Breitreiter Katrina
South Austin Cat Hospital, Austin, TX 78747, USA.
JFMS Open Rep. 2019 Apr 9;5(1):2055116919842394. doi: 10.1177/2055116919842394. eCollection 2019 Jan-Jun.
A 12-year-old neutered male onychectomized Ragdoll cat presented for a 3 day history of swelling and hemorrhagic purulent discharge on the first digit of the left manus. Radiographs revealed fragments of the third phalangeal bone (P3) present in the partially amputated digits with swelling adjacent to the P3 fragment on the first digit of the left manus. Thoracic radiographs revealed no evidence of primary or metastatic neoplasia. Surgery was performed to remove all P3 fragments and the associated swelling on the diseased digit. On gross examination of the excised swelling, a mass was present at the cut edge of P3. The bone fragment and associated mass were submitted for histopathological evaluation. Osteosarcoma was diagnosed. Because neoplastic cells extended to the surgical margins, amputation of the left thoracic limb was performed. The cat recovered from surgery, and survival time at the time of writing was 8 months.
To our knowledge, this is the first reported case of onychectomy-associated osteosarcoma. Trauma from partial P3 amputation during onychectomy is suspected to have played a role in osteosarcoma development in this case. Malignant transformation may be considered a potential complication of onychectomy achieved by partial P3 amputation.
一只12岁已绝育的去爪 Ragdoll 猫前来就诊,其左手第一指出现肿胀及出血性脓性分泌物,病史为3天。X线片显示,部分截断的指骨中有第三指骨(P3)碎片,左手第一指的P3碎片附近有肿胀。胸部X线片未显示原发性或转移性肿瘤的迹象。手术切除了所有P3碎片及患病指头上的相关肿胀。对切除的肿胀组织进行大体检查时,P3的切缘处有一个肿块。骨碎片及相关肿块被送去做组织病理学评估。诊断为骨肉瘤。由于肿瘤细胞延伸至手术切缘,遂对左前肢进行了截肢。这只猫术后恢复,撰写本文时存活时间为8个月。
据我们所知,这是首例报道的与去爪术相关的骨肉瘤病例。本病例中,怀疑去爪术期间P3部分截断造成的创伤在骨肉瘤的发生中起了作用。恶性转化可被视为通过P3部分截断进行去爪术的一种潜在并发症。