Polyostotic lymphoma with vertebral involvement and spinal extradural compression in a dog

A 10-year-old, male, mixed-breed dog that developed cervical pain and neurological deficits was diagnosed with primary lymphoma of the second cervical vertebra. The cervical lesion was not surgically resectable. A dorsal cervical hemilaminectomy was performed to provide temporary decompression. The dog had complete pain relief after surgery but was euthanized 6 weeks later with recurrent clinical signs and evidence of lymphoma in the right femur.     

Multicentric lymphoma and disseminated coccidioidomycosis in a dog

An 11-year-old, spayed female Alaskan malamute with a history of coccidioidal osteomyelitis was evaluated for inappetance and lethargy. Findings included generalized lymphadenopathy, pale mucous membranes, tachycardia, and labored breathing. Laboratory findings and radiographic imaging were consistent with generalized lymphoma and disseminated coccidioidomycosis. Treatment consisted of antibiotics, chemotherapeutic agents, and antifungals.     

Multicentric lymphoma in a dog after cyclosporine therapy

An 11-year-old, neutered male German shepherd dog was presented with perianal ulceration and fistulas. A clinical diagnosis of anal furunculosis was made, and the dog was treated with cyclosporine and ketoconazole. The perianal lesions resolved. However, after four weeks of therapy the dog developed multicentric lymphoma. Complete remission was achieved with combination chemotherapy (Wisconsin-Madison protocol). Cyclosporine administration is associated with an increased risk of development of lymphoma in humans and a similar increased risk might be expected in dogs. Although a causative relationship between cyclosporine administration and the development of lymphoma cannot be proven in this case, it is possible that cyclosporine therapy may have contributed to lymphomagenesis. As the use of cyclosporine in small animals is increasing, further work is required to substantiate and quantify the proposed increased risk.     

Malignant lymphoma with cardiac and bone involvement in a dog

Malignant lymphoma involving bone and heart was diagnosed in a 4-year-old Whippet, using radiography, histologic examination, nuclear scintigraphy of the skeleton and heart, and cardiac ultrasonography.     

Multicentric lymphosarcoma with ovarian involvement in a Nubian goat.

Multiple lymph node enlargement and an intra-abdominal mass were diagnosed in a 6-year-old doe. Necropsy revealed lymphosarcoma involving multiple organs, including the ovaries. Lymphosarcoma is rare in goats; ovarian involvement has not previously been reported.     

Prostatic adenocarcinoma with osseous metastases in a dog

Bone scintigraphy was used to diagnose osseous metastasis of prostatic adenocarcinoma in a 10-year-old dog with neck pain and ataxia and a large, sensitive prostate gland. Although radiography revealed a normal spine, prostatic fluid cytologic and ultrasonographic findings were compatible with prostatitis or neoplasia. Scintigraphic hot spots were seen in the axial skeleton, ribs, pelvis, humerus, and femur and corresponded to sites of metastatic prostatic adenocarcinoma.     

Protothecosis with ocular involvement in a dog.

An 8 1/2-year-old Collie dog was referred for evaluation of chronic diarrhea as well as sudden blindness and leukokoria of the right eye. An organism morphologically similar to Prototheca sp was recovered from the subretinal fluid and was found at necropsy in the eyes, gastrointestinal tract, lungs, lymph nodes, kidneys, heart, abdominal fat, and omentum.     

Neurolymphomatosis in a dog with B-cell lymphoma

Lymphoma in the left femoral nerve of a 10-year-old English Cocker Spaniel caused complete paralysis of the affected limb. Neoplastic cells were immunopositive for CD79a and Pax5 and negative for CD3. Neoplastic cells were in multiple lymph nodes and one kidney but spared bone marrow. The clinical and histologic features in this case resemble those of the rare human condition of neurolymphomatosis.     

Extradural spinal liposarcoma in a dog.

