PERITONEAL LYMPHOMATOSIS IN A DOG: A CASE REPORT

Type:
Case Report
Topic:
Oncology
Companies:
(1) Hospital Veterinario de la Universidad Católica de Valencia "San Vicente Mártir"
(2) Departamento de Medicina y Cirugía Animal. Hospital Veterinario de la Universidad Católica de Valencia "San Vicente Mártir"
(3) R(D)SVS, University of Edinburgh
(4) Instituto Valenciano de Patología (IVP). Universidad Católica de Valencia
Authors:
Carla Zamora Perarnau Gv (1)
Noemi Gómez Martín Gv (2)
Juan Carlos Serra Varela Lv, Dipl. Ecvim (onc) (3)
Eduard Hernando Montalbán Gv (1)
Núria Comas Ars Gv (1)
Jorge Martínez Martínez Lv, Dvm, Phd, Dipl. Ecvp (4)
Paper:
RESUMEN CORTO - SHORT SUMMARY

Lymphoma is the most common neoplasia in dogs, and the gastrointestinal tract is the second anatomical site most frequently affected, although peritoneal seeding is rare and has only been described in human medicine and cats. 

The clinical case of an 11-year-old French bulldog with a chronic gastrointestinal condition is described. The abdominal ultrasound revealed a segment of mid jejunum with loss of wall layering that consisted of a single hypoechoic layer, and was thickened (8 mm); the adjacent peritoneum was thickened, hyperechogenic, irregular and heterogeneous. The diagnosis of intestinal T-cell lymphoma with peritoneal lymphomatosis was confirmed from the postmortem histopathological study and immunohistochemical staining.

Peritoneal lymphomatosis, to the authors knowledge, has not been described in canine patients. Some cases have been described in cats, although diffuse infiltration of the peritoneum secondary to lymphoma is considered rare, since it is a tissue that does not contain lymphoid elements and the mechanism of invasion is unknown. Ultrasonographic changes reported in cats with peritoneal lymphomatosis include thickened and markedly hyperechoic peritoneum, peritoneal effusion, and nodular hypoechoic lesions, but these are non-specific and may also be seen with other types of neoplasia, or with inflammatory diseases, being cytology or histopathology required for confirmation.

Peritoneal lymphomatosis should be considered as a differential in dogs with ultrasonographically abnormal peritoneum that have a diagnosis of intestinal lymphoma. To the authors knowledge, this clinical case represents the only description of peritoneal involvement secondary to intestinal lymphoma in a dog. 



BIBLIOGRAFÍA

1-    Sogame N, Risbon R, Burgess KE. Intestinal lymphoma in dogs: 84 cases (1997-2012). J Am Vet Med Assoc2018;252:440-447.

2-    Frank JD, Reimer SB, Kass PH, Kiupel M. Clinical outcomes of 30 cases (1997-2004) of canine gastrointestinal lymphoma. J Am Anim Hosp Assoc 2007;43:313-321

3-    Couto KM, Moore PF, Zwingenberger AL, Willcox JL, Skorupski, KA. Clinical characteristics and outcome in dogs with small cell T-cell intestinal lymphoma. Vet Comp Oncol. 2018;1-7. 

4-    Pennick D, Smyers B, Webster RL, Rand W, Moore AS. Diagnostic value of ultrasonography in differentiating enteritis from intestinal neoplasia in dogs. Vet Radiol Ultrasound, Vol. 44, No 5, 2003, pp570-575. 

5-    Monteiro CB, O’Brien RT. A retrospective study on the sonographic findings of abdominal carcinomatosis in 14 cats. Veterinary Radiology & Ultrasound, Vol. 45, Nº 6, 2004, pp 559-564.

6-    Oetelaar GS, Lim CK, Heng HG, Fulkerson CM, Shaevitz MH, Thompson CA. Ultrasonographic features of colonic B-cell lymphoma with mesenteric lymphomatosis in a cat. Vet Radiol Ultrasound. 2018;1-4 

7-    Morgan KRS, North CE, Thompson DJ. Sonographic features of peritoneal lymphomatosis in 4 cats. J Vet Intern Med. 2018;00:1-7. 

8-    Rassnick KM, Moore AS, Collister KE, Northrup NC, Kristal O, Chretin JD, Bailey DB. Efficacy of combination chemotherapy for treatment of gastrointestinal lymphoma in dogs. J Vet Intern Med 2009;23:317-322

9-    Best MP, Frimberger AE. Ovarian carcinomatosis in a dog managed with surgery and intraperitoneal, systemic, and intrapleural chemotherapy utilizing indwelling pleural access ports. Can Vet J 2017;58:493-497

10- Jacquet P, Jelinek JS, Steves MA, Sugarbaker PH. Evaluation of computed tomography in patients with peritoneal carcinomatosis. Cancer 1993;72:1631-6

11- Reetz JA, Suran JN, Zwingenberger AL, Stefanovski D. Nodules and masses are associated with malignant pleural effusion in dogs and cats but many other intrathoracic CT features are poor predictors of the effusion type. Vet Radiol Ultrasound. 2018;1-11.

12- Watton TC, Lara-Garcia A, Lamb CR. Can malignant and inflammatory pleural effusions in dogs be distinguished using computed tomography? Vet Radiol Ultrasound. 2017;00:1-7.