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Peer-reviewed veterinary case report

Dog with thyroid cancer spreading to many organs and bones

By Renzi, Andrea et al.·Published in Veterinary clinical pathology·2023·Department of Veterinary Medical Sciences, Italy·View original on PubMed

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Original publication title: Multiorgan metastases with massive bone involvement of a medullary thyroid carcinoma in a dog.

Species:
dog

Plain-English summary

A 10-year-old mixed-breed male dog was brought to the vet for a lump on his neck, which turned out to be a thyroid tumor. After surgery to remove the tumor and nearby lymph nodes, the dog seemed healthy for 18 months. Unfortunately, he later developed symptoms like lethargy, vomiting, and stiffness in his hind legs. Tests revealed that the cancer had spread to multiple organs and bones, and due to his poor health, the owner chose to euthanize him. A necropsy confirmed the widespread metastases from the original thyroid cancer.

People also search for: dog neck lump · thyroid cancer in dogs · dog vomiting and lethargy · dog euthanasia decision · dog cancer metastasis symptoms

Abstract

A 10-year-old mixed-breed male dog was referred for a subcutaneous mass on the ventral neck. Based on total-body computed tomography (TBCT), the mass was located in the left thyroid lobe. Further alterations included enlargement of the ipsilateral mandibular and prescapular lymph nodes (LNs). Surgical excision of the mass and enlarged LNs was performed. Histopathology and immunohistochemistry were consistent with a medullary (C-cell) thyroid carcinoma, with no evidence of nodal metastases. Surgery was considered curative, and no medical treatment was provided. Periodic follow-up rechecks were unremarkable. After 18 months, the dog exhibited lethargy, vomiting, anorexia, and hind leg stiffness. TBCT revealed polyostotic osteopathy, and cytology suggested a metastatic endocrine carcinoma. Due to the dog's poor clinical condition and prognosis, the owner elected euthanasia, and a necropsy was performed. Based on gross pathology, histopathology, and immunohistochemistry, multiple metastases of the previous thyroid carcinoma were diagnosed, involving the occipital bone, multiple vertebrae, left sacral wing, fourth right rib, left scapula, left humerus, intrathoracic LNs, lung, spleen, and adrenal glands. This report describes a case of medullary thyroid carcinoma with distant multiorgan metastases and massive bone involvement after a disease-free interval of 18 months.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/36444855/