , Mastocitoma Cutáneo/diagnóstico por imagen , Diagnóstico Diferencial , Neoplasias de Cabeza y Cuello/patología , Neoplasias de Cabeza y Cuello/cirugía , Humanos , Lactante , Masculino , Mastocitoma Cutáneo/patología , Mastocitoma Cutáneo/cirugía , UltrasonografíaAsunto(s)
Enfermedades de los Perros/patología , Mastocitos/patología , Mastocitoma Cutáneo/veterinaria , Neoplasias Cutáneas/veterinaria , Animales , Núcleo Celular , Enfermedades de los Perros/cirugía , Perros , Femenino , Procesamiento de Imagen Asistido por Computador , Cariometría/veterinaria , Ganglios Linfáticos/patología , Masculino , Mastocitoma Cutáneo/secundario , Mastocitoma Cutáneo/cirugía , Neoplasias Cutáneas/patología , Neoplasias Cutáneas/cirugíaRESUMEN
A well-differentiated cutaneous mast cell tumour was diagnosed in a subadult female giant Galapagos tortoise. The tumour was a pedunculated, verrucose mass located near the base of the neck. The histological features, which were diagnostic for a mast cell tumour, included abundant intracytoplasmic granules that were stained metachromatically with Giemsa and toluidine blue stains. Mast cell tumours are rare in reptiles, and this is the first description of a mast cell tumour in a chelonian.