Ovariohysterectomy is a surgical procedure performed for sterilization. If part or all of an ovary remains after the surgical procedure, ovarian remnant syndrome (ORS) occurs. After revascularization of the remaining ovarian tissue, the sexual cycle of bitches and queens continues. The aim of this study was to investigate the usefulness of serum anti-Müllerian hormone (AMH) measurement for the diagnosis of ORS in bitches. Forty-six female dogs were divided into four groups: the prepubertal, unspayed, spayed, and ORS groups. The serum AMH, progesterone, and estradiol concentrations of the bitches in all groups were measured by enzyme-linked immunosorbent assay. The stage in the sexual cycle of each bitch was determined based on vaginal cytology findings and serum estradiol and progesterone levels. The mean serum AMH concentration of the unspayed bitches (4.26 ± 0.82 ng/ml) was similar to that of the bitches with ORS (4.40 ± 1.09 ng/ml). However, the difference between the mean serum AMH level of the bitches with ORS and the spayed bitches (0.28 ± 0.09 ng/ml) was significant. In conclusion, the present study has demonstrated that the serum AMH level is substantially lower in spayed than in both intact bitches and bitches with ORS. According to this result, measurement of the serum AMH level is a useful tool for diagnosis of ORS in bitches.
Endometrial adenocarcinoma is described in two young intact female Persian cats presented with haemorrhagic vaginal discharge. The discharge had been present for 3 and 15 days in each case, respectively. On the basis of signalment, history, clinical, laboratory and diagnostic imaging findings a tentative diagnosis of pyometra was made in each cat and ovariohysterectomy was subsequently performed. Histological examination revealed endometrial adenocarcinoma in both cats together with ovarian luteal cysts and pyometra in one case. Immunohistochemistry revealed a diffuse and strongly positive reaction for oestrogen receptors in the nuclei of glandular epithelium in well-differentiated areas of the neoplastic tissue. Poorly differentiated areas of solid growth pattern had weak and focal expression of oestrogen receptors. Furthermore, the neoplastic cells within these areas displayed moderate to strong diffuse nuclear staining with Ki-67 antibody suggestive of a high proliferative capacity. The owners reported that the cats were clinically healthy 23 and 21 months after the surgery. These cases highlight the importance of histological examination of surgically resected tissue even when clinical signs and laboratory findings suggest pyometra.
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