Proverbio Daniela, Spada Eva, Perego Roberta, Grieco Valeria, Lodi Matteo, Di Giancamillo Mauro, Ferro Elisabetta
Dipartimento di Scienze Cliniche Veterinarie, Facoltà di Medicina Veterinaria, Università degli Studi di Milano, Italy.
J Am Anim Hosp Assoc. 2012 Mar-Apr;48(2):132-8. doi: 10.5326/JAAHA-MS-5708. Epub 2012 Jan 19.
This report describes multiple endocrine neoplasia in a dog, which is a rare hereditary disorder characterized by the presence of two or more neoplasms of different endocrine tissues within a patient. A 14 yr old dog was evaluated for polyuria/polydipsia, polyphagia, and abdominal enlargement. Adrenal-dependent hyperadrenocorticism with concomitant left thyroid enlargement and a presumed abdominal metastatic lesion were diagnosed by an adrenocorticotropic hormone stimulation test, ultrasonography, and computed tomography. Trilostane therapy was initiated and resolved the clinical signs for 2 yr at which time the dog presented with left testicular enlargement. The dog was euthanized and was diagnosed with adrenocortical carcinoma, thyroid carcinoma, an abdominal mass compatible with a metastatic lymph node, and bilateral interstitial cell testicular adenomas. To the authors' knowledge, this is the first report to describe the concomitant association of these types of endocrine neoplasms in a dog. The concomitant presence of these neoplasms could represent a potential variant of multiple endocrine neoplasia; however, the presence of the interstitial cell testicular adenomas may have only been an incidental finding. If any of these tumors are diagnosed, veterinarians should perform a thorough clinical assessment to evaluate for the presence of additional endocrine neoplasms or hyperplasia.
本报告描述了一只犬的多发性内分泌肿瘤,这是一种罕见的遗传性疾病,其特征是患者体内存在两种或更多种不同内分泌组织的肿瘤。对一只14岁的犬进行了多尿/多饮、多食和腹部肿大的评估。通过促肾上腺皮质激素刺激试验、超声检查和计算机断层扫描诊断为肾上腺依赖性肾上腺皮质功能亢进,伴有左甲状腺肿大和一个推测的腹部转移病灶。开始使用曲洛司坦治疗,临床症状缓解了2年,此时该犬出现左睾丸肿大。该犬实施安乐死,诊断为肾上腺皮质癌、甲状腺癌、一个与转移性淋巴结相符的腹部肿块以及双侧间质细胞睾丸腺瘤。据作者所知,这是第一份描述犬中这些类型内分泌肿瘤同时存在的报告。这些肿瘤的同时存在可能代表多发性内分泌肿瘤的一种潜在变体;然而,间质细胞睾丸腺瘤的存在可能只是一个偶然发现。如果诊断出这些肿瘤中的任何一种,兽医应进行全面的临床评估,以评估是否存在其他内分泌肿瘤或增生。