Adenocarcinoma of the parotid salivary gland in a cow

A 6‐year‐old Girolando dairy cow was presented for evaluation of a large subcutaneous facial mass. Fine‐needle aspirates of the mass contained many neoplastic cells with high nuclear:cytoplasmic ratios arranged in sheets and loosely cohesive clusters with streaming erythrocytes and neutrophils in the background. Neoplastic cells were 13–25 μm in diameter and were round to cuboidal with variably distinct borders. Based on the signalment, anatomic location, and cytologic findings, differential diagnoses included salivary adenocarcinoma, squamous cell carcinoma, and mucoepidermoid carcinoma. The cow was euthanized and a necropsy was performed. The primary neoplasm arose from the left parotid salivary gland and meastatic tumor was found in the regional lymph nodes and lung. Histologically, the tumor was composed of anastomosing and irregular solid islets surrounded by scant stroma. Cells were negative for periodic acid‐Schiff (PAS), PAS‐diastase, and Alcian blue pH 2.5 stains, used to detect mucin. On immunohistochemical analysis, neoplastic luminal salivary gland cells expressed cytokeratin, but not S100, α‐smooth muscle actin, or vimentin. Peripheral cells of neoplastic islets were immunoreactive for p63. The final diagnosis was nonsecretory adenocarcinoma of the parotid salivary gland.     

Adenocarcinoma of the salivary gland in a white Swiss mouse.

A salivary gland adenocarcinoma in a white Swiss mouse used in a titration of the scrapie agent is reported. The neoplasm originated from the serous cells of the parotid salivary gland. Retroviral particles were detected in the neoplastic salivary gland cells by electron microscopy.     

Parotid salivary gland adenocarcinoma with bilateral ocular and osseous metastases in a dog

A case of primary parotid salivary gland adenocarcinoma is described in a three-year-old entire female great dane. The presenting complaint was sudden onset blindness concomitant with the development of bilateral hyphaema and anterior uveitis. A soft-tissue swelling of the left subaural region and right forelimb lameness were also present. A definitive diagnosis of primary parotid salivary gland adenocarcinoma with bilateral ocular metastases was made on post mortem examination. Metastases were also present in the right proximal humerus, left and right prescapular lymph nodes, left axillary lymph node, left retropharyngeal lymph node, bronchial lymph nodes and all lung lobes.     

Parotid salivary gland carcinoma in a geriatric horse

This case report describes a geriatric gelding with a 2 month history of fast‐growing masses within the parotid and submandibular regions. The horse was dyspnoeic on presentation and upper airway endoscopy revealed partial airway obstruction at the level of the pharynx, secondary to a space‐occupying mass. Cytological evaluation of multiple fine‐needle aspirates obtained from the masses were suggestive of salivary gland neoplasia, therefore the horse was subjected to humane euthanasia. A computed tomographical scan was obtained post mortem and revealed a large multi‐lobulated mass involving both guttural pouches, resulting in 80% occlusion of the naso‐ and oropharynx. Histopathology confirmed a parotid salivary gland carcinoma (papillary‐cystic type). Salivary gland tumours are extremely rare in horses, with only a few cases reported in the literature. Treatment of these malignancies proves to be challenging, requiring complete parotidectomy or surgical debulkment, in combination with adjunctive therapy.     

Carcinoma ex pleomorphic adenoma with sebaceous differentiation in the mandibular salivary gland of a dog

A carcinoma ex pleomorphic adenoma was diagnosed in the left mandibular salivary gland of an 8-year-old female spayed dog. The animal presented with a large nonpainful swelling in the left submandibular region. A computed tomography scan detected an irregularly enhancing soft tissue mass that was closely associated with the left external ear canal and extended to the left wing of the atlas. On surgical exploration, the mass was intimately associated with the left mandibular salivary gland. Both the mass and the adjacent gland were removed, and the diagnosis was determined by histopathology. The tumor was comprised of basaloid and low columnar epithelial cells, many glandular units formed by well-differentiated sebocytes, and multifocal regions of necrosis, mineralization, and hemorrhage. Salivary gland tumors with sebaceous differentiation are very rare in animals, with one previously reported case in a cat.     

