A CASE OF ACUTE LYMPHOBLASTIC LEUKEMIA IN A CAT
Yıl 2024,
Cilt: 5 Sayı: 2, 76 - 84
Emre Tüfekçi
,
Gencay Ekinci
,
Mehmet Tuzcu
,
Vehbi Güneş
,
Alfatıh Mohammed Ahmed Abozaıd Alfatıh Mohammed Ahmed Abozaıd
,
Bünyamin Ersöz
,
Batuhan Bali
,
Celil Bendeş
Öz
Acute lymphoblastic leukemia (ALL) is a rare hematopoietic neoplasm in cats and dogs in which immature lymphoid progenitor cells clonally proliferate in the bone marrow. ALL is characterized by rapid progression and low response to treatment protocols. Chemotherapeutic drugs, steroidal anti-inflammatory drugs, and supportive care are used in the treatment. This study aimed to provide information about the cytology results, clinical process, and treatment protocol of ALL diagnosed in biopsy samples taken from the lymph nodes and peripheral blood smears of a cat with feline leukemia virus infection (FeLV). In addition, in this case report, biochemical changes such as hyperproteinemia, hyperalbuminemia, hypernatremia, and hyperkalemia during the disease process were determined and neurological signs such as keratitis, tongue paralysis and neurogenic bladder, which are not seen in FeLV-infected cats, were detected and reported. This hematopoietic disease, which is not frequently encountered in cats, was prepared with the belief that it would be useful to veterinarians and is the first report of acute lymphoblastic leukemia in cats in Türkiye.
Kaynakça
- 1. Leifer CE, Matus RE. Lymphoid leukemia in the dog: Acute lymphoblastic leukemia and chronic lymphocytic leukemia. Veterinary Clinics of North America: Small Animal Practice 1985; 15(4): 723-739. doi: 10.1016/S0195-5616(85)50032-7.
- 2. Presley RH, Mackin A, Vernau W. Lymphoid leukemia in dogs. Compendium 2006; 28: 831-849.
- 3. Dobson J, Villiers E, Morris J. Diagnosis and management of leukaemia in dogs and cats. In Practice 2006; 28: 22-31. doi: 10.1136/inpract.28.1.22
- 4. Kozicki AR. Lymphoid Leukemias, Myeloid Neoplasia, and Myelodysplastic Syndrome. Bruyette D. eds. In: Clinical Small Animal Internal Medicine. USA: Wiley-Blackwell, 2020; pp.1223-1230.
- 5. Essex ME. Feline leukemia: a naturally occurring cancer of infectious origin. Epidemiologic Reviews 1982; 4: 189-203. doi: 10.1093/oxfordjournals.epirev.a036246.
- 6. Vail DM. Feline Lymphoma and Leukemia. Withrow SJ, Vail DM, Page RL. eds. In: Withrow and MacEwen's Small Animal Clinical Oncology. St. Louis: Elsevier, 2012; pp.650.
- 7. Nelson RW, Couto CG. Leukemias. Nelson RW, Couto CG. eds. In: Small Animal Internal Medicine. St. Louis: Elsevier, 2020; pp.1319-1320.
- 8. Birchard SJ, Sherding RG. Manual Saunders: clínica de pequenos animais. Sao Paulo: Roca, 2008.
- 9. Thrall MA. Lymphoproliferative disorders and myeloid neoplasms. Thrall MA, Wiser G, Allison RW, Campbell TW. eds. In: Veterinary Hematology and Clinical Chemistry. Ames: Wiley-Blackwell, 2012; pp.166-184.
- 10. Oliveira IM, Duarte LFDCD, Pereira LE, Damasceno AD. Leucemia linfoblástica aguda em felino: relato de caso. Pubvet 2020; 14: 1-6. doi: 10.31533/pubvet.v14n5a561.1-6
- 11. Hartmann K, Hofmann-Lehmann R, Sykes JE. Feline leukemia virus infection. Sykes JE. eds. In: Greene's Infectious Diseases of the Dog and Cat. St. Louis: Elsevier, 2021; pp.382-413.
- 12. Gridley MF. Manual of histologic and special staining technics. Washington: Armed Forces Institute of Pathology, 1957.
- 13. Addie DD, Toth S, Reid S, Jarrett O, Dennis JM, et al. Longterm impact on a closed household of pet cats of natural infection with feline coronavirus, feline leukaemia virus, and feline immunodeficiency virus. Veterinary Record 2000; 146: 419-424. doi: 10.1136/vr.146.15.419
- 14. Dunham SP, Graham E. Retroviral infections of small animals. Veterinary Clinics of North America: Small Animal Practice 2008; 38: 879-901. doi: 10.1016/j.cvsm.2008.03.005.
