Background: In the clinical staging of cutaneous mast cell tumors (cMCT), the diagnosis of metastasis is controversial based on cytological examination of lymph nodes, spleen, liver, bone marrow, and blood.Objectives: To define the prognostic role of ultrasound-guided cytology of spleen and liver in cMCT. The results of cytological evaluation were compared in relation with survival time.Animals: Fifty-two client-owned dogs with a diagnosis of cMCT. Methods: Selection of cases was based on cytological evaluation of liver and spleen to detect infiltration at distant sites. The Kaplan Meier method was used to compare survival in dogs with and without infiltration of spleen and liver (log-rank test P o .05).Results: Ten dogs with cMCT had mast cell infiltration of spleen, liver, or both and 4 of these dogs had involvement of the regional lymph nodes. The majority of dogs had 2 or more ultrasonographically abnormal findings simultaneously in spleen and liver. Nine dogs had grade II cMCT, and 1 had grade III cMCT. Dogs with positive evidence of mast cell infiltration to spleen, liver, or both had shorter survival times (34 versus 733 days) compared with dogs negative for mast cell infiltration at distant sites.Conclusion and Clinical Importance: Dogs with evidence of mast cell infiltration at distant sites have a shorter survival times than dogs without evidence of infiltration at distant sites. This study suggests that cytology of spleen and liver is indicated either for ultrasonographically normal or for ultrasonographically abnormal spleen and liver in dogs with cMCT.
Abstract. Multiple endocrine neoplasia (MEN) embodies a group of diseases in human patients and domestic animals that are characterized by hyperplasia or neoplasia, or both, of two or more endocrine tissues. The MEN-1 syndrome is associated with menin gene mutations that induce various combinations of parathyroid, pituitary, and pancreatic endocrine tumors in humans. Two male, Domestic Shorthair cats developed symmetric alopecia, insulin-resistant diabetes mellitus, and pituitary-dependent hyperadrenocorticism at 12 and 13 years of age. Examination of skin biopsy specimens revealed atrophic dermatosis associated with hyperadrenocorticism. In one cat, cutaneous lesions consistent with paraneoplastic alopecia associated with pancreatic adenocarcinoma also were evident. Multiple invasive pancreatic beta cell carcinomas, pituitary corticotroph adenomas, and thyroid C-cell and parathyroid chief cell hyperplasia were diagnosed on the basis of results of gross, histologic, and immunohistochemical findings in both cats. Pancreatic exocrine adenocarcinoma was diagnosed in both cats. One cat also had hepatocellular carcinoma. Exons 1-8 of the feline menin gene were sequenced and were found to bear 93% homology with the human gene sequence, and the corresponding amino acid sequences shared 98% homology. Purification of total RNA and amplification of cDNA from lesional tissues to document mutations in the feline menin gene sequence were unsuccessful. The combination of lesions observed was consistent with the diagnosis of MEN-1-like syndrome in both cats.
Introduction: The authors propose a simple method for assessment of canine kidney size derived from the radiological technique described by Finco et al in 1971. Materials and methods: In 26 healthy dogs ultrasonography was used to measure the length, height, and thickness of each kidney. These measurements were correlated with the lengths of the fifth and sixth lumbar vertebrae (L5 and L6), also measured by ultrasound. The resulting values were compared with the linear correlation method and the ratios defined using descriptive statistics. Results: No significant differences were observed between the dimensions of the right and left kidneys. The length of both kidneys displayed significant correlation with both the length of L5 and that of L6. In both cases, the renal:vertebral length ratios ranged from 1.3 to 2.7. Discussion: The ratio of kidney length to the length of L5 or L6 can be considered a useful parameter for assessing the size of the kidneys in healthy dogs. The normal range we identified in this study (from 1.3 to 2.7) is sufficiently narrow to allow sonographic detection of even limited changes in renal length.Sommario Introduzione: Il nostro studio propone un metodo semplice di misurazione renale, che presenta un range di valori ridotto rispetto a quelli precedentemente proposti. Questo metodo si basa sulla valutazione del rapporto tra lunghezze renali e vertebrali. Materiali e metodi: Ventisei cani clinicamente sani sono stati sottoposti a esame ecografico. Sono state misurate le tre dimensioni di ciascun rene e la lunghezza della quinta (L5) e sesta vertebra lombare (L6). Attraverso la formula media (dimensione rene) AE 2 DS abbiamo determinato i range di riferimento del rapporto tra i parametri dimensionali del rene e la lunghezza di L5 e di L6. Risultati: Una correlazione lineare significativa è stata ottenuta solo per il rapporto tra la lunghezza del rene e la lunghezza di L5 e di L6. I nostri risultati hanno permesso di definire che il rapporto tra la lunghezza renale e la lunghezza dei corpi di L5 o di L6 è normalmente compreso tra i valori di 1,3 e 2,7. Discussione: Il rapporto tra la lunghezza renale e la lunghezza di L5 o di L6 può essere considerato un parametro utile per stimare le dimensioni renali del cane sano. Il range di normalità (da 1,3 a 2,7) risulta sufficientemente ristretto da suggerire che modificazioni anche limitate della lunghezza renale possano essere percepite ecograficamente. ª
Ultrasound has proven to be a useful tool in the evaluation of tenomusculoskeletal structures of shoulder in dogs with unremarkable radiographic findings. Our results suggest that ultrasonography is useful in the diagnosis of tendon abnormalities, fluid accumulation, muscle lacerations and bone surface irregularities as potential contributors to shoulder lameness in dogs.
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