Abramo Francesca, Mazzei Maurizio, Forzan Mario, Giannetti Giorgia, Albanese Francesco, Melchiotti Erica, Zanna Giordana, Vascellari Marta
Department of Veterinary Science, University of Pisa, Pisa, Italy.
La Vallonea Laboratory, Rho Milano, Italy.
Vet Dermatol. 2025 Feb;36(1):83-91. doi: 10.1111/vde.13297. Epub 2024 Sep 5.
Feline Bowenoid in situ carcinoma (BISC) is frequently associated with Felis catus papillomavirus-2 (FcaPV-2). Although surgical excision of BISC is expected to be curative, recurrent lesions are reported and it is not known whether it is a consequence of incomplete surgery or residual viral load.
To combine colorimetric in situ hybridisation (CISH) and quantitative (q)PCR for the detection of viral DNA, and to correlate the clinical outcome of cats with BISC in which FcaPV-2 DNA is detected at surgical margins.
Twenty-seven cats with a histopathological diagnosis of BISC.
Sections including core and margins of the lesions were used for histopathological evaluation, qPCR and CISH. After surgical removal of the lesion, clinical follow-up data were recorded for 6 months.
Six of 12 cases in which all four histological margins were evaluable were used to correlate the infection status at the margins with the follow-up data. Four showed margin positivity, of which half relapsed as expected and half cured; two cases were negative, of which one cured as expected while the other relapsed. Fifteen cases where only three, two or one of the histological margins were evaluable, were considered to adequately correlate the status of infection with the follow-up data if CISH was positive. Follow-up data were available for three with positive margins: one relapsed while the other two were cured.
Wide clinical surgical margins are always recommended for neoplastic conditions, yet there was no evidence that CISH margin examination would be beneficial in predicting recurrence in this viral-induced lesion.
猫原位鲍恩样癌(BISC)常与猫乳头瘤病毒2型(FcaPV - 2)相关。虽然手术切除BISC有望治愈,但有复发病变的报道,且尚不清楚这是手术不彻底还是病毒载量残留的结果。
联合比色原位杂交(CISH)和定量(q)PCR检测病毒DNA,并将手术切缘检测到FcaPV - 2 DNA的BISC猫的临床结局进行关联。
27只经组织病理学诊断为BISC的猫。
包括病变核心和边缘的切片用于组织病理学评估、qPCR和CISH。手术切除病变后,记录6个月的临床随访数据。
12例中4个组织学切缘均可评估的病例中有6例用于将切缘感染状态与随访数据进行关联。4例切缘阳性,其中一半如期复发,一半治愈;2例阴性,其中1例如期治愈,另1例复发。15例仅3个、2个或1个组织学切缘可评估的病例,如果CISH阳性,则认为可充分将感染状态与随访数据进行关联。有3例切缘阳性的随访数据:1例复发,另2例治愈。
对于肿瘤性疾病,始终建议手术切缘要宽,但没有证据表明CISH切缘检查对预测这种病毒诱导病变的复发有益。