A retrospective study on prophylactic regional lymphadenectomy versus nodal observation only in the management of dogs with stage I, completely resected, low-grade cutaneous mast cell tumors

Background: While lymphadenectomy of metastatic lymph nodes (LNs) has been associated with improved outcome, the clinical utility of prophylactic lymphadenectomy in dogs with stage I cutaneous mast cell tumors (cMCTs) remains a controversial topic. To assess the therapeutic role of lymphadenectomy of uninvolved regional LNs, the long-term outcome of cMCT-bearing dogs with cytologically negative and surgically unresected regional LNs (observation only, OO) was compared with that of dogs with surgically resected and histologically negative regional LNs (prophylactic regional lymphadenectomy, PRL). Results: A retrospective analysis of 64 dogs with a low-grade, completely resected stage I cMCT was performed: 35 (54.7%) dogs were subjected to OO and 29 (45.3%) underwent PRL. Dogs were monitored for a median of 813 and 763 days in the OO group and PRL group, respectively. The number of dogs undergoing MCT progression was significantly higher in the OO group (P = 0.028) and curve comparison revealed a tendency to a better time to progression in the PRL group (P = 0.058). No significant difference in survival time (P = 0.294) was observed between dogs in the OO and PRL groups. Conclusions: Our results showed that lack of immediate lymphadenectomy was associated with a higher risk for tumor progression. This preliminary judgement, reinforced by the findings that lymphadenectomy was well tolerated in all cases, and that histopathology provides the definitive assessment of the nodal pathological status, may suggest that prophylactic lymphadenectomy is indicated in the management of stage I MCTs. Larger prospective studies are warranted for generating clinical evidence of this latter hypothesis

Haematological and biochemical abnormalities in canine blood : frequency and associations in 1022 samples

Submission of blood samples to referral laboratories is very common in veterinary practice. Internal reference ranges should take into account published ranges adapted to the methods and apparatus used and to the population under consideration. The aim of this study was to examine the results from 1022 consecutive canine blood tests, analysing the frequency and the main associations of abnormalities, and to compare the results in different age groups. Haemograms and serum biochemistry were compared with internal ranges and between age groups: younger than one year, one to eight years and older than eight years. Young dogs exhibited lower numbers of erythrocytes and lower values for haemoglobin concentration and packed cell volume. They also showed higher numbers of lymphocytes and higher concentrations of phosphorus and 71 per cent showed raised alkaline phosphatase. Neutrophilia, hypergammaglobulinaemia and hypoalbuminaemia occurred quite frequently in all dogs, and hypoalbuminaemia and hyperphosphataemia were commonly seen in uraemic patients. The simultaneous evaluation of cytolytic and hepatobiliary enzymes allowed better detection of liver damage, since only a very low percentage of dogs had simultaneous increases in all hepatic enzymes

Cellulose acetate electrophoresis of canine plasma after fibrinogen precipitation by ethanol.

BACKGROUND: In routine canine medicine, anticoagulated blood is often the only sample sent to laboratories for diagnostic purposes. This hampers the interpretation of protein electrophoretic tracings because plasma contains fibrinogen, which migrates in the beta-gamma region. In human medicine, fibrinogen can be precipitated from plasma using ethanol. OBJECTIVES: The purpose of this study was to assess ethanol precipitation as a method for removing fibrinogen from canine plasma so as to facilitate the interpretation of electorphoresis results. METHODS: Blood samples collected from 40 dogs were divided into plain tubes and tubes containing EDTA (n=20) or lithium-heparin (n=20). An aliquot of plasma from each sample was incubated with ethanol at a final concentration of 100 mL/L. Cellulose acetate electrophoresis was then performed on serum, plasma, and plasma treated with ethanol. To verify the efficiency of ethanol treatment, fibrinogen was added to 5 canine serum samples at final concentrations of 2.5, 5.0, and 10.0 g/L, and electrophoresis was performed before and after ethanol treatment. RESULTS: Visual analysis of electrophoretograms from ethanol-treated samples confirmed the disappearance of the fibrinogen peak from the beta(2)-globulin region. Treatment with ethanol caused a significant decrease in the percentage of beta(2)-globulins and a significant increase in the percentage of alpha(2)-globulins. Absolute values of most electrophoretic fractions were significantly decreased in ethanol-treated plasma compared with serum. CONCLUSIONS: Ethanol treatment successfully removed fibrinogen from canine plasma and normalized electrophoretic profiles, but probably also precipitated proteins other than fibrinogen. Ethanol treatment is recommended to facilitate visual identification of abnormal monoclonal peaks, but not for determining absolute protein concentrations in electrophoretic fraction

