Grader Irit, Southard Teresa L, Neaderland Marjorie H
Noah's Ark Animal Hospital, Danbury, CT, USA.
Department of Biomedical Sciences, College of Veterinary Medicine, Cornel University, Ithaca, NY, USA.
JFMS Open Rep. 2016 Jul 14;2(2):2055116916659516. doi: 10.1177/2055116916659516. eCollection 2016 Jul-Dec.
A 4-year-old, spayed female, domestic shorthair cat was presented for evaluation due to a 4 day history of inappetence and lethargy. Physical examination revealed mild dehydration and blindness of the left eye. Abnormal imaging findings included a well-margined soft tissue mass with irregular central cavity located in the dorsal aspect of the caudal lung lobe. Cytological examination of the mass revealed chronic inflammation with hemorrhage. Tests for parasitic and fungal diseases were negative. Ophthalmic examination 17 days after the cat was initially presented revealed severe diffuse pathology of both retinas. Left renomegaly was noted 22 days after the initial presentation, and cytological examination of samples obtained from the right vitreous, left kidney and the pulmonary mass yielded atypical epithelial cells exhibiting malignant changes. Post-mortem examination following euthanasia revealed renal transitional cell carcinoma with metastasis to both eyes, lungs and skeletal muscle. Immunohistochemical evaluation of the neoplastic cells in the eye revealed moderate cytoplasmic reactivity for CK7. CK20 immunohistochemistry was negative. To the best of our knowledge, this is the first report of renal transitional cell carcinoma with ocular metastasis in a cat. In addition, this report describes immunohistochemistry results of transitional cell carcinoma in a cat using CK7 and CK20.
一只4岁已绝育的雌性家养短毛猫因4天的食欲不振和嗜睡症状前来接受评估。体格检查发现轻度脱水和左眼失明。异常影像学检查结果显示,在尾叶肺叶背侧有一个边界清晰的软组织肿块,中央有不规则空洞。对该肿块进行细胞学检查发现有慢性炎症伴出血。寄生虫和真菌疾病检测均为阴性。在最初就诊17天后进行的眼科检查显示,双眼视网膜出现严重弥漫性病变。初次就诊22天后发现左肾肿大,对从右眼玻璃体、左肾和肺部肿块获取的样本进行细胞学检查,发现非典型上皮细胞呈现恶性变化。安乐死后的尸检显示为肾移行细胞癌,已转移至双眼、肺部和骨骼肌。对眼部肿瘤细胞进行免疫组化评估显示,CK7呈中度细胞质反应性。CK20免疫组化结果为阴性。据我们所知,这是首例猫肾移行细胞癌伴眼部转移的报告。此外,本报告还描述了猫移行细胞癌使用CK7和CK20的免疫组化结果。