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Co-existence of Intestinal Adenocarcinoma and Leiomyosarcoma in a Schnauzer Dog

슈나유저 개의 소장에 샘암종과 평활근육종의 동시 발생 1례

  • Yang, Cheol-Ho (Department of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University) ;
  • Na, Sae-Won (Department of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University) ;
  • Han, Jae-Ik (Laboratory of Wildlife Diseases, College of Veterinary Medicine, Chonbuk National University) ;
  • Park, Hee-Myung (Department of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University)
  • 양철호 (건국대학교 수의과대학 내과학교실) ;
  • 나세원 (건국대학교 수의과대학 내과학교실) ;
  • 한재익 (전북대학교 수의과대학 야생동물질병학교실) ;
  • 박희명 (건국대학교 수의과대학 내과학교실)
  • Accepted : 2015.09.22
  • Published : 2016.02.29

Abstract

A 7-year-old castrated male Schnauzer was presented with melena and inappetence. Laboratory examination revealed mild anemia. Abdominal ultrasonography showed abnormal enlargement of intestinal segment and a oval mass with soft tissue density. After surgical resection of the enlarged intestine including the mass, histopathologic examination showed that the mass was tentatively diagnosed as synchronous occurrence of gland cell- and mesenchymal cell-origin tumors. Subsequently, immunohistochemistry showed positivity to cytokeratin AE1/AE3 in the gland cells and positivity to ${\alpha}-smooth$ muscle-specific actin, but negative expression of c-Kit, suggesting the co-existence of adenocarcinoma and leiomyosarcoma. Follow-up examination after 3-year of the surgery confirmed that the dog remained healthy and did not show recurrence of the tumors.

