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Intranasal melanoma treated with radiation therapy in three dogs.
Veterinary Quarterly ( IF 7.9 ) Pub Date : 2017-11-10 , DOI: 10.1080/01652176.2017.1387828
Owen Davies 1 , Sarah Spencer 2 , Slavomira Necova 3 , Emma Holmes 4 , Angela Taylor 1 , Laura Blackwood 5 , Ana Lara-Garcia 1
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Three dogs were investigated for chronic unilateral nasal discharge. In all cases CT imaging showed an intranasal mass causing turbinate lysis and no evidence of metastasis. Cytology in cases 1 (a 14-year-old neutered male crossbreed dog) and 2 (a five-year-old neutered male German Shepherd dog) demonstrated a pleomorphic cell population with variable intracellular pigment suspicious of melanocytic neoplasia. Histopathology with immunohistochemistry (Melan-A and vimentin, plus PNL-2 in one case) confirmed the diagnosis of melanoma in all dogs. All dogs were treated with megavoltage radiotherapy using linear accelerators. Cases 1 and 3 (a nine-year-old neutered female beagle dog) received a hypofractionated (4 × 8 Gy) protocol and case 2 received a definitive (12 × 4 Gy) protocol. Complete remission was demonstrated on repeat CT scan five months after diagnosis in case 1 and seven months in case 2. Stable disease was documented on CT at four months for case 3; however, clinical signs in this dog remained controlled for 10 months in total. Case 1 died of unrelated causes five months after diagnosis, case 2 was euthanased due to the development of seizures 13 months after diagnosis, and case 3 was lost to follow-up 12 months after diagnosis. Melanoma should be considered as a rare differential diagnosis for primary nasal neoplasia in the dog and radiation therapy can be used as effective local therapy.



中文翻译:

放射治疗三只狗的鼻内黑色素瘤。

研究了三只狗的慢性单侧鼻涕。在所有情况下,CT成像均显示鼻内肿块引起鼻甲溶解,无转移迹象。病例1(一只14岁绝育的雄性杂种狗)和病例2(一只5岁绝育的雄性德国牧羊犬)的细胞学检查显示多形细胞群,细胞内色素可变,可疑为黑素细胞瘤形成。免疫组织化学的组织病理学检查(Melan-A和波形蛋白,一例加上PNL-2)证实了所有狗的黑色素瘤的诊断。使用线性加速器对所有的狗进行兆伏放疗。案例1和3(一只九岁的绝育雌性比格犬)接受了普通分割(4×8 Gy)协议,案例2获得了确定性(12×4 Gy)协议。病例1诊断后5个月,病例2重复7个月,重复CT扫描证实完全缓解。但是,这只狗的临床体征总共可以控制10个月。病例1在诊断后5个月死于无关原因,病例2在诊断后13个月因癫痫发作而被安乐死,病例3在诊断后12个月失去了随访。黑色素瘤应被认为是犬原发性鼻肿瘤的罕见鉴别诊断,放射治疗可作为有效的局部治疗。病例1在诊断后5个月死于无关原因,病例2在诊断后13个月因癫痫发作而被安乐死,病例3在诊断后12个月失去了随访。黑色素瘤应被认为是犬原发性鼻肿瘤的罕见鉴别诊断,放射治疗可作为有效的局部治疗。病例1在诊断后5个月死于无关原因,病例2在诊断后13个月因癫痫发作而被安乐死,病例3在诊断后12个月失去了随访。黑色素瘤应被认为是犬原发性鼻肿瘤的罕见鉴别诊断,放射治疗可作为有效的局部治疗。

更新日期:2017-11-10
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