Tymchuk Tetiana, Targett Mike, Ortega Ester Blasco, Prados Rosa Maria Rabanal, Pumarola Martí Batlle, Van Lelyveld Shirley, Gomes Sergio A
From Dovecote Veterinary Referrals, Castle Donington, Derbyshire, England (T.T., S.A.G., S.V.L.).
University of Nottingham School of Veterinary Medicine and Science, Sutton Bonington, England (T.T., M.T.).
J Am Anim Hosp Assoc. 2025 Jul 1;61(4):101-106. doi: 10.5326/JAAHA-MS-7470.
A vertebral telangiectatic osteosarcoma was diagnosed in a 5 yr old female neutered Staffordshire bull terrier presenting with paraplegia with nociception in one limb and absent on the other. Computed tomography revealed a hypoattenuating, osteolytic lesion affecting the T9 vertebra. MRI revealed a well-demarcated dorsal extradural mass overlying the spinal cord along the T8-T10 vertebral bodies. A hemorrhaging, reddish mass dorsal to the spinal cord was removed surgically, and a diagnosis of telangiectatic osteosarcoma was confirmed through histopathological examination. The dog improved following surgery and chemotherapy but suffered acute deterioration 5 wk postoperatively and was euthanized. This is the first reported case of a vertebral telangiectatic osteosarcoma where computed tomography and MRI sequences were obtained, with surgical extraction and medical chemotherapy. This subtype of osteosarcoma is believed to have a negative prognosis in dogs, although this is the first report of attempted surgical treatment. Telangiectatic osteosarcoma should be considered as a differential in dogs, particularly when a mass is identified with associated intralesional hemorrhagic spaces, commonly seen in the telangiectatic subtype. Currently, there are no established treatment options for vertebral telangiectatic osteosarcomas and the prognosis appears to be poor.
一只5岁已绝育的雌性斯塔福郡斗牛梗被诊断为脊椎毛细血管扩张性骨肉瘤,表现为截瘫,一条腿有痛觉,另一条腿无。计算机断层扫描显示T9椎体有一个低密度溶骨性病变。磁共振成像显示T8 - T10椎体水平脊髓背侧硬膜外有一个边界清晰的肿块。手术切除了脊髓背侧一个出血的红色肿块,通过组织病理学检查确诊为毛细血管扩张性骨肉瘤。这只狗术后接受手术和化疗后情况有所改善,但术后5周病情急剧恶化,最终实施了安乐死。这是首例报告的脊椎毛细血管扩张性骨肉瘤病例,进行了计算机断层扫描和磁共振成像检查,并实施了手术切除和药物化疗。骨肉瘤的这种亚型在犬类中预后被认为较差,尽管这是首例尝试手术治疗的报告。毛细血管扩张性骨肉瘤应被视为犬类疾病的鉴别诊断之一,尤其是当发现肿块伴有病灶内出血腔隙时,这在毛细血管扩张性亚型中很常见。目前,对于脊椎毛细血管扩张性骨肉瘤尚无既定的治疗方案,预后似乎很差。