Metastatic extramedullary plasmacytoma in a canine

Rúbia Schallenberger da Silva, Cinthia Garcia, Roberta do Nascimento Libardoni, Ezequiel Davi dos Santos, Bruno Webber Klaser, Tanise Policarpo Machado, Júlia Tonioli da Silva, Carlos Eduardo Bortolini, Adriana Costa da Motta
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Abstract

Abstract Plasmocytomas are neoplasms originating from plasma cells and can be subdivided into cutaneous extramedullary, non-cutaneous and multiple myeloma. The involvement of vertebrae can generate clinical signs of pain and neurological alterations according to the affected segment. The present study aims to report a case of extramedullary plasmacytoma in the thoracic spine and with consequent spinal cord compression in addition to metastasis sites, characterizing its clinicopathological aspects. The canine patient was hospitalized, submitted to laboratory and imaging tests, and medicated due to incoordination and loss of perception of limb positioning, but his clinical picture worsened, progressing to loss of movement and fecal and urinary incontinence, resulting in death. The main necropsy findings were the presence of a tumor mass along the external surface of the body of the fifth thoracic vertebra, in addition to light brown foci in the thoracic spinal cord and in the pulmonary and splenic parenchyma. Histologically, the tumor mass and light brown foci consisted of malignant cell proliferation, of plasmacytic origin, densely cellular and largely infiltrative. Thus, through the clinical picture presented, imaging tests and anatomopathological analysis, it was shown that it was a case of extramedullary plasmocytoma originating in the thoracic spine, with sites of metastasis in the spinal cord, lung and spleen.
犬转移性髓外浆细胞瘤
浆细胞瘤是起源于浆细胞的肿瘤,可细分为皮肤髓外瘤、非皮肤骨髓瘤和多发性骨髓瘤。椎体受累可根据受累节段的不同产生疼痛和神经学改变的临床症状。本研究报告一例胸椎髓外浆细胞瘤,并伴有脊髓压迫和转移灶,并描述其临床病理特征。犬患者住院,接受实验室和影像学检查,并因不协调和肢体定位知觉丧失而接受药物治疗,但其临床症状恶化,进展为运动丧失,大便和尿失禁,导致死亡。主要的尸检结果是沿第5胸椎体外表面有一个肿瘤块,此外在胸脊髓、肺和脾实质中有浅棕色灶。组织学上,肿瘤肿块和浅棕色灶由恶性细胞增生组成,起源于浆细胞,细胞密集,浸润性强。因此,通过临床表现,影像学检查和解剖病理分析,表明这是一例起源于胸椎的髓外浆细胞瘤,转移部位在脊髓,肺和脾脏。
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