Department of Small Animal Surgery, Atlantic Veterinary College, University of Prince Edward Island, 550 University Avenue, Charlottetown, Prince Edward Island C1A 4P3.
Can Vet J. 2024 Jul;65(7):632-637.
A 5-year-old spayed female mixed-breed dog was referred to the Atlantic Veterinary College (Charlottetown, Prince Edward Island) because of a 7-month history of intermittent pink, mucoid, vulvar discharge. The dog was imported from the Bahamas at 3.5 y of age and had a history of transmissible venereal tumor (TVT) of the vulva that was successfully treated with a course of vincristine chemotherapy. Complete remission was achieved with a disease-free interval of 6 mo before clinical signs recurred. Abdominal ultrasound and CT scan identified a large caudal abdominal mass thought to arise from the uterine stump. An exploratory laparotomy was performed and the mass grossly excised. Histopathology was consistent with a poorly differentiated round cell tumor, and immunohistochemical analysis confirmed TVT as the most likely diagnosis. No further treatment was carried out. Repeat abdominal ultrasound at 4 mo after surgery showed no evidence of mass recurrence. At 8 mo after surgery, the dog was reported to be doing well clinically. Key clinical message: Transmissible venereal tumor should be considered as a differential diagnosis for masses arising from the deep genital tissues of dogs in cases where there is a history of previous TVT. Transmissible venereal tumor should be considered even in dogs that have had complete resolution of a primary mass after chemotherapy.
一只 5 岁已绝育的雌性混种犬,因间歇性出现粉红色、黏液性、外阴分泌物,被转诊至大西洋兽医学院(爱德华王子岛夏洛特敦)。该犬 3.5 岁时从巴哈马进口,曾患有外阴传染性性病肿瘤(TVT),经长春新碱化疗成功治疗。在临床症状再次出现前,无病间隔 6 个月达到完全缓解。腹部超声和 CT 扫描发现一个大的尾部腹部肿块,认为来源于子宫残端。进行了剖腹探查术,并大体切除了肿块。组织病理学检查符合分化不良的圆形细胞肿瘤,免疫组化分析证实 TVT 是最可能的诊断。未进行进一步治疗。手术 4 个月后重复腹部超声检查未见肿块复发的证据。手术后 8 个月,据报道该犬临床状况良好。关键临床信息:对于既往有 TVT 病史的犬,深部生殖组织来源的肿块应考虑 TVT 作为鉴别诊断。即使在原发性肿块经化疗完全消退的犬中,也应考虑传染性性病肿瘤。