- 15. Rudan N, Marković E, Kučer N. Evaluation of clinical and haematological parameters in differentiation of feline immunodeficiency and feline leukemia virus infection. Veterinary Archives 2017; 87(6): 731-743. doi: 10.24099/vet.arhiv.160525.
- 16. Epstein ME, Rodan I, Griffenhagen G, Kadrlik J, Petty MC, et al. 2015 AAHA/AAFP pain management guidelines for cdogs and cats. Journal of Feline Medicine and Surgery 2015; 17: 251-272. doi: 10.1177/1098612X15572062.
- 17. Tomiyasu H, Doi A, Chambers JK, Goto‐Koshino Y, Ohmi A, et al. Clinical and clinicopathological characteristics of acute lymphoblastic leukaemia in six cats. Journal of Small Animal Practice 2018; 59(12): 742-746. doi: 10.1111/jsap.12917.
- 18. Morris J, Dobson J. Haematopoeitic system. Morris J, Dobson J. eds. In: Small Animal Oncology. Oxford: Blackwell Science Ltd, 2001; pp.239-251.
- 19. Henrich M. Hematopoietic tumors. Klopfleisch R. eds. In: Veterinary Oncology: A Short Textbook. Switzerland: Springer 2016; pp.109-129.
- 20. Hartmann K. Clinical aspects of feline retroviruses: a review. Viruses 2012; 4(11): 2684-2710. doi: 10.3390/v4112684.
- 21. Battilani M, Kaehler E, Tirolo A, Balboni A, Dondi F. Clinicopathological findings in cats tested for feline immunodeficiency virus (FIV) and feline leukaemia virus (FeLV). Acta Veterinaria-Beograd 2022; 72: 419-432. doi: 10.2478/acve-2022-0034.
- 22. Hartmann K. Role of retroviruses in feline lymphoma. European Journal of Companion Animal Practice 2015; 25(3): 30-41.
- 23. The Merck Veterinary Manual (2016) 11th Edition Susan E. Aiello, Michael A. Moses.
BİR KEDİDE AKUT LENFOBLASTİK LÖSEMİ OLGUSU
Yıl 2024,
Cilt: 5 Sayı: 2, 76 - 84
Emre Tüfekçi
,
Gencay Ekinci
,
Mehmet Tuzcu
,
Vehbi Güneş
,
Alfatıh Mohammed Ahmed Abozaıd Alfatıh Mohammed Ahmed Abozaıd
,
Bünyamin Ersöz
,
Batuhan Bali
,
Celil Bendeş
Öz
Akut lenfoblastik lösemi (ALL), kedi ve köpeklerde olgunlaşmamış lenfoid progenitör hücrelerin kemik iliğinde klonal olarak çoğaldığı nadir bir hematopoetik neoplazmdır. ALL hızlı ilerleme ve tedavi protokollerine düşük yanıt ile karakterizedir. Tedavide kemoterapötik ilaçlar, steroid antiinflamatuar ilaçlar ve destekleyici bakım kullanılmaktadır. Bu çalışmada, kedi lösemi virüsü enfeksiyonu (FeLV) tanısı konulan bir kedinin lenf düğümlerinden alınan biyopsi örnekleri ve periferik kan smear örneklerinde teşhis edilen ALL'nin sitoloji sonuçları, klinik süreci ve tedavi protokolü hakkında bilgi verilmesi amaçlandı. Ayrıca bu olgu sunumunda hastalık sürecinde hiperproteinemi, hiperalbüminemi, hipernatremi ve hiperkalemi gibi biyokimyasal değişiklikler belirlenmiş ve FeLV ile enfekte kedilerde görülmeyen keratit, dil felci ve nörojenik mesane gibi nörolojik bulgular tespit edilerek raporlanmıştır. Kedilerde sık rastlanmayan bu hematopoietik hastalık, veteriner hekimlere faydalı olacağı düşüncesiyle hazırlanmış olup, Türkiye'de kedilerde akut lenfoblastik löseminin ilk raporudur.
Kaynakça
- 1. Leifer CE, Matus RE. Lymphoid leukemia in the dog: Acute lymphoblastic leukemia and chronic lymphocytic leukemia. Veterinary Clinics of North America: Small Animal Practice 1985; 15(4): 723-739. doi: 10.1016/S0195-5616(85)50032-7.
- 2. Presley RH, Mackin A, Vernau W. Lymphoid leukemia in dogs. Compendium 2006; 28: 831-849.