Traumatic injury to the parotid salivary gland or duct and the subsequent development of ipsilateral severe peripheral dental caries in two horses

This report describes two cases of unilateral traumatic injury to the parotid salivary gland or duct and the subsequent development of severe ipsilateral peripheral dental caries. Ultrasonographic examination of the parotid salivary gland and duct was indicative of parotid glandular atrophy in one case and demonstrated parotid duct obstruction in the second case. To the authors’ knowledge, the effects of the loss of function of the parotid salivary gland on the horse's dentition has not been documented and should be considered as a potential side effect of surgical ablation of the parotid salivary gland.     

ASSESSMENT OF THREE RADIOGRAPHIC PROJECTIONS FOR DETECTION OF FLUID IN THE RABBIT TYMPANIC BULLA

Otitis media in the rabbit commonly results in fluid accumulation in the tympanic bulla. Radiographic detection of fluid in the tympanic bulla is only moderately sensitive in the dog and cat. The purpose of this study was to investigate the accuracy of radiographic detection of fluid in the rabbit tympanic bulla for three different radiographic projections. Forty rabbit cadavers were used. Half of the tympanic bullae were randomly allocated to be filled with soft tissue material. Following this procedure, each specimen was radiographed in three projections: dorsoventral (DV), rostro 40° ventral-caudodorsal (R40°V-CdDO), and left and right latero 40° ventral-laterodorsal (Lat40°V-LatDO). After imaging, each specimen was frozen and sectioned to determine the content of the tympanic bullae. Images were interpreted and scored independently by two board-certified radiologists. There was no significant difference in sensitivity or specificity between the three projections when compared with the gross findings following sectioning, but observer confidence was highest for the DV projection. Accuracy of radiographic fluid detection was similar to that reported in the dog and cat. The DV and R40°V-CdDO allow comparison of both tympanic bullae on a single radiograph, but the DV was subjectively easier to position, while the Lat40°V-LatDO requires two radiographs for comparison.     

Lipomatosis of the canine parotid gland: case report with a literature review

In this report, we describe a case of lipomatosis in the left parotid gland of an eight-year-old female Shetland sheepdog and review the relevant literature. Preoperative diagnosis of lipomatosis with Tru-Cut biopsy presented difficulties in this case. The postoperative diagnosis was based on the gross appearance of a non-infiltrative, circumscribed swollen mass in the parotid gland and the histological appearance of normal adipocytes that infiltrated into the parotid gland without involving surrounding structures. Additionally, flotation of the whole parotid gland in formalin solution together with well-maintained residual lobulation and a well-maintained configuration on the cut surface were identified as subsidiary characteristics of lipomatosis of the parotid gland. Lipomatosis of the parotid gland has been rarely reported in dogs and is a poorly understood condition.     

Assessment of middle ear disease in the dog: a comparison of diagnostic imaging modalities

O bjectives : To compare radiography and ultrasound for the assessment of the tympanic bulla against computed tomography results.
M ethods : Thirty-one dogs had dorsoventral, left and right lateral oblique and rostrocaudal open mouth radiographs compared with ultrasound images and computed tomography scans of the tympanic bullae.
R esults : Radiography was superior to ultrasonography for the evaluation of the middle ear. However, computed tomography assessment was best predicted by a combination of radiographic and ultrasonographic findings.
C linical S ignificance : A combination of radiography and ultrasound can provide a more accurate assessment of the bulla than either of them alone. Ultrasound may have a role in the evaluation of middle ear disease in the dog. Results are operator dependent and not reproducible with current recording techniques.     

