Elhamiani Khatat Sarah, Vallefuoco Rosario, El Mrini Meryem, Canonne-Guibert Morgane, Rosenberg Dan
Department of Medicine, Surgery and Reproduction, Hassan II Institute of Agronomy and Veterinary Medicine, Rabat, Morocco.
Small Animal Surgery Department, Pride Veterinary Centre, Derby, UK.
JFMS Open Rep. 2020 Nov 22;6(2):2055116920962433. doi: 10.1177/2055116920962433. eCollection 2020 Jul-Dec.
A 10-year-old neutered male domestic shorthair cat was diagnosed with renal adenocarcinoma associated with hypertrophic osteopathy. The cat was referred for chronic ambulation difficulties. The physical examination showed a painful thickening of all four limbs, a right cranial abdominal mass and a conjunctival hyperaemia. Radiographic findings were consistent with extensive periosteal new bone formation involving not only the diaphyses of the fore- and hindlimbs, but also of the pelvis, tarsus and carpus. Abdominal ultrasonography and CT revealed a mass within the right kidney and a primary neoplasm was suspected. A ureteronephrectomy of the right kidney was performed and histopathology confirmed the diagnosis of renal adenocarcinoma. Although clinical improvement of the lameness occurred after surgery, no radiographic changes of hypertrophic osteopathy lesions were observed at the 9-month follow-up.
Feline cases of hypertrophic osteopathy are rarely reported in the literature and only a few of them were associated with abdominal neoplastic diseases. To our knowledge, this is the first case of renal adenocarcinoma associated with hypertrophic osteopathy in a cat.
一只10岁已绝育的雄性家养短毛猫被诊断出患有与肥大性骨病相关的肾腺癌。这只猫因慢性行走困难前来就诊。体格检查发现四肢均有疼痛性增厚、右腹部 cranial 肿块和结膜充血。影像学检查结果与广泛的骨膜新生骨形成一致,不仅累及前肢和后肢的骨干,还累及骨盆、跗骨和腕骨。腹部超声和CT显示右肾内有一个肿块,怀疑是原发性肿瘤。对右肾进行了输尿管肾切除术,组织病理学证实为肾腺癌。尽管术后跛行症状有临床改善,但在9个月的随访中未观察到肥大性骨病病变的影像学变化。
猫肥大性骨病的病例在文献中很少报道,其中只有少数与腹部肿瘤性疾病有关。据我们所知,这是第一例猫肾腺癌与肥大性骨病相关的病例。