Analytical validation of a commercial Elisa for determination of canine procalcitonin

Procalcitonin (ProCT) is a marker used in people to differentiate septic and nonseptic acute inflammation. The magnitude of ProCT concentration correlates with the severity of the disease and is useful as a prognostic and risk factor. A ProCT gene overexpression has been demonstrated in leukocytes of diseased dogs, thus it can be hypothesized that ProCT could be a useful marker of sepsis in dogs. Several commercial ELISA kits specific for canine ProCT are available, thus the aim of this study was to perform an analytical validation of an ELISA specific for canine ProCT. Dogs were selected as possibly septic based on C-reactive protein (CRP) concentration, hematology, biochemical data, and clinical history. Three pools with low, medium, and high CRP levels were measured 10 times each. Moreover, 22 samples selected based on results of the first plate were measured up to 5 times to assess intraassay precision. Seven samples were measured twice on 2 different plates to assess interassay repeatability. Accuracy was determined by linearity under dilution (LUD) and spiking/ recovery test. The results revealed extremely high coefficients of variation (CV) in both intra- and interassay precision (mean CV: 109.1 and 65.8, respectively). LUD correlated poorly between obtained and expected results (p = 0.12, r2 = 0.78), whereas spiking/recovery test revealed a good correlation (P < .0001, r2 = 0.99). In conclusion, this ELISA kit for determination of canine ProCT lacks precision and accuracy, especially at medium and low levels, and for these reasons its use cannot be recommended

Paratracheal cervical mass in a dog

A 14-year-old female Welsh Terrier was presented for evaluation of multiple skin masses. Two of them were diagnosed as a follicular (epidermal) cyst and a sebaceous epithelioma by cytology and histopathology. The third mass was located in the subcutis adjacent to the cervical trachea. Clinical findings, thoracic radiography, and laboratory results were otherwise unremarkable. Cytologically, the cervical mass was characterized by the presence of round to polygonal cells with distinct cell borders, mild to moderate anisocytosis, round to oval eccentric nuclei with prominent nucleoli, and a variable amount of finely granular, eosinophilic cytoplasm. Differential diagnoses included endocrine/neuroendocrine tumors such as thyroid adenocarcinoma, medullary thyroid carcinoma, carotid body chemodectoma, and parathyroid carcinoma. The mass was removed surgically and submitted for histopathologic and immunohistochemical examination. Histologically, the mass was composed of rows and nests of densely packed cells separated by thin fibrovascular stroma. Neoplastic cells had moderate to large amounts of pale eosinophilic dusty or finely vacuolated cytoplasm and round to oval nuclei with finely dispersed chromatin and 1 or 2 small nucleoli. On immunohistochemistry, neoplastic cells were positive for chromogranin A, calcitonin, and neuron-specific enolase, and were negative for cytokeratin and thyroglobulin. The final diagnosis was medullary thyroid carcinoma, an uncommon endocrine tumor of dogs that has cytologic and histopathologic features similar to other endocrine and neuroendocrine tumors. Immunohistochemistry or immunocytochemistry should be performed to differentiate medullary thyroid carcinoma from other endocrine/neuroendocrine tumors of dogs. (Bertazzolo W, Giudice C, Dell'Orco M, Caniatti M. Paratracheal cervical mass in a dog [medullary thyroid carcinoma]