Keywords

References

  1. Abbi KKS, Hameed MK, Jiang Y, De Las Casas LE, Schwann TA. Pulmonary collision tumor consisting of adenocarcinoma and typical carcinoid--a case report and review of literature. Am J Ther 2014; 21: 234-238. https://doi.org/10.1097/MJT.0b013e31826fc47e
  2. Agaimy A, Wunsch PH, Sobin LH, Lasota J, Miettinen M. Occurrence of other malignancies in patients with gastrointestinal stromal tumors. Semin Diagn Pathol 2006; 23: 120-129. https://doi.org/10.1053/j.semdp.2006.09.004
  3. Alfonso AE, Hertz RE. Synchronous leiomyosarcoma and adenocarcinoma of the rectum: report of a case and review of the literature. Dis Colon Rectum 1975; 18: 228-232. https://doi.org/10.1007/BF02587279
  4. Birchard SJ, Couto CG, Johnson S: Nonlymphoid intestinal neoplasia in 32 dogs and 14 cats. J Am Anim Hosp Assoc 1986; 22: 533-537.
  5. Bruecker KA, Withrow SJ: Intestinal leiomyosarcomas in six dogs, J Am Anim Hosp Assoc 1988; 24: 281.
  6. Cho SJ, Hong SH, Lee HA, Kim OJ. An occurrence of multiple complex neoplasms in the genital organs of a female dog. J Vet Clin 2011; 28: 542-545.
  7. Church EM, Mehlhaff CJ, Patnaik AK: Colorectal adenocarcinoma in dogs: 78 cases (1973-1984). J Am Vet Med Assoc 1987; 191: 727-730.
  8. Cohen M, Post GS, Wright JC. Gastrointestinal leiomyosarcoma in 14 dogs. J Vet Intern Med 2003; 17: 107-110. https://doi.org/10.1111/j.1939-1676.2003.tb01331.x
  9. Corless CL, Schroeder A, Griffith D, Town A, McGreevey L, Harrell P, Shiraga S, Bainbridge T, Morich J, Heinrich MC. PDGFRA mutations in gastrointestinal stromal tumors: frequency, spectrum and in vitro sensitivity to imatinib. J Clin Oncol 2005; 23: 5357-5364. https://doi.org/10.1200/JCO.2005.14.068
  10. Cotchin E: Some tumours of dogs and cats of comparative veterinary and human interest. Vet Rec 1959; 71: 1040-1050.
  11. Crawshaw J, Berg J, Sardinas JC, Engler SJ, Rand WM, Ogilvie GK, Spodnick GJ, O'Keefe DA, Vail DM, Henderson RA. Prognosis for dogs with nonlymphomatous, small intestinal tumors treated by surgical excision. J Am Anim Hosp Assoc 1998; 34: 451-456. https://doi.org/10.5326/15473317-34-6-451
  12. Dobson JM, Samuel S, Milstein H, Rogers K, Wood JL. Canine neoplasia in the UK: estimates of incidence rates from a population of insured dogs. J Small Anim Pract 2002; 43: 240-246. https://doi.org/10.1111/j.1748-5827.2002.tb00066.x
  13. Evans HL. Smooth muscle tumors of the gastrointestinal tract. A study of 56 cases followed for a minimum of 10 years. Cancer 1985; 56: 2242-2250. https://doi.org/10.1002/1097-0142(19851101)56:9<2242::AID-CNCR2820560918>3.0.CO;2-5
  14. Frost D, Lasota J, Miettinen M. Gastrointestinal stromal tumors and leiomyomas in the dog: a histopathologic, immunohistochemical, and molecular genetic study of 50 cases. Vet Pathol 2003; 40: 42-54. https://doi.org/10.1354/vp.40-1-42
  15. Gibbons GC, Murtaugh RF. Cecal smooth muscle neoplasia in the dog: Report of 11 cases and literature review. J Am Anim Hosp Assoc. 1989; 25: 191-197.
  16. Gibbs C, Pearson H. Localized tumours of the canine small intestine: a report of twenty cases. J Small Animal Practice 1986; 27: 507-519. https://doi.org/10.1111/j.1748-5827.1986.tb02157.x
  17. Goncalves R, Linhares E, Albagli R, Valadao M, Vilhena B, Romano S, Ferreira CG. Occurrence of other tumors in patients with GIST. Surg Oncol 2010; 19: 140-143. https://doi.org/10.1016/j.suronc.2009.11.010
  18. Hayes S, Yuzbasiyan-Gurkan V, Gregory-Bryson E, Kiupel M. Classification of canine nonangiogenic, nonlymphogenic, gastrointestinal sarcomas based on microscopic, immunohistochemical, and molecular characteristics. Vet Pathol 2013; 50: 779-788. https://doi.org/10.1177/0300985813478211
  19. Head KW, Else RW, Dubielzig RR. Tumors of the alimentary tract. In: Tumors in domestic animals, 4th ed. Iowa: Iowa State Press. 2002: 401-481.
  20. Hueman MT, Schulick RD. Management of gastrointestinal stromal tumors. Surg Clin North Am 2008; 88: 599-614. https://doi.org/10.1016/j.suc.2008.03.001
