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Feliciano MAR, de Miranda BDSP, Aires LPN, Lima BB, de Oliveira APL, Feliciano GSM, Uscategui RAR. The Importance of Ultrasonography in the Evaluation of Mammary Tumors in Bitches. Animals (Basel) 2023; 13:1742. [PMID: 37889644 PMCID: PMC10252055 DOI: 10.3390/ani13111742] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2023] [Revised: 04/11/2023] [Accepted: 04/14/2023] [Indexed: 10/29/2023] Open
Abstract
The high incidence of mammary tumors in small animals is concerning. Patient history, clinical examination, physical evaluation, and imaging studies are important for clinical staging. Ultrasonography is commonly applied to investigate the presence of abdominal metastasis. However, it has been shown to provide important information regarding mammary tumors' architecture and advanced sonographic techniques can provide information regarding neovascularization, stiffness, and perfusion. Different techniques have been investigated to determine accuracy to predict the lesions' histological classification. This paper reviews the information regarding each sonographic technique in the evaluation of mammary tumors, describing the most common findings and their potential to accurately assess and predict malignancy. Even though the gold standard for the diagnosis of mammary lesions is the histopathological examination, some ultrasonographic features described can predict the potential of a lesion being malignant. Among the different sonographic techniques, elastography can be considered the most reliable modality to accurately differentiate benign from malignant tumors when malignant lesions present increased stiffness. However, the combination of all sonographic techniques can provide important information that can lead to a better therapeutic approach and clinical staging. Furthermore, the potential of the sonographic study, especially CEUS to monitor therapeutic progression, demonstrate the need of further studies.
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Affiliation(s)
- Marcus Antônio Rossi Feliciano
- Laboratory of Veterinary Imaginology, Faculty of Animal Science and Food Engineering (FZEA), Sao Paulo University (USP), Pirassununga 13635-900, Sao Paulo, Brazil
| | - Brenda dos Santos Pompeu de Miranda
- Department of Veterinary Clinic and Surgery, School of Agricultural and Veterinarian Sciences, Sao Paulo State University “Júlio de Mesquita Filho” (FCAV/UNESP), Jaboticabal 14884-900, Sao Paulo, Brazil
| | - Luiz Paulo Nogueira Aires
- Department of Veterinary Clinic and Surgery, School of Agricultural and Veterinarian Sciences, Sao Paulo State University “Júlio de Mesquita Filho” (FCAV/UNESP), Jaboticabal 14884-900, Sao Paulo, Brazil
| | - Bruna Bressianini Lima
- Department of Veterinary Clinic and Surgery, School of Agricultural and Veterinarian Sciences, Sao Paulo State University “Júlio de Mesquita Filho” (FCAV/UNESP), Jaboticabal 14884-900, Sao Paulo, Brazil
| | - Ana Paula Luiz de Oliveira
- Department of Veterinary Clinic and Surgery, School of Agricultural and Veterinarian Sciences, Sao Paulo State University “Júlio de Mesquita Filho” (FCAV/UNESP), Jaboticabal 14884-900, Sao Paulo, Brazil
| | - Giovanna Serpa Maciel Feliciano
- Laboratory of Veterinary Imaginology, Faculty of Animal Science and Food Engineering (FZEA), Sao Paulo University (USP), Pirassununga 13635-900, Sao Paulo, Brazil
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Olimpo M, Ferraris EI, Parisi L, Buracco P, Rizzo SG, Giacobino D, Degiovanni A, Maniscalco L, Morello E. Diagnostic Findings and Surgical Management of Three Dogs Affected by Osseous Metaplasia Secondary to a Salivary Mucocele. Animals (Basel) 2023; 13:ani13091550. [PMID: 37174587 PMCID: PMC10177029 DOI: 10.3390/ani13091550] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2023] [Revised: 04/28/2023] [Accepted: 05/03/2023] [Indexed: 05/15/2023] Open
Abstract
Saliva is an irritant of the subcutaneous tissue, thus causing the development of a non-epithelial reactive pseudocapsule. Metaplastic ossification of the pseudocapsule is a condition rarely described in the veterinary literature. The main causes of calcification are trauma, tumours, various chronic inflammatory conditions and fibrodysplasia ossificans progressiva. The aim of the present case series was to describe three dogs affected by a calcified salivary mucocele. The medical records of dogs affected by a cervical sialocele were retrospectively evaluated, and three cases met the inclusion criteria. All the dogs in this study were referred to the Veterinary Teaching Hospital (VTH) of the Department of Veterinary Sciences of the University of Turin (Turin, Italy) for a large solid mass in the intermandibular region. The diagnosis of a mucocele was confirmed clinically by centesis and by radiography or CT. Complete excision of both the pseudocyst and the ipsilateral mandibular/monostomatic sublingual salivary gland was performed in all cases. The histological report showed large areas of bone metaplasia within the pseudocapsule and chronic sialadenitis. Based on this limited case series, complete excision of the pseudocyst and a concurrent sialoadenectomy provided an effective treatment for this rare salivary mucocele disorder.
