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阴茎血管肉瘤导致犬排尿困难:临床表现、影像学表现、治疗及预后

Penile hemangiosarcoma as a cause of stranguria in a dog: clinical presentation, imaging findings, treatment and outcome.

作者信息

Pierini A, Picchi C, Pisani G, Binanti D, Carli A, Rossi F, Criscuolo M C

机构信息

Centro Veterinario Pisani-Carli-Chiodo Animalia, via Togliatti 8, 19034 Luni, SP, Italy.

AbLab, Laboratorio di Analisi Veterinarie, via privata Massa Neri, 19038 Sarzana, SP, Italy.

出版信息

Iran J Vet Res. 2024;25(1):74-78. doi: 10.22099/IJVR.2024.48685.7113.

DOI:10.22099/IJVR.2024.48685.7113
PMID:39156797
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11327644/
Abstract

BACKGROUND

Penile tumors are rare in dogs and only single case reports or small case series have been reported.

CASE DESCRIPTION

An 11-year-old, cross-breed dog was presented for a two-week history of stranguria. At physical examination, a subcutaneous swelling of the penis was detected. Abdominal radiographs, ultrasonography, and CT showed a subcutaneous penile mass involving the penile urethra and associated with marked lysis of the . Histological features along with the neoplastic cell positivity to CD31 and FVIII immunohistochemical markers warranted a final diagnosis of penile hemangiosarcoma.

FINDINGS/TREATMENT AND OUTCOME: The dog was treated with amputation of the penis, scrotal urethrostomy, and five adjuvant doses of doxorubicin along with thalidomide. Cutaneous and omental metastases were found 235 days after surgery. The dog was euthanized at 296 days due to bone and pulmonary metastasis.

CONCLUSION

Penile hemangiosarcoma seems to share the same aggressive behavior with other hemangiosarcomas seen in other anatomical locations. Therefore, surgery and chemotherapy may improve survival time in dogs with penile hemangiosarcoma as well.

摘要

背景

阴茎肿瘤在犬类中较为罕见,仅有个别病例报告或小病例系列报道。

病例描述

一只11岁的杂种犬因排尿困难两周前来就诊。体格检查时,发现阴茎有皮下肿胀。腹部X光片、超声检查和CT显示阴茎皮下肿块累及阴茎尿道,并伴有明显的骨质溶解。组织学特征以及肿瘤细胞对CD31和FVIII免疫组化标志物呈阳性,最终确诊为阴茎血管肉瘤。

检查结果/治疗及转归:该犬接受了阴茎截肢、阴囊尿道造口术,并给予五剂阿霉素联合沙利度胺辅助治疗。术后235天发现皮肤和网膜转移。由于骨转移和肺转移,该犬在296天时实施安乐死。

结论

阴茎血管肉瘤似乎与其他解剖部位出现的血管肉瘤具有相同的侵袭性行为。因此,手术和化疗也可能改善阴茎血管肉瘤犬的生存时间。

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Penile hemangiosarcoma as a cause of stranguria in a dog: clinical presentation, imaging findings, treatment and outcome.阴茎血管肉瘤导致犬排尿困难:临床表现、影像学表现、治疗及预后
Iran J Vet Res. 2024;25(1):74-78. doi: 10.22099/IJVR.2024.48685.7113.
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本文引用的文献

1
Canine and feline haemangiosarcoma.犬猫血管肉瘤。
Vet Rec. 2021 Nov;189(9):e585. doi: 10.1002/vetr.585. Epub 2021 Jul 2.
2
Veterinary Cooperative Oncology Group-Common Terminology Criteria for Adverse Events (VCOG-CTCAE v2) following investigational therapy in dogs and cats.兽医合作肿瘤学组-在犬猫接受试验性治疗后的不良事件通用术语标准(VCOG-CTCAE v2)。
Vet Comp Oncol. 2021 Jun;19(2):311-352. doi: 10.1111/vco.12677. Epub 2021 Feb 18.
3
Pharmacokinetics of thalidomide in dogs: can feeding affect it? A preliminary study.
沙利度胺在犬体内的药代动力学:喂食会对其产生影响吗?一项初步研究。
J Vet Sci. 2020 Sep;21(5):e60. doi: 10.4142/jvs.2020.21.e60.
4
Primary appendicular hemangiosarcoma and telangiectatic osteosarcoma in 70 dogs: A Veterinary Society of Surgical Oncology retrospective study.70只犬原发性附肢血管肉瘤和毛细血管扩张性骨肉瘤:兽医外科学肿瘤学会回顾性研究
Vet Surg. 2018 Aug;47(6):774-783. doi: 10.1111/vsu.12926. Epub 2018 Jul 26.
5
Does thalidomide prolong survival in dogs with splenic haemangiosarcoma?沙利度胺能否延长患有脾脏血管肉瘤的犬类的生存期?
J Small Anim Pract. 2018 Feb;59(2):85-91. doi: 10.1111/jsap.12796. Epub 2017 Dec 6.
6
Urethral Stenting for Obstructive Uropathy Utilizing Digital Radiography for Guidance: Feasibility and Clinical Outcome in 26 Dogs.利用数字X线摄影引导进行尿道支架置入治疗梗阻性尿路病:26只犬的可行性及临床结果
J Vet Intern Med. 2017 Mar;31(2):427-433. doi: 10.1111/jvim.14652. Epub 2017 Jan 29.
7
Haemangiosarcoma of the os penis in a dog: The most common neoplasm of the canine penis.犬阴茎血管肉瘤:犬阴茎最常见的肿瘤。
J S Afr Vet Assoc. 2014 Aug 21;85(1):e1-e4. doi: 10.4102/jsava.v85i1.1092.
8
Penile amputation and scrotal urethrostomy followed by chemotherapy in a dog with penile hemangiosarcoma.一只患有阴茎血管肉瘤的犬接受阴茎截肢术和阴囊尿道造口术,随后进行化疗。
J Am Anim Hosp Assoc. 2015 Jan-Feb;51(1):25-30. doi: 10.5326/JAAHA-MS-5975. Epub 2014 Nov 21.
9
Pollakiuria and stranguria in a Labrador retriever with penile HSA.一只患有阴茎型组织细胞肉瘤的拉布拉多猎犬出现尿频和排尿困难。
J Am Anim Hosp Assoc. 2014 Mar-Apr;50(2):141-7. doi: 10.5326/JAAHA-MS-5984. Epub 2014 Jan 20.
10
Response evaluation criteria for solid tumours in dogs (v1.0): a Veterinary Cooperative Oncology Group (VCOG) consensus document.犬实体瘤反应评估标准(第1.0版):兽医肿瘤协作组(VCOG)共识文件
Vet Comp Oncol. 2015 Sep;13(3):176-83. doi: 10.1111/vco.12032. Epub 2013 Mar 28.