Clinical characteristics and outcome of dogs with presumed primary renal lymphoma (original) (raw)
Related papers
Primary Kidney Lymphoma in a Dog
Acta Scientiae Veterinariae, 2022
Background: Lymphoma is a malignant lymphoid tumor originating in the lymph nodes or other solid organs and comprises 90% of all hematopoietic tumors in dogs. However, primary kidney lymphoma is rare and is associated with nonspecific clinical signs. Tumor invasion in both kidneys can cause severe clinical signs due to renal failure, complicating the patient's treatment and prognosis. The aim of this case was to report the case of a dog affected by bilateral primary kidney lymphoma. In addition, to characterize the clinical and histopathological presentation due to the intense morphological changes. Case: A 5-year-old male Poodle dog was admitted showing apathy and emesis for 5 days. On physical examination, the dog showed 10% of dehydration, reddish oral mucous membranes, poor body condition (score 1/5), uremic breath, and pain in the kidney area. Complementary tests revealed severe low white blood cells count, high BUN levels, high levels of potassium, calcium, and phosphorus (serum biochemistry). Abdominal ultrasound showed bilateral kidney enlargement. Fine needle aspiration of the mass (guided by ultrasound) revealed round cell tumor. Radiographs showed no alterations. The dog died due to his poor condition and necropsy was performed. On post-mortem examination, the kidneys were both enlarged, pale, and with an irregular subcapsular surface. The histopathological diagnostic was primary renal lymphoma. Immunohistochemical staining revealed that neoplastic cells were strongly positive for anti CD20 and PAX5, while negative for CD3, supporting the diagnosis of B-cell lymphoma. Discussion: The diagnosis was based on clinical, complementary tests, fine needle aspiration, histopathological and immunohistochemical findings. In dogs, primary kidney tumors are uncommon and usually malignant. The presence of vomiting, uremic breath, dehydration, weight loss, and erosive and ulcerative lesions on the tongue (uremic glossitis) are clinical signs of chronic renal failure, and this condition was later confirmed by laboratory tests and histopathological findings. Dogs diagnosed with extra-nodal renal lymphoma, present clinical signs such as polydipsia, polyuria, vomiting, and uremic breath in some cases. These changes are compatible with changes observed in cases of renal failure. In this case, the severe azotemia, hyperphosphatemia, hypocalcemia, and hyperkalemia were due to the neoplastic infiltration in both kidneys. Additionally, the abdominal ultrasound revealed the tumor in both kidneys. Almost 38% of dogs with renal lymphoma presented in urine evaluation normal urine density and a large amount of protein in the urine, similar to those observed in this dog. When the lesions are on both kidneys, kidney failure develops and uremic extra-renal lesions appear, as observed in this case. The prevalence of primary kidney tumors in domestic animals corresponds to less than 1% of the total of the tumors reported, and they are usually in one kidney. In dogs, almost 60-70% of lymphomas are B cells, 30-40% are T cells, and less than 1% are null cells. B-cell lymphomas usually show less aggressive behavior when compared to T-cell lymphomas. Kidney lymphoma can be included as an important cause of kidney failure, and has slow and progressive development, making early diagnosis and treatment difficult.
Lymphoma (malignant lymphoma, lymphosarcoma) in the dog
Journal of Small Animal Practice, 1992
This report describes seven cases of canine lymphoma involving three German shepherd dogs, two boxers and two mongrels with a male to female ratio of 1.3 to 1. Their mean age and bodyweight was four years (range 1.5 to 8) and 31 kg (range 2 1 to 40), respectively. Six of the animals were euthanased at their owner's request and one died. Excessive lymph node enlargement, splenomegaly, hepatomegaly, blood lymphocytosis and proteinuria were the most striking clinical and clinicopathological findings. All the cases except one presented systemic signs and three developed secondary leukaemia because of bone marrow involvement. The anatomical types were classified according to the World Health Organization's criteria as thymic (one dog) and generalised (six dogs) and the clinical stage as IV (four dogs) and V (three dogs). Extranodal lymphomas involving the kidneys, meninges and the alimentary tract were seen in two cases. Histologically, the lymphomas were classified as lymphoblastic in four dogs, and in the remaining animals as lymphoblastic with plasmacytoid differentiation, lymphocytic with plasmacytoid differentiation, and poorly differentiated (stem cell) with one type appearing in each dog.