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Affiliation(s)
- Matteo Olimpo
- Department of Veterinary Sciences, University of Turin, 10095 Grugliasco, Italy
| | | | - Lorenza Parisi
- Department of Veterinary Sciences, University of Turin, 10095 Grugliasco, Italy
| | - Paolo Buracco
- Department of Veterinary Sciences, University of Turin, 10095 Grugliasco, Italy
| | - Sara Gioele Rizzo
- Department of Veterinary Sciences, University of Turin, 10095 Grugliasco, Italy
| | - Davide Giacobino
- Department of Veterinary Sciences, University of Turin, 10095 Grugliasco, Italy
| | - Andrea Degiovanni
- Department of Veterinary Sciences, University of Turin, 10095 Grugliasco, Italy
| | - Lorella Maniscalco
- Department of Veterinary Sciences, University of Turin, 10095 Grugliasco, Italy
| | - Emanuela Morello
- Department of Veterinary Sciences, University of Turin, 10095 Grugliasco, Italy
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Silva P, Uscategui RAR, Maronezi MC, Gasser B, Pavan L, Gatto IRH, de Almeida VT, Vicente WRR, Feliciano MAR. Ultrasonography for lymph nodes metastasis identification in bitches with mammary neoplasms. Sci Rep 2018; 8:17708. [PMID: 30532025 PMCID: PMC6286329 DOI: 10.1038/s41598-018-34806-9] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2018] [Accepted: 10/06/2018] [Indexed: 11/12/2022] Open
Abstract
The aim of this study was to evaluate and compare the diagnostic accuracy of B-mode, Doppler ultrasonography and Acoustic Radiation Force Impulse (ARFI) elastography in the identification of axillary and inguinal lymph nodes metastasis in bitches with mammary neoplasms. The axillary (n = 96) and inguinal (n = 100) lymph nodes of 100 bitches were evaluated using B-Mode, Colour Doppler and ARFI-elastography. After this evaluation, mastectomy and lymph nodes excision were performed and these structures were histologically classified as free, reactive or metastatic. Ultrasonographic parameters were compared by Chi-Square or ANOVA tests and if they are significant, discriminative power analysis according to histopathological classification was performed (ROC analysis). The ARFI-elastography shear wave velocity (SWV) enabled metastasis identification in inguinal (sensitivity 95% specificity 87%) and axillary lymph nodes (sensitivity 100% specificity 94%). While B-Mode ultrasound Short/Long axis ratio evaluation of inguinal and axillary lymph nodes only resulted in a sensitivity around of 71% and specificity of 55%. In conclusion, B-Mode ultrasonography may contribute to diagnosis of metastasis in axillary and inguinal lymph nodes of bitches affected by mammary neoplasm with limited accuracy, while SWV evaluation proved to be an excellent diagnosis tool, which allows differentiation between free, reactive and tumour metastatic lymph nodes.