- 3. Dobson J, Villiers E, Morris J. Diagnosis and management of leukaemia in dogs and cats. In Practice 2006; 28: 22-31. doi: 10.1136/inpract.28.1.22
- 4. Kozicki AR. Lymphoid Leukemias, Myeloid Neoplasia, and Myelodysplastic Syndrome. Bruyette D. eds. In: Clinical Small Animal Internal Medicine. USA: Wiley-Blackwell, 2020; pp.1223-1230.
- 5. Essex ME. Feline leukemia: a naturally occurring cancer of infectious origin. Epidemiologic Reviews 1982; 4: 189-203. doi: 10.1093/oxfordjournals.epirev.a036246.
- 6. Vail DM. Feline Lymphoma and Leukemia. Withrow SJ, Vail DM, Page RL. eds. In: Withrow and MacEwen's Small Animal Clinical Oncology. St. Louis: Elsevier, 2012; pp.650.
- 7. Nelson RW, Couto CG. Leukemias. Nelson RW, Couto CG. eds. In: Small Animal Internal Medicine. St. Louis: Elsevier, 2020; pp.1319-1320.
- 8. Birchard SJ, Sherding RG. Manual Saunders: clínica de pequenos animais. Sao Paulo: Roca, 2008.
- 9. Thrall MA. Lymphoproliferative disorders and myeloid neoplasms. Thrall MA, Wiser G, Allison RW, Campbell TW. eds. In: Veterinary Hematology and Clinical Chemistry. Ames: Wiley-Blackwell, 2012; pp.166-184.
- 10. Oliveira IM, Duarte LFDCD, Pereira LE, Damasceno AD. Leucemia linfoblástica aguda em felino: relato de caso. Pubvet 2020; 14: 1-6. doi: 10.31533/pubvet.v14n5a561.1-6
- 11. Hartmann K, Hofmann-Lehmann R, Sykes JE. Feline leukemia virus infection. Sykes JE. eds. In: Greene's Infectious Diseases of the Dog and Cat. St. Louis: Elsevier, 2021; pp.382-413.
- 12. Gridley MF. Manual of histologic and special staining technics. Washington: Armed Forces Institute of Pathology, 1957.
- 13. Addie DD, Toth S, Reid S, Jarrett O, Dennis JM, et al. Longterm impact on a closed household of pet cats of natural infection with feline coronavirus, feline leukaemia virus, and feline immunodeficiency virus. Veterinary Record 2000; 146: 419-424. doi: 10.1136/vr.146.15.419
- 14. Dunham SP, Graham E. Retroviral infections of small animals. Veterinary Clinics of North America: Small Animal Practice 2008; 38: 879-901. doi: 10.1016/j.cvsm.2008.03.005.
- 15. Rudan N, Marković E, Kučer N. Evaluation of clinical and haematological parameters in differentiation of feline immunodeficiency and feline leukemia virus infection. Veterinary Archives 2017; 87(6): 731-743. doi: 10.24099/vet.arhiv.160525.
- 16. Epstein ME, Rodan I, Griffenhagen G, Kadrlik J, Petty MC, et al. 2015 AAHA/AAFP pain management guidelines for cdogs and cats. Journal of Feline Medicine and Surgery 2015; 17: 251-272. doi: 10.1177/1098612X15572062.
- 17. Tomiyasu H, Doi A, Chambers JK, Goto‐Koshino Y, Ohmi A, et al. Clinical and clinicopathological characteristics of acute lymphoblastic leukaemia in six cats. Journal of Small Animal Practice 2018; 59(12): 742-746. doi: 10.1111/jsap.12917.
- 18. Morris J, Dobson J. Haematopoeitic system. Morris J, Dobson J. eds. In: Small Animal Oncology. Oxford: Blackwell Science Ltd, 2001; pp.239-251.
- 19. Henrich M. Hematopoietic tumors. Klopfleisch R. eds. In: Veterinary Oncology: A Short Textbook. Switzerland: Springer 2016; pp.109-129.
- 20. Hartmann K. Clinical aspects of feline retroviruses: a review. Viruses 2012; 4(11): 2684-2710. doi: 10.3390/v4112684.
- 21. Battilani M, Kaehler E, Tirolo A, Balboni A, Dondi F. Clinicopathological findings in cats tested for feline immunodeficiency virus (FIV) and feline leukaemia virus (FeLV). Acta Veterinaria-Beograd 2022; 72: 419-432. doi: 10.2478/acve-2022-0034.
- 22. Hartmann K. Role of retroviruses in feline lymphoma. European Journal of Companion Animal Practice 2015; 25(3): 30-41.
- 23. The Merck Veterinary Manual (2016) 11th Edition Susan E. Aiello, Michael A. Moses.