Oral histiocytic sarcoma in a cat with mandibular invasion and regional lymph node metastasis

Case summary An 11-year-old female spayed domestic medium-hair cat presented for dental prophylaxis, at which time no oral mass was appreciated. Fifteen days after a dental cleaning, a mass expanding the oral mucosa of the rostral mandible was identified. An incisional biopsy revealed that the oral...

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Autores principales: Stephani L Ruppert, Sylvia H Ferguson, Jason D Struthers, Teela L Jones
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Lenguaje:EN
Publicado: SAGE Publishing 2021
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spelling oai:doaj.org-article:155a5431fa124f84a00ea120f4be577d2021-11-09T22:34:02ZOral histiocytic sarcoma in a cat with mandibular invasion and regional lymph node metastasis2055-116910.1177/20551169211058044https://doaj.org/article/155a5431fa124f84a00ea120f4be577d2021-11-01T00:00:00Zhttps://doi.org/10.1177/20551169211058044https://doaj.org/toc/2055-1169Case summary An 11-year-old female spayed domestic medium-hair cat presented for dental prophylaxis, at which time no oral mass was appreciated. Fifteen days after a dental cleaning, a mass expanding the oral mucosa of the rostral mandible was identified. An incisional biopsy revealed that the oral mucosa was infiltrated by neoplastic round-to-spindloid mesenchymal cells arranged in streams and small, dense aggregates consistent with an undifferentiated sarcoma. The patient was managed medically for approximately 6 months following the diagnosis, but, owing to declining health, euthanasia was elected and a post-mortem examination was performed. On post-mortem examination, the previously described neoplastic cells were infiltrating the rostral mandible and had metastasized to the right submandibular lymph node. Immunohistochemistry performed during the postmortem examination found that neoplastic cells were positive for Iba-1, CD18 and CD204, and negative for MUM-1, S100, Melan-A and E-cadherin, favoring a diagnosis of oral histiocytic sarcoma. Although recently recognized in cats, feline oral histiocytic sarcoma is rare, the tumor’s immunohistochemical profile is unstandardized, and the tumor’s behavior and prognosis are unclear. The diagnosis is challenging if small incisional biopsies are submitted and the neoplasm is poorly differentiated. This case report discusses the clinical, macroscopic, microscopic and immunohistochemical features of oral histiocytic sarcoma in a cat with mandibular invasion and submandibular lymph node metastasis. Relevance and novel information Feline primary oral histiocytic sarcoma is rare and tumor behavior and prognosis are unclear. This report broadens the immunohistochemical features of the tumor and recognizes mandibular invasion and submandibular lymph node metastasis.Stephani L RuppertSylvia H FergusonJason D StruthersTeela L JonesSAGE PublishingarticleVeterinary medicineSF600-1100ENJournal of Feline Medicine and Surgery Open Reports, Vol 7 (2021)
institution DOAJ
collection DOAJ
language EN
topic Veterinary medicine
SF600-1100
spellingShingle Veterinary medicine
SF600-1100
Stephani L Ruppert
Sylvia H Ferguson
Jason D Struthers
Teela L Jones
Oral histiocytic sarcoma in a cat with mandibular invasion and regional lymph node metastasis
description Case summary An 11-year-old female spayed domestic medium-hair cat presented for dental prophylaxis, at which time no oral mass was appreciated. Fifteen days after a dental cleaning, a mass expanding the oral mucosa of the rostral mandible was identified. An incisional biopsy revealed that the oral mucosa was infiltrated by neoplastic round-to-spindloid mesenchymal cells arranged in streams and small, dense aggregates consistent with an undifferentiated sarcoma. The patient was managed medically for approximately 6 months following the diagnosis, but, owing to declining health, euthanasia was elected and a post-mortem examination was performed. On post-mortem examination, the previously described neoplastic cells were infiltrating the rostral mandible and had metastasized to the right submandibular lymph node. Immunohistochemistry performed during the postmortem examination found that neoplastic cells were positive for Iba-1, CD18 and CD204, and negative for MUM-1, S100, Melan-A and E-cadherin, favoring a diagnosis of oral histiocytic sarcoma. Although recently recognized in cats, feline oral histiocytic sarcoma is rare, the tumor’s immunohistochemical profile is unstandardized, and the tumor’s behavior and prognosis are unclear. The diagnosis is challenging if small incisional biopsies are submitted and the neoplasm is poorly differentiated. This case report discusses the clinical, macroscopic, microscopic and immunohistochemical features of oral histiocytic sarcoma in a cat with mandibular invasion and submandibular lymph node metastasis. Relevance and novel information Feline primary oral histiocytic sarcoma is rare and tumor behavior and prognosis are unclear. This report broadens the immunohistochemical features of the tumor and recognizes mandibular invasion and submandibular lymph node metastasis.
format article
author Stephani L Ruppert
Sylvia H Ferguson
Jason D Struthers
Teela L Jones
author_facet Stephani L Ruppert
Sylvia H Ferguson
Jason D Struthers
Teela L Jones
author_sort Stephani L Ruppert
title Oral histiocytic sarcoma in a cat with mandibular invasion and regional lymph node metastasis
title_short Oral histiocytic sarcoma in a cat with mandibular invasion and regional lymph node metastasis
title_full Oral histiocytic sarcoma in a cat with mandibular invasion and regional lymph node metastasis
title_fullStr Oral histiocytic sarcoma in a cat with mandibular invasion and regional lymph node metastasis
title_full_unstemmed Oral histiocytic sarcoma in a cat with mandibular invasion and regional lymph node metastasis
title_sort oral histiocytic sarcoma in a cat with mandibular invasion and regional lymph node metastasis
publisher SAGE Publishing
publishDate 2021
url https://doaj.org/article/155a5431fa124f84a00ea120f4be577d
work_keys_str_mv AT stephanilruppert oralhistiocyticsarcomainacatwithmandibularinvasionandregionallymphnodemetastasis
AT sylviahferguson oralhistiocyticsarcomainacatwithmandibularinvasionandregionallymphnodemetastasis
AT jasondstruthers oralhistiocyticsarcomainacatwithmandibularinvasionandregionallymphnodemetastasis
AT teelaljones oralhistiocyticsarcomainacatwithmandibularinvasionandregionallymphnodemetastasis
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