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Affiliation(s)
- Priscila Silva
- Department of Clinic and Veterinary Surgery, São Paulo State University (Unesp), School of Agricultural and Veterinarian Sciences, Jaboticabal, Jaboticabal, Sao Paulo, Brazil
| | - Ricardo Andres Ramirez Uscategui
- Department of Clinic and Veterinary Surgery, São Paulo State University (Unesp), School of Agricultural and Veterinarian Sciences, Jaboticabal, Jaboticabal, Sao Paulo, Brazil. .,Institute of Agrarian Sciences, Federal University of the Jequitinhonha and Mucuri Valleys (UFVJM), Unaí, Minas Gerais, Brazil.
| | - Marjury Cristina Maronezi
- Department of Clinic and Veterinary Surgery, São Paulo State University (Unesp), School of Agricultural and Veterinarian Sciences, Jaboticabal, Jaboticabal, Sao Paulo, Brazil
| | - Beatriz Gasser
- Department of Preventive Veterinary Medicine and Animal Reproduction, São Paulo State University (Unesp), School of Agricultural and Veterinarian Sciences, Jaboticabal, Jaboticabal, Sao Paulo, Brazil
| | - Letícia Pavan
- Department of Preventive Veterinary Medicine and Animal Reproduction, São Paulo State University (Unesp), School of Agricultural and Veterinarian Sciences, Jaboticabal, Jaboticabal, Sao Paulo, Brazil
| | - Igor Renan Honorato Gatto
- Department of Preventive Veterinary Medicine and Animal Reproduction, São Paulo State University (Unesp), School of Agricultural and Veterinarian Sciences, Jaboticabal, Jaboticabal, Sao Paulo, Brazil
| | - Vivian Tavares de Almeida
- Department of Clinic and Veterinary Surgery, São Paulo State University (Unesp), School of Agricultural and Veterinarian Sciences, Jaboticabal, Jaboticabal, Sao Paulo, Brazil
| | - Wilter Ricardo Russiano Vicente
- Department of Preventive Veterinary Medicine and Animal Reproduction, São Paulo State University (Unesp), School of Agricultural and Veterinarian Sciences, Jaboticabal, Jaboticabal, Sao Paulo, Brazil
| | - Marcus Antônio Rossi Feliciano
- Department of Clinic and Veterinary Surgery, São Paulo State University (Unesp), School of Agricultural and Veterinarian Sciences, Jaboticabal, Jaboticabal, Sao Paulo, Brazil.,Department of Veterinary Radiology, Federal University of Recôncavo da Bahia (UFRB), Cruz das Almas, Bahia, Brazil
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Teixeira N, Bicalho A, Vasconcelos A, Horta R, Cunha R, Lavalle G. Ciclooxygenase inhibitor and metronomic chemotherapy association for the treatment of metastatic anal sac carcinoma in dog: case report. ARQ BRAS MED VET ZOO 2016. [DOI: 10.1590/1678-4162-8439] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
ABSTRACT Metronomic chemotherapy consists of an anticancer modality treatment. It is applicable in patients at an advanced stage, with the objective of increasing overall survival. The aim of this study was to report an anal sac apocrine carcinoma case in a dog with lymph node metastasis treated with metronomic chemotherapy sequential to surgery and conventional chemotherapy using gemcitabine and carboplatin. Metronomic chemotherapy was associated with cyclooxygenase-2 (COX-2) inhibitors, due to strong tumor COX-2 immunohistochemistry expression. Metronomic chemotherapy was initiated with cyclophosphamide, but it was replaced by lomustine, also in metronomic dosage, due to adverse effects. Treatment showed effectiveness, since the patient's overall survival exceeded 1095 days (36 months), considerably higher than the mean overall survival expected for this pathology.
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Affiliation(s)
| | | | | | - R.S. Horta
- Universidade Federal de Minas Gerais, Brazil
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