Choi Eun Wha
Department of Veterinary Clinical Pathology, College of Veterinary Medicine & Institute of Veterinary Science, Kangwon National University, 1 Kangwondaehak-gil, Chuncheon, Gangwon-do, 24341, Republic of Korea.
BMC Vet Res. 2019 Apr 15;15(1):115. doi: 10.1186/s12917-019-1852-6.
Tumors of the perianal area occur frequently in dogs, and the two most common tumors are perianal gland adenoma and anal sac adenocarcinoma; others such as mast cell tumor, lymphoma and melanoma can also occur at this site. Diagnostic cytology is a useful technique and is usually used to establish a definitive diagnosis of some tumors in veterinary medicine. This report describes an extremely rare case of a deep dermal and subcutaneous canine hemangiosarcoma in the perianal area.
A 13-year-old intact male spaniel was presented for evaluation of a 4 × 4 cm, ulcerated, and hemorrhagic mass presented in the right perianal region. In cytologic evaluation, malignant mesenchymal tumor with inflammation was diagnosed, and incidental heart worm microfilaremia was identified. Based on the cytologic evaluation, a punch biopsy (3 mm, three sites) was conducted under anesthesia and deep dermal and subcutaneous hemangiosarcoma (3 mitotic figures/10 high power field (400×)) was diagnosed by histopathological evaluation. It was also confirmed by immunohistochemistry results for cluster of differentiation 31 (CD31) and factor VIII-related antigen marker.
Deep dermal and subcutaneous hemangiosarcoma in the perianal region is a rare condition, and its prognosis is usually poor. Perianal gland adenoma and anal sac adenocarcinoma are the two most common tumors in the perianal region, but other different types of tumors may also occur as in this case; therefore, accurate diagnosis is required using cytology and/or histopathological examination.
肛周区域肿瘤在犬类中频繁发生,最常见的两种肿瘤是肛周腺腺瘤和肛囊腺癌;其他如肥大细胞瘤、淋巴瘤和黑色素瘤也可发生于此部位。诊断性细胞学是一种有用的技术,通常用于兽医学中某些肿瘤的确切诊断。本报告描述了一例极为罕见的犬肛周区域深部真皮和皮下血管肉瘤病例。
一只13岁未绝育的雄性西班牙猎犬因右肛周区域出现一个4×4厘米、溃疡且出血的肿块前来评估。在细胞学评估中,诊断为伴有炎症的恶性间充质瘤,并发现伴有偶然的心丝虫微丝蚴血症。基于细胞学评估,在麻醉下进行了穿刺活检(3毫米,三个部位),组织病理学评估诊断为深部真皮和皮下血管肉瘤(每10个高倍视野(400×)有3个有丝分裂象)。免疫组织化学结果对分化簇31(CD31)和因子VIII相关抗原标志物的检测也证实了这一诊断。
肛周区域深部真皮和皮下血管肉瘤是一种罕见疾病,其预后通常较差。肛周腺腺瘤和肛囊腺癌是肛周区域最常见的两种肿瘤,但也可能出现其他不同类型的肿瘤,如此病例所示;因此,需要使用细胞学和/或组织病理学检查进行准确诊断。