Clinical, laboratory, diagnostic and prognostic aspects of canine lymphoma: a retrospective study
Comparative Clinical Pathology, 2009
During the period of 8 years, 120 dogs affected by lymphoma were referred to the veterinary teaching hospital of the University. Canine lymphoma was classified and staged using a standardised diagnostic approach that involved the acquisition of detailed clinical history, physical examination and extended laboratory workup including lymph node cytology. Additionally, immunophenotyping was available in 22 cases. Multicentric lymphoma was the
Successful Medical Management of Lymphoma in Six Dogs
Indian Journal of Animal Research, Volume 58 Issue 2: 276-280 (February), 2024
Background: Lymphoma is considered to be the most common hematopoietic tumor in dogs (83%) having an overall cure rate of less than five percent. Although many chemotherapy protocols have been suggested, doxorubicin based combination protocols are widely associated with long disease free interval and improved duration of survival. Six dogs presented to Madras Veterinary College Teaching Hospital with clinical signs suggestive of lymphoma were taken up for this study. Methods: The dogs were subjected to detailed clinical examination and dermatological examination. Fine needle aspiration cytology (FNAC) samples were taken from the lymph nodes in cases of multicentric lymphoma and from cutaneous nodules in cases of cutaneous lymphoma. Tru-cut biopsy and impression smears were collected from the cutaneous nodules. The FNAC and impression smears revealed pleomorphic lymphocytes suggestive of lymphoma. Ultrasonographic examination of all dog revealed the enlargement of mesenteric lymph nodes and spotted appearance of spleen. Treatment with multi-agent chemotherapeutic protocol (University of Wisconsin-Madison, Lymphoma CHOP-19 protocol) was initiated after confirmative diagnosis. Result: Remissions in clinical signs were noticed within a week of therapy and no evidence of peripheral lymph node enlargement could be appreciated after three weeks of therapy. The diagnostic and management plans were presented and discussed.
Veterinaria México OA, 2019
Non-Hodgkin’s lymphomas are common canine cancers with variable demographic and clinical presentations. Their pathological characterization and treatment lag far behind those of humans. We describe consecutive lymphoma patients detected over a one-year period at the National Autonomous University of Mexico (UNAM). Of 4,512 dogs: 220 (4.9%) had a cancer diagnosis, of which 27 (0.6%) had lymphoma (12% of cancer patients). We found an association with Miniature Schnauzers, which represented 18.5% (5/27) of lymphoma patients, but it was only 6.4% (288/4,512) of the dogs studied in this time period (p
The diagnostic assessment of canine lymphoma: implications for treatment
Clinics in laboratory medicine, 2011
Lymphoma in dogs is a heterogeneous cancer with highly variable prognosis. Many types of canine lymphoma have similar counterparts in the World Health Organization classification of human lymphoid tumors. The most common variant of canine lymphoma is diffuse large B-cell lymphoma, which, if treated with multiagent chemotherapy, has a survival time of approximately 12 months. T-cell lymphomas are more heterogeneous and high- and low-grade variants are common, which necessitates classification beyond B- versus T-cell lineage.
Primary Renal Neoplasia of Dogs
Journal of Veterinary Internal Medicine, 2006
Background: Primary renal tumors are diagnosed uncommonly in dogs. Hypothesis: Signs and survival will differ among different categories of primary renal tumors. Animals: Data were collected from the medical records of 82 dogs with primary renal tumors diagnosed by examination of tissue obtained by ultrasound-guided biopsy, needle aspiration, surgery, or at postmortem examination.
Histopatological diagnosis of canine and feline lymphoma
There are several options on how to get a sample intended for diagnosis and determined by the pathologist. Each technique has its advantages and disadvantages for both the clinician and the pathologist. The purpose of this work is to review the advantages (10 cases in dogs and 10 cases in cats) and the difficulties in veterinary practice regarding cytology (5 dogs and 5 cats) and biopsy-based diagnosis of lymphoma (5 dogs and 5 cats). We described 20 cases of lymphoma: ten cases were diagnosed based on thin-needle cytology and ten by biopsy. We reviewed standard protocols for diagnosing animal lymphoma, together with new methodologies, including molecular pathology. Diagnosis includes the phenotype of the tumour, its relationship to surrounding bodies, assessment of margins and tumour invasion and, in addition its immunohistochemical profile or molecular pathology may be included. To start the correct therapy, an early and accurate diagnosis is necessary.
Epidemiology, clinical and cytological features of lymphoma in Boxer dogs
Acta Veterinaria Hungarica, 2019
The aim of this study was to evaluate the epidemiology, clinical and laboratory characteristics of canine lymphomas as well as some aspects of treatment outcomes. The study was conducted on Boxer dogs with lymphoma diagnosed by cytology and immunocytochemistry (CD3 and CD79 alpha). During the study period, lymphoma was diagnosed in 63 Boxers; 86.8% were T-cell (based on the Kiel classification: small clear cell lymphoma, pleomorphic small cell lymphoma, pleomorphic mixed T-cell lymphoma, pleomorphic large T-cell lymphoma, lymphoblastic lymphoma/acute lymphoblastic leukaemia) and 13.2% were B-cell lymphomas (according to the Kiel classification: B-cell chronic lymphocytic leukaemia, centroblastic/centroblastic polymorphic lymphoma). Overall survival (OS) was significantly longer in dogs with low-grade than with high-grade lymphoma (median OS of 6.8 and 4.7 months, respectively; P = 0.024). OS was not influenced by WHO clinical stage, WHO clinical substage, presence of splenomegaly, e...