Primary Renal Hemangiosarcoma Complicated with Hematuria and Hemoperitoneum in a Dog

개에서 발생한 혈뇨와 복강 내 출혈을 동반한 신장원성 혈관육종

  • Yeo, Jung-Jin (BK21 Basic & Diagnostic Veterinary Specialist Program for Animal Diseases and Department of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University) ;
  • Sur, Jung-Hyang (BK21 Basic & Diagnostic Veterinary Specialist Program for Animal Diseases and Department of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University) ;
  • Eom, Ki-Dong (BK21 Basic & Diagnostic Veterinary Specialist Program for Animal Diseases and Department of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University) ;
  • Park, Hee-Myung (BK21 Basic & Diagnostic Veterinary Specialist Program for Animal Diseases and Department of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University)
  • 여정진 (건국대학교 수의과대학 내과학교실) ;
  • 서정향 (건국대학교 수의과대학 내과학교실) ;
  • 엄기동 (건국대학교 수의과대학 내과학교실) ;
  • 박희명 (건국대학교 수의과대학 내과학교실)
  • Accepted : 2012.04.23
  • Published : 2012.04.30

Abstract

A 14-year-old intact male Siberian Husky was presented with hematuria, lethargy, and anorexia of 1-month duration. The physical examination revealed mild abdominal distension and pain. The hematology and serum chemistry revealed anemia and severe azotemia. The radiographic examination revealed renomegaly and the ultrasonographic examination, indistinct cortico-medullary junction, increased renal cortex echogenicity, and irregular margination. The urinalysis showed proteinuria and hematuria. The differential diagnosis included renal failure, cystitis, pyelonephritis, and neoplasia. The patient's condition continued to deteriorate, and the dog eventually died. The gross findings from the necropsy revealed hemoperitoneum and a bilateral renal mass. HSA was diagnosed by histopathological examination. This case report describes primary bilateral renal hemangiosarcoma (HSA), which is uncommon in dogs.

14년 령의 중성화 하지 않은 수컷 Siberian Husky는 1개월 전부터 혈뇨, 기면, 식욕부진을 보였다. 신체검사상 복부 팽만과 통증을 확인할 수 있었다. 혈액 및 혈청 화학 검사상 빈혈과 질소혈증을 확인할 수 있었다. 방사선 검사 상 신장의 비대를 확인할 수 있었으며 초음파 검사 상 피수질의 경계가 불분명하며 피질의 에코가 증가한 신장을 확인할 수 있었다. 뇨검사 상에서는 혈뇨와 단백뇨를 확인할 수 있었으며 초기의 감별 진단으로는 신부전, 방광염, 신우신염과 종양을 생각했다. 환자의 상태는 내원 후 계속적으로 악화되었으며 폐사했다. 부검 상에서 복강 내 출혈과 양측 신장의 종양을 확인할 수 있었다. 조직검사 상에서 혈관육종을 진단하였다. 본 증례에서는 개에서 비특이적으로 발생하는 양측성의 신장원성 혈관육종에 대해서 다룬다.

Keywords

References

  1. Brown NO. Hemangiosarcomas. Vet Clin North Am Small Anim Pract 1985; 15: 569-575. https://doi.org/10.1016/S0195-5616(85)50058-3
  2. Bryan JN, Henry CJ, Turnquist SE, Tyler JW, Liptak JM, Rizzo SA, Sfiligoi G, Steinberg SJ, Smith AN, Jackson T. Primary renal neoplasia of dogs. J Vet Intern Med 2006; 20: 1155-1160. https://doi.org/10.1111/j.1939-1676.2006.tb00715.x
  3. Cliffod CA, Mackin AJ, Henry CJ. Treatment of canine hemangiosarcoma: 2000 and beyond. J Vet Intern Med 2000; 14: 479-485. https://doi.org/10.1111/j.1939-1676.2000.tb02262.x
  4. Hirsh VM, Jacobsen J, and Mills JM. A retrospective study of canine hemangiosarcoma and its association with acanthocytosis. Can Vet J 1981; 22: 152-155.
  5. Kang MH, Heo RY, and Park HM. Primary hepatic hemangiosarcoma in a Schnauzer dog. Korean J Vet Res 2009; 49: 249-252.
  6. Liptak JM, Dernell WS, Ehrhart EJ, Rizzo SA, Rooney MB, Withrow SJ. Retroperitoneal sarcomas in dogs: 14 cases (1992-2002). J Am Vet Med Assoc 2004; 224: 1471-1477. https://doi.org/10.2460/javma.2004.224.1471
  7. Locke JE and Barber LG. Comparative Aspects and Clinical Outcomes of Canine Renal Hemangiosarcoma. J Vet Intern Med 2006; 20: 962-967. https://doi.org/10.1111/j.1939-1676.2006.tb01812.x
  8. Pearson GR, Head KW. Malignant hemangioendothelioma (angiosarcoma) in the dog. J Small Anim Pract 1976; 17: 737-745. https://doi.org/10.1111/j.1748-5827.1976.tb06937.x
  9. Srebernik N, Appleby EC. Breed prevalence and sites of hemangioma and hemangiosarcoma in dogs. Vet Rec 1991; 129: 48-409. https://doi.org/10.1136/vr.129.3.48
  10. Stutz FH, Tormey DC, Blom J. Hemangiosarcoma and pathologic rupture of the spleen. Cancer 1973; 31: 1213-1215. https://doi.org/10.1002/1097-0142(197305)31:5<1213::AID-CNCR2820310526>3.0.CO;2-H
  11. Wang FI, Su HL. A renal hemangiosarcoma causing hematuria in a dog. Proc. Natl. Sci. Counc. ROC(B) 2001; 25: 187-192.
  12. Ward H, Fox LE, Calderwood-Mays MB, Hammer AS, Couto CG. Cutaneous Hemangiosarcoma in 25 dogs: A retrospective study. J Vet Intern Med 1994; 8: 345-348. https://doi.org/10.1111/j.1939-1676.1994.tb03248.x
  13. Ware WA, Hoper DL. Cardiac tumors in dogs: 1982-1995. J Vet Intern Med 1999; 13: 95-103.
  14. Wood CA, Moore AS, Gliatto JM, Ablin LA, Berg RJ, Rand WM. Prognosis for dogs with stage I or II splenic hemangiosarcoma treated by spleenectomy alone: 32 cases (1991-1993). J Am Anim Hosp Assoc 1998; 34: 417-421. https://doi.org/10.5326/15473317-34-5-417
  15. Yhee JY, Yu CH, Kim JH, Im KS, Chon SK, Sur JH. Histopatholigical retrospective study of canine renal disease in Korea, 2003-2008. J Vet Sci 2010; 11: 277-283. https://doi.org/10.4142/jvs.2010.11.4.277