SIALOGRAPHY IN CATTLE: TECHNIQUE AND NORMAL APPEARANCE

Sialography of the bovine mandibular and parotid salivary glands was performed by injecting iodinated, water soluble contrast medium into the respective ducts. The anatomy of the above mentioned salivary glands was studied on cadaver heads. The mandibular duct enters the oral cavity on the ventral surface of the sublingual caruncles, which are located medial to the orifice of the ventral sublingual gland duct. The parotid gland duct enters the oral cavity on the cheek opposite the upper 2nd molar (Sth cheek tooth). Prior to applying sialography to live animals, the technique of catheterization, injection and radiography had to be developed, which was carried out on cadaver heads. Subsequently the technique was applied to 5 live animals. The animals were sedated, the mandibular and parotid ducts catheterized, and contrast medium was injected into each gland. Latero-lateral radiographs were made immediately after the injection. The normal bovine mandibular and parotid glands, as depicted on sialograms, have a multilobutated appearance in cadaver heads, but in the live animal only the ducts and their smaller branches could be identified. The parotid duct leaves the deep surface of the rostral end of the gland and courses along the border of the masseter muscle before it enters the mouth. The mean diameter of the duct was 4.2 ± 0.3 mm. The mandibular duct is composed of a rostral and a caudal branch. The caudal branch describes a semi circular turn prior to joining the rostral branch. The mean diameter of the main duct was 2.8 ± 0.4 mm.     

Canine lobular orbital adenoma: a report of 15 cases with distinctive features

Objective To describe a unique orbital neoplasm in dogs, of lacrimal or salivary gland origin. Animals studied Fifteen dogs with lesions consistent with a diagnosis of lobular adenomas involving the orbit were identified from the Comparative Ophthalmic Pathology Laboratory of Wisconsin from 1994 to 2001. Results The neoplasm occurred in nine females and six males. Affected dogs ranged in age from 7 to 17 years (mean = 9.7 years). Follow‐up information was available for 13 of the 15 cases. The clinical presentation included swollen/hyperemic eyelids (4/15), third eyelid protrusion (3/15), conjunctival mass (6/15), exophthalmos (4/15), resistance to retropulsion (2/15), or strabismus (1/15). In 13 cases the masses were composed of nodular, friable tissue and they were solid in two cases. Histologically, the tissue was found in encapsulated lobules resembling well differentiated lacrimal or salivary glands but completely lacking ducts. Granular PAS‐positive material was found within the cytoplasm. There was recurrence in 10 of the 13 cases available for follow‐up. Of those cases in which enucleation or exenteration was performed (3/15), there was recurrence of disease in one case. In three cases the dogs were euthanized before recurrence at 3 months, 5 months and 3 years post surgery. None of the deaths was related to the tumor. Conclusion In the 15 cases reviewed, lobular adenomas of the orbit presented clinically and histologically as a benign neoplasm of lacrimal or salivary gland origin. Recurrence was likely unless the mass was completely excised, at times requiring orbital exenteration.     

Computed tomographic features of feline nasopharyngeal polyps

The computed tomographic (CT) findings of histopathologically confirmed nasopharyngeal polyps are described in 13 cats. Most polyps were mildly hypoattenuating to adjacent muscles and isoattenuating to soft-tissue (n= 13), homogeneous (n = 12) and with ill-defined borders (n = 10) on precontrast images. After contrast medium administration, the polyps were homogeneous (n = 11), with well-defined borders (n = 13), oval (n = 13), and had rim enhancement (n = 13). Nasopharyngeal polyps were pedunculated in 11 cats with a stalk-like structure connecting the polyp through the auditory tube to an affected tympanic bulla. All cats had at least one tympanic bulla severely affected, with CT images identifying: (1) complete (n = 12) or partial (n = 1) obliteration of either the dorsal or ventral compartments with soft-tissue attenuating material; (2) pathologic expansion (n = 13) with wall thickening (n = 10) that was asymmetric in nine cats; and (3) identification of a polyp-associated stalk-like structure (n = 11). Nine cats had unilateral tympanic bulla disease ipsilateral to the polyp, and four cats had bilateral tympanic bulla disease, most severe ipsilateral to the polyp with milder contralateral pathologic changes. Two cats had minimal osteolysis of the tympanic bulla. Enlargement of the medial retropharyngeal lymph node was seen commonly (n = 8), and in all cats it was ipsilateral to the most affected tympanic bulla. One cat had bilateral lymphadenopathy. CT is an excellent imaging tool for the supportive diagnosis of nasopharyngeal polyps in cats. CT findings of a well-defined mass with strong rim enhancement, mass-associated stalk-like structure, and asymmetric tympanic bulla wall thickening with pathologic expansion of the tympanic bullae are highly indicative of an inflammatory polyp.     

