Highcroft Veterinary Referrals, Bristol, United Kingdom.
Finn Pathologists, Harleston, United Kingdom.
Vet Med Sci. 2022 Nov;8(6):2273-2276. doi: 10.1002/vms3.927. Epub 2022 Sep 2.
A 10-year-old, entire male, English Springer Spaniel was referred for evaluation of weight loss, polyuria, polydipsia and gastrointestinal tract signs including melena/haematochezia for the previous six months. Results of serum protein electrophoresis, urine analysis, computed tomography of the thorax/abdomen, bone marrow aspiration and core biopsy, and splenic and mesenteric lymph node cytology were consistent with multiple myeloma. Endoscopically obtained gastrointestinal tract biopsies identified marked plasma cell infiltration within the duodenum, ileum and colon; immunohistochemistry showed positive labelling to MUM1 and Lambda confirming clonal plasma cell involvement. The dog entered complete clinical remission seven weeks after starting a melphalan/prednisolone protocol. The dog was euthanised 475 days after starting treatment due to cervical pain and collapse. At the time of euthanasia, blood work was not supportive of a relapse of multiple myeloma. To the authors' knowledge, this is the first report of multiple myeloma involving the gastrointestinal tract in a dog.
一只 10 岁的全雄性英国史宾格犬因体重减轻、多尿、多饮和胃肠道症状(包括黑便/血便)而被转诊,这些症状已持续了六个月。血清蛋白电泳、尿液分析、胸部/腹部计算机断层扫描、骨髓抽吸和核心活检以及脾脏和肠系膜淋巴结细胞学检查的结果与多发性骨髓瘤一致。内窥镜获得的胃肠道活检显示在十二指肠、回肠和结肠内有明显的浆细胞浸润;免疫组化显示 MUM1 和 Lambda 阳性标记,证实克隆性浆细胞参与。在开始使用美法仑/泼尼松方案后七周,该犬进入完全临床缓解期。在开始治疗后 475 天,由于颈椎疼痛和塌陷,该犬被安乐死。在安乐死时,血液检查不支持多发性骨髓瘤复发。据作者所知,这是首例犬胃肠道多发性骨髓瘤的报告。