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Cutaneous epitheliotropic T-cell lymphoma with Sézary syndrome in a dog

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초록

A 12-year-old, spayed female, Toy-poodle dog presented in progressive, pruritic carpal mass and mandibular papule. The skin lesions and enlarged superficial lymph nodes were surgically removed. According to histopathology and immunohistochemistry, the patient diagnosed as cutaneous epi-theliotropic T-cell lymphoma with lymph node metastasis. Chemotherapy with L-asparaginase, lomustine and prednisolone was initiated. The patient deteriorated despite treatment and was admit-ted to the hospital. Blood tests revealed significant leukocytosis. Circulating large lymphocytes with convoluted and cerebriform nuclei seen in peripheral blood led to presumption of Sézary cells. Thus, considering skin, lymph nodes and blood involvement, Sézary syndrome was diagnosed.

Abstract

A 12-year-old, spayed female, Toy-poodle dog presented in progressive, pruritic carpal mass and mandibular papule. The skin lesions and enlarged superficial lymph nodes were surgically removed. According to histopathology and immunohistochemistry, the patient diagnosed as cutaneous epi-theliotropic T-cell lymphoma with lymph node metastasis. Chemotherapy with L-asparaginase, lomustine and prednisolone was initiated. The patient deteriorated despite treatment and was admit-ted to the hospital. Blood tests revealed significant leukocytosis. Circulating large lymphocytes with convoluted and cerebriform nuclei seen in peripheral blood led to presumption of Sézary cells. Thus, considering skin, lymph nodes and blood involvement, Sézary syndrome was diagnosed.

참고문헌 (8)

  1. Fontaine J, "Canine cutaneous epitheliotropic T-cell lymphoma : a review", Vet Comp Oncol, 7, pp.1~14 (2009)
  2. Naeim F, "Atlas of Hematopathology", pp.693~700 (2008), Academic Press
  3. Rook KA, "Canine and feline cutaneous epitheliotropic lymphoma and cutaneous lymphocytosis", Vet Clin North Am Small Anim Pract, 49, pp.67~81 (2019)
  4. Rütgen BC, "Cutaneous T-cell lymphoma-Sézary Syndrome in a Boxer", Vet Clin Pathol, 45, pp.172~178 (2016)
  5. Thrall MA, "Cutaneous lymphosarcoma and leukemia in a dog resembling Sezary syndrome in man", Vet Pathol, 21, pp.182~186 (1984)
  6. Vail DM, "Withrow and MacEwen’s small animal clinical oncology", pp.688~711 (2019), Elsevier
  7. Willemze R, "WHO–EORTC classification for cutaneous lymphomas", Blood, 105, pp.3768~3785 (2005)
  8. Williams LE, "CCNU in the treatment of canine epitheliotropic lymphoma", J Vet Intern Med, 20, pp.136~143 (2006)

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