Ventral Bulla Osteotomy for Treatment of Otitis Media in a Rabbit

This article describes the management of otitis media in a domestic rabbit (Oryctolagus cuniculus) that presented with a history of chronic upper respiratory disease. Deep nasal culture yielded a pure growth of Bordetella bronchiseptica susceptible to chloramphenicol. To further evaluate recurring clinical signs after treatment with chloramphenicol, skull radiographs were obtained and showed an increased density in the right tympanic bulla. A ventral bulla osteotomy was performed, and the success of treatment was determined by the resolution of respiratory signs and the absence of increased radiographic density in the right tympanic bulla 5 months postoperatively.     

Spontaneous Mammary Adenocarcinoma in a Twelve-week-old Female Sprague-Dawley Rat

Spontaneous mammary adenocarcinoma was observed in a 12-week-old female SD rat. A movable mass in the right cervical region was found at 11 weeks of age, and the rat was sacrificed the following week. The mass was located in the vicinity of the right salivary gland and measured 38 mm × 26 mm × 16 mm in gross size. It was a firm whitish mass, with a cut surface that was also whitish in appearance. Histopathologically, neoplastic cells formed glandular structures that contained secreted eosinophilic material. Ultrastructurally, similar secreted material and lipid droplets were in the cytoplasm of the neoplastic cells. Immunohistochemically, the neoplastic cells were positive for cytokeratin 8, cytokeratin 18 and estrogen receptor α. Based on these findings, the tumor was diagnosed as a mammary gland adenocarcinoma, and we therefore conclude that this tumor type can occur spontaneously in female SD rats as young as 12 weeks of age.     

Cholesterol granuloma associated with otitis media and destruction of the tympanic bulla in a dog

An 8-year-old, male neutered Irish Setter was presented with a 2-week history of pain upon opening the mouth and chronic otitis externa. Computed tomography examination revealed destruction of the left tympanic bulla with a soft-tissue density within the remains of the tympanic cavity. Cytology of aspirates collected from tissue adjacent to the tympanic bulla revealed suppurative inflammation and bacteria. A ventral bulla osteotomy was performed. Histopathology of granulation tissue within the remains of the tympanic cavity was diagnostic of cholesterol granuloma.     

Parotid salivary duct sialocele associated with glandular duct stenosis in a cat

Feline parotid salivary duct sialocele is an uncommon disorder that has been previously reported in association with traumatic rupture of the duct in only two cats. Both cases were successfully treated by proximal duct ligation. We describe the successful surgical treatment of a parotid duct sialocele, secondary to spontaneous salivary duct stenosis, in an adult domestic shorthair cat. The cat was referred for assessment of a recurrent fluid-filled swelling on the left side of the face. Cytology of the aspirated fluid was consistent with serous saliva. The anatomical localisation of the lesion and the nature of the fluid were indicative of parotid gland/duct involvement. Retrograde sialography by parotid duct cannulation was unsuccessful because the left parotid duct opening was stenosed and obstructed by scar tissue. Surgical exploration revealed a parotid salivary duct sialocele, which was completely removed along with the parotid gland without complications.     

Cholesterol granuloma as long-term complication of total ear canal ablation in a dog

A 13-year-old cocker spaniel presented with pain on opening the mouth. History of a previous left total ear canal ablation with lateral bulla osteotomy, left intermittent facial palsy and left intermittent head tilt suggested progression of a total ear canal ablation with lateral bulla osteotomy complication. Magnetic resonance imaging revealed a large mass arising from the tympanic bulla. Cytology of aspirates revealed a chronic suppurative inflammatory reaction and numerous cholesterol crystals. The mass was removed by surgical excision and an active drainage system was placed for a few days. The head tilt, facial palsy and apparent pain were resolved by the surgery. Physical examination was unremarkable nine months postoperatively. Bacterial cultures of the collected fluid were negative and histological examination confirmed the diagnosis of a cholesterol granuloma.     