  21. Kapatkin AS, Mullen HS, Matthiesen DT, Patnaik AK. Leiomyosarcoma in dogs: 44 cases (1983-1988). J Am Vet Med Assoc 1992; 201: 1077-1079.
  22. LaRock RG, Ginn PE. Immunohistochemical staining characteristics of canine gastrointestinal stromal tumors. Vet Pathol 1997; 34: 303-311. https://doi.org/10.1177/030098589703400406
  23. Levendoglu H, Cox CA, Nadimpalli V. Composite (adenocarcinoid) tumors of the gastrointestinal tract. Dig Dis Sci 1990; 35: 519-525. https://doi.org/10.1007/BF01536929
  24. Liu SW, Chen GH, Hsieh PP. Collision tumor of the stomach: a case report of mixed gastrointestinal stromal tumor and adenocarcinoma. J Clin Gastroenterol 2002; 35: 332-334. https://doi.org/10.1097/00004836-200210000-00010
  25. Lucia F, Misa S, Petr F, Roman H. Canine gastrointestinal tract tumours: a restrospective study of 74 cases. Acta Vet Brno 2013; 82: 387-392. https://doi.org/10.2754/avb201382040387
  26. Maas CP, ter Haar G, van der Gaag I, Kirpensteijn J. Reclassification of small intestinal and cecal smooth muscle tumors in 72 dogs: clinical, histologic, and immunohistochemical evaluation. Vet Surg 2007; 36: 302-313. https://doi.org/10.1111/j.1532-950X.2007.00271.x
  27. Murphy JD, Ma GL, Baumgartner JM, Madlensky L, Burgoyne AM, Tang CM, Martinez ME, Sicklick JK. Increased risk of additional cancers among patients with gastrointestinal stromal tumors: A population-based study. Cancer 2015; 30.
  28. Myers NC, Penninck DG. Ultrasonographic diagnosis of gastrointestinal smooth muscle tumors in the dog. Vet Radiol Ultrasound 1994; 35: 391-397. https://doi.org/10.1111/j.1740-8261.1994.tb02059.x
  29. Pandurengan RK, Dumont AG, Araujo DM, Ludwig JA, Ravi V, Patel S, Garber J, Benjamin RS, Strom SS, Trent JC. Survival of patients with multiple primary malignancies: a study of 783 patients with gastrointestinal stromal tumor. Ann Oncol 2010; 21: 2107-2111. https://doi.org/10.1093/annonc/mdq078
  30. Paoloni MC, Penninck DG, Moore AS. Ultrasonographic and clinicopathologic findings in 21 dogs with intestinal adenocarcinoma. Vet Radiol Ultrasound 2002; 43: 562-567. https://doi.org/10.1111/j.1740-8261.2002.tb01050.x
  31. Patnaik AK, Hurvitz AI, Johnson GF. Canine gastrointestinal neoplasms. Vet Pathol 1977; 14: 547-555. https://doi.org/10.1177/030098587701400602
  32. Patnaik AK, Liu SK, Johnson GF: Feline intestinal adenocarcinoma. Vet Pathol 1976; 13: 1-10. https://doi.org/10.1177/030098587601300101
  33. Patnaik AK, Hurvitz AI, Johnson GF: Canine intestinal adenocarcinoma and carcinoid. Vet Pathol 1980; 17: 149-163. https://doi.org/10.1177/030098588001700204
  34. Rebhun RB, Thamm DH. Multiple distinct malignancies in dogs: 53 cases. J Am Anim Hosp Assoc 2010; 46: 20-30. https://doi.org/10.5326/0460020
  35. Russell KN, Mehler SJ, Skorupski KA, Baez JL, Shofer FS, Goldschmidt MH. Clinical and immunohistochemical differentiation of gastrointestinal stromal tumors from leiomyosarcomas in dogs: 42 cases (1990-2003). J Am Vet Med Assoc 2007; 230: 1329-1333. https://doi.org/10.2460/javma.230.9.1329
  36. Rosas-Guerra OZ, Perez-Castro Y Vazquez JA, Andrade-Lopez GH, Vera-Rodriguez F, Garza-de la Llave H. Metastatic collision tumour. A case report. Cir Cir 2015; 83: 238-242. https://doi.org/10.1016/j.circir.2015.05.008
  37. Strofilas A, Dalianoudis IG, Lagoudianakis EE, Genetzakis M, Tsekouras D, Chrysikos J, Koronakis N, Katergiannakis V, Manouras A. Collision tumour of the stomach with a cancer to cancer metastasis: a case report. Cases J 2008; 1: 63. https://doi.org/10.1186/1757-1626-1-63
  38. Ter HG, Van der GI, Kirpensteijn J. Canine intestinal leiomyosarcoma. Vet Q 1998; 20: 111-112. https://doi.org/10.1080/01652176.1998.9694852
  39. Unal B, Elpek GO, Gelen T, Gurkan A, Yildirim B. Gastric collision tumor: Case report of a rare adenocarcinoma and a typical carcinoid tumor. Oncol Lett 2013; 6: 212-214. https://doi.org/10.3892/ol.2013.1313
  40. Withrow SJ, Vail DM, Page R. Cancer of the gastrointestinal tract. In: Withrow and MacEwen's small animal clinical oncology, 5th ed. Maryland Heights: Elsevier. 2013: 381-431.