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OJVRTM

 Online Journal of Veterinary Research©

 

Volume 18(5): 398-404, 2014. Redacted 2017.


Concurrent adrenocortical adenoma and multicentric lymphoma in a German shepherd dog.

 

Reza Kheirandish1, Baharak Akhtardanesh2, Nasrin Askari1, Neda Ghasemi2

 

1Department(s) of Pathobiology and 2Clinical Sciences, Faculty of Veterinary Medicine, Shahid Bahonar University of Kerman, Kerman, Iran

 

ABSTRACT

 

Kheirandish R, Akhtardanesh B, Askari N, Ghasemi N., Concurrent adrenocortical adenoma and multicentric lymphoma in a German shepherd dog. Onl J Vet Res., 18(5): 398-404, 2014. A 6-year-old male German shepherd dog was referred with a history of polyuria, polydipsia, lethargy and weight loss noted by the owner for 2 months previously. The dog exhibited generalized lymphadenomegaly, hepatomegaly, abdominal distention, and symmetrical alopecia with comedone formation in the ventral abdomen. Blood tests revealed mild leukocytosis, elevated aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase and hypercholesteremia. Hepatic and spleen enlargement was confirmed by radiography. Abdominal ultrasonography showed a mass on the left adrenal gland. A low dose dexamethasone suppression test suggested a diagnosis of adrenal dependent Cushing disease. Medical treatment was started with Mitotane but 5 days later euthanasia was selected by the owner due to the animal’s condition. At necropsy, an irregular mass in the marginal left adrenal gland with enlargement of superficial and mesenteric lymph nodes with metastatic foci in spleen and liver were observed. Histopathological examination revealed lymphoid cells containing large vesicular nuclei with increased mitotic figures. The adrenal mass was composed of well-differentiated steroid hormone producing cells. The abundant cytoplasmic area of tumor cells was lightly eosinophilic and vacuolated. Tumor cells were arranged in broad trabeculae by small vascular spaces and focal areas of calcification. A definitive diagnosis of concurrent adrenocortical adenoma and multicentric lymphoma was made based on the clinical, laboratory and pathological findings in this dog. To authors’ knowledge, this is the first report of this association in dogs.

 

Key words: Adrenocortical Adenoma, Multicentric Lymphoma, German Shepherd.


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