Canine diffuse lepidic predominant adenocarcinoma
Rossato, Cristina KrauspenharFiss, LetíciaSotili, Ana CristinaOliveira, Evelyn deCamargo, FabrícioMartins, Danieli Brolo
Background: Due to their abundant vascular supply, the lungs are a usual metastatic site, with primary lung cancer presenting a low prevalence in dogs and cats. Among the primary pulmonary tumors afflicting dogs, lepidic carcinoma is the mostcommon and can be classified by site of onset. Lepidic predominant adenocarcinoma is characterized by the proliferationof neoplastic cells along the pulmonary alveoli and pre-existing alveolar structures. Few reports of this specific tumor werefound in the literature, so the objective of this study is to describe the clinical, pathological, and immunohistochemicalfindings of a dog with predominantly diffuse lepidic adenocarcinoma.Case: A 14-year-old, female, spayed, mixed-breed canine with a history of progressive weight loss, cough, respiratorydistress, and pain while eating was brought in for a consultation. A presumptive diagnosis of pneumonia was suggested.However, in spite of treatment, the dog died, and a necropsy was performed. Upon gross examination, the lungs were diffuselyenlarged, whitish, and stiffened with large and highly vascular nodules. Histopathological findings showed proliferation ofneoplastic cells along the vascular walls and within the bronchioalveolar structures, with moderate fibrovascular stroma.The growth patterns resembled the pre-existing alveolar structures, with papillary protrusions into the alveolar lumen.After immunohistochemical evaluation, the definitive diagnosis was diffuse lepidic predominant adenocarcinoma. Thistumor is uncommon and difficult to diagnose in the clinical veterinary routine, so it should be considered in the differentialdiagnosis of respiratory conditions in canines, especially in elderly animals with chronic clinical signs not responsive toantibiotic therapy. Complementary diagnostic examinations such as imaging, laboratory tests, and biopsy are indispensableto the early diagnosis of this lung neoplasm...(AU)
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