An 8-year-old female Doberman Pinscher was examined because of progressive, asymmetric, ambulatory caudal paraparesis. Myelography revealed extradural left ventrolateral spinal cord compression over the first and second lumbar vertebral bodies. A left hemilaminectomy, extending from the thirteenth thoracic to the second lumbar vertebrae, was done, and an extradural mass was removed. The tumor was identified histologically as myxoid liposarcoma. The dog's neurologic function improved gradually after surgery; however, at 7 months after surgery, hind limb neurologic function deteriorated rapidly over a 5-week period, presumably because of local recurrence of the tumor. The dog was euthanatized; necropsy was not permitted.     

Successful resuscitation from cardiac arrest associated with extradural lidocaine in a dog

BACKGROUND: Extradural lidocaine exerts several adverse effects which are seldom fatal. While cardiac arrest following extradural lidocaine injection has been reported in human beings, it has not hitherto been reported in dogs. OBSERVATIONS: The emergency management of a dog with complete urethral obstruction is described. We intended to perform vaginoscopy and cystostomy under extradural lidocaine anaesthesia, but cardiac asystole occurred a few minutes after injection. Resuscitation was successful. About 20 minutes later cardiac arrest recurred, and was treated successfully. The dog remained hypothermic for approximately 7 hours. Complete recovery without neurological deficit occurred the next day and the dog remained normal for at least 3 months. The probable cause of the problem was cranial lidocaine dispersion causing a drop in cardiac preload and cardiac arrest. The successful neurological outcome was attributed to early diagnosis and effective treatment. Hypothermia may have conferred cerebral protection during ischemia. CONCLUSIONS: Extradural local anaesthetic administration is not without risk and the technique should be tailored to individual animals. Constant monitoring is required to detect potentially fatal complications and increase the likelihood of successful outcome.     

Peripheral nerve sheath tumor of the diaphragm with osseous differentiation in a one-year-old dog.

A 12-month-old, spayed female German shepherd dog was referred to the Veterinary Teaching Hospital for repair of a diaphragmatic hernia. Abdominal exploration revealed an intact diaphragm, but thoracic exploration revealed a large mass originating from the diaphragm. Resection of the mass was incomplete and required reconstruction of the diaphragm. On histopathology, the mass was composed mainly of spindle-shaped cells with occasional areas of osseous and chondroid tissue. The tumor was diagnosed as a peripheral nerve sheath tumor (PNST) with chondro-osseous differentiation. The dog was released four days after surgery; however, she began having difficulty breathing seven days after discharge, and the owners elected euthanasia. A necropsy was not performed. This is the first known report of a PNST originating in the diaphragm of a dog.     

Vertebral polyostotic lymphoma in a young dog.

An unusual clinical presentation of lymphoma with vertebral involvement in a dog is reported. A 20-month-old intact female Golden Retriever presented with progressive paraparesis and anorexia. Complete blood count and serum biochemistry profile demonstrated pancytopenia and hypercalcemia. Ventral fusion of the lumbar vertebrae by new bony tissue deposition was evident on X-ray and CT scan. Fine needle aspiration revealed neoplastic lymphoid cells in lymph nodes and bone marrow. Histologically, vertebral bone and osteophytes, liver, bone marrow, kidney, and lymph nodes were diffusely infiltrated by neoplastic, lymphoid cells, with scant cytoplasm and round hyperchromatic nuclei. Polyostotic and medullary T-cell lymphoma with spondylosis was diagnosed. Lymphoma mainly affecting bone is uncommon in the dog. The present case differs from previously described polyostotic lymphomas in clinical signs of the disease, mainly attributable to spondylarthrosis. In addition, lymphomatous proliferation was associated with osteoproductive lesions of the vertebrae.     

Primary osseous melanoma in the tibia of a dog

An 18-month-old, female Cane Corso dog was presented with a suspected primary tumor of the tibia. Plain radiographs and computed tomography (CT) of the tibia were highly suggestive of a primary bone neoplasm. A diagnosis of malignant melanoma was made by cytology. Total body survey radiographs, CT scan of the thorax, and abdominal ultrasound excluded the presence of neoplastic lesions other than in the tibia. Limb amputation was performed. Histology and immunohistochemical analysis of the tibial neoplasm confirmed the diagnosis of a melanoma with secondary metastasis to the popliteal lymph node. The dog was alive and in good physical condition 43 months after surgery.