COMPUTED TOMOGRAPHY FEATURES OF MIDDLE EAR CHOLESTEATOMA IN DOGS

We describe the computed tomography (CT) findings in 11 dogs with middle ear cholesteatoma. The cholesteatoma appeared as an expansile tympanic cavity mass with a mean attenuation value of 55.8±4.2 Hounsfield units. There was no appreciable contrast enhancement of the tympanic bulla contense but ring enhancement was seen in four dogs. Due to the slow progressive growth, the lesion causes severe bone changes at the contour of the tympanic bulla, including osteolysis, osteoproliferation and osteosclerosis, expansion of the tympanic cavity, and sclerosis or osteoproliferation of the ipsilateral temporomandibular joint and paracondylar process. Cholesteatoma can cause lysis of the petrosal part of the temporal bone, leading to intracranial complications. Although not definitive, CT provides useful information for distinguishing a middle ear cholesteatoma from otitis media and neoplasia. In otitis media, enlargement of the tympanic cavity is not routinely observed. In tumors that primarily affect the middle or inner ear, the predominant signs are lysis of the contour of the tympanic bulla or the petrosal part of the temporal bone, soft tissue swelling around the middle ear and marked contrast enhancement. In tumors that arise from the external ear, a soft tissue mass is visible within the external acusticus meatus, and the middle ear is only involved secondarily.     

Otitis media in a llama

A 7-month-old female llama was examined because of chronic otitis media and externa of 7 months' duration. Radiographically, the tympanic bullae appeared thicker than normal, and the ventral borders were poorly defined; the left external acoustic meatus (ear canal) appeared to be narrower than the right. The llama was treated with penicillin, and the ear canals were lavaged daily. Contrast radiography was performed on day 15 to determine the shape and size of the ear canals and evaluate the integrity of the tympanic membranes. Contrast medium was visible radiographically in the left tympanic bulla, indicating that the left tympanic membrane was ruptured, but the right tympanic membrane appeared to be intact. The left ear canal was narrower than the right, and the bony ear canals had a well-defined sigmoid shape. The right ear improved with medial treatment alone, but the left ear did not. Therefore, lateral ear canal resection was performed. After surgery, however, exudate was still evident in the left ear canal, and the llama became more lethargic and more reluctant to eat. Lateral bulla osteotomy was attempted, but no purulent material was obtained, and curettage of the bulla resulted in hemorrhage. Because of this and because of the llama's poor physical condition, a decision was made to euthanatize the llama. The sigmoid shape of the bony ear canal and the multicompartmental nature of the tympanic bulla make surgical treatment of otitis media and externa in llamas difficult. Further study of surgical treatments for otitis media in llamas is needed.     

Spontaneous necrotizing sialometaplasia of the submandibular salivary gland in a Beagle dog

A single mass was found on the left submandibular salivary gland at necropsy of a 15-month-old male commercially bred laboratory Beagle dog from a control dose group from a repeat toxicity study. Microscopically, the mass was composed of a well-demarcated area of coagulative necrosis surrounded and separated from the normal salivary gland tissue by a thick fibrovascular capsule. Necrosis was admixed with areas of hemorrhage, fibrin, edema, fibrinoid necrosis of the vascular tunica media, and thrombosis of small and large vessels. Within the necrotic tissue, there was marked ductal hyperplasia, and squamous metaplasia of duct and acinar epithelium. The mass was diagnosed as necrotizing sialometaplasia of the submandibular gland. Hyperplastic ductal elements and squamous metaplasia can be mistaken microscopically with squamous cell carcinoma. Therefore, pathologists should be aware of this lesion as to avoid errors in the diagnosis of this benign pathologic condition.