Department of Specialty Medicine, Midwestern University College of Veterinary Medicine, Glendale, AZ.
Department of Specialty Medicine, Midwestern University College of Veterinary Medicine, Glendale, AZ.
Top Companion Anim Med. 2021 Mar;42:100476. doi: 10.1016/j.tcam.2020.100476. Epub 2020 Oct 16.
A 2-year-old male neutered mixed breed dog was referred for evaluation of left-sided unilateral epistaxis and mucoid discharge following adoption from Mexico 2 months prior to presentation. Computed tomography (CT) showed soft tissue that filled the entirety of the left nasal passage with mild turbinate loss. Subsequent rhinoscopy revealed multifocal patches of discrete, white, wispy, vascularized abnormal tissue in the left nasal cavity. Cytology and histopathology procured with rhinoscopic-guidance were suspicious for transmissible venereal tumor (TVT). Confirmation of a TVT diagnosis was made with polymerase chain reaction for the long interspersed element inserted upstream of the c-myc gene. The dog was treated with 4 cycles of vincristine (0.5 mg/m, IV, once every 7 days) with complete and sustained resolution of clinical signs shortly after the third cycle. Nasal TVT in dogs is an uncommon presentation of a neoplasm that primarily results in genital or oral lesions. There is a void in the veterinary literature regarding the rhinoscopic appearance, as well as limited clinical descriptions of nasal TVT. Therefore, the objectives of this report were to provide a detailed description of the rhinoscopic appearance of a canine nasal TVT, in addition to clinical features, diagnostic findings, CT imaging, and successful therapeutic management.
一只 2 岁雄性已去势的混种犬,在从墨西哥被收养后 2 个月,因左侧单侧鼻出血和黏液样分泌物而被转诊进行评估。计算机断层扫描(CT)显示,软组织充满了整个左侧鼻腔,鼻甲有轻度缺失。随后的鼻内窥镜检查显示,左侧鼻腔有多发性离散的、白色、丝状、血管化的异常组织斑块。通过鼻内窥镜引导获得的细胞学和组织病理学检查提示为传染性性病肿瘤(TVT)。通过聚合酶链反应检测长散布元件插入 c-myc 基因上游的方法,确认了 TVT 诊断。该犬接受了 4 个周期的长春新碱(0.5mg/m,IV,每 7 天一次)治疗,在第 3 个周期后不久,临床症状完全持续缓解。犬的鼻腔 TVT 是一种罕见的肿瘤表现,主要导致生殖器或口腔病变。兽医文献中关于鼻内窥镜表现以及鼻腔 TVT 的有限临床描述存在空白。因此,本报告的目的是详细描述犬鼻腔 TVT 的鼻内窥镜表现,以及临床特征、诊断发现、CT 成像和成功的治疗管理。