DOI QR코드

DOI QR Code

Partial Pancreatectomy Using Ultrasonic Scalpel for Exocrine Pancreatic Ductal Papillary Carcinoma in a Cat

  • Park, Jiyoung (College of Veterinary Medicine, Chungnam National University) ;
  • Lee, Young Won (College of Veterinary Medicine, Chungnam National University) ;
  • Lee, Hae-Beom (College of Veterinary Medicine, Chungnam National University) ;
  • Jeong, Seong Mok (College of Veterinary Medicine, Chungnam National University)
  • 투고 : 2017.07.20
  • 심사 : 2018.12.01
  • 발행 : 2018.12.31

초록

This report presents a rare case of feline exocrine pancreatic ductal carcinoma including treatment and prognosis. A 4.6-year-old castrated male American Shorthair cat, weighing 5 kg was presented with intermittent vomiting, diarrhea and loss of appetite. Through physical examination and radiography, a cranial abdominal mass was identified. Exploratory laparotomy was carried out. The largest mass was connected to the left lobe of the pancreas, and there were several small, nodular masses scattered along the abdominal lining. The pancreatic mass was removed using an ultrasonic scalpel, and the patient recovered favorably. Histopathologically, the resected lesion was diagnosed as an exocrine pancreatic ductal papillary carcinoma. The patient was maintained with conservative therapy and euthanized on post-operative day 262. Partial pancreatectomy using an ultrasonic scalpel was accomplished safely without evidence of pancreatic leakage.

키워드

참고문헌

  1. Aydin Y, Borkuu MK, Kustal O, Atalay O, Beyaz L. Poorly differentiated pancreatic carcinoma associated with partial alopecia in a cat. Turk J Vet Anim Sci 2003; 27: 481-488.
  2. Bennett PF, Hahn KA, Toal RL, Legendre AM. Ultrasonographic and cytopathological diagnosis of exocrine pancreatic carcinoma in the dog and cat. J Am Anim Hosp Assoc 2001; 37: 466-473. https://doi.org/10.5326/15473317-37-5-466
  3. Cornell K. Pancreas. In: Tobias KM, Johnston SA, eds. Veterinary surgery: small animal. St. Louis, Missouri: Elsevier. 2012: 1659-1673.
  4. Fossum TW. Surgery of the pancreas. In: Fossum TW, ed. Small animal surgery. 4th ed. St. Louis, Missouri: Elsevier. 2013: 650-668.
  5. Head KW, Else RW, Dubielzig RR. Tumors of the exocrine pancreas. In: Meuten DJ, ed. Tumors in domestic animals. 4th ed. Ames, Iowa: Blackwell. 2002: 478-481.
  6. Hecht S, Penninck DG, Keating JH. Imaging findings in pancreatic neoplasia and nodular hyperplasia in 19 cats. Vet Radiol Ultrasound 2007; 48: 45-50. https://doi.org/10.1111/j.1740-8261.2007.00203.x
  7. Howes N, Neoptolemos J. Risk of pancreatic ductal adenocarcinoma in chronic pancreatitis. Gut 2002; 51: 765-766. https://doi.org/10.1136/gut.51.6.765
  8. Linderman M, Brodsky E, Lorimier LP, Clifford CA, Post GS. Feline exocrine pancreatic carcinoma: a retrospective study of 34 cases. Vet Comp Oncol 2013; 11: 208-218. https://doi.org/10.1111/j.1476-5829.2012.00320.x
  9. Monteiro CB, O'Brien RT. A retrospective study on the sonographic findings of abdominal carcinomatosis in 14 cats. Vet Radiol Ultrasound 2004; 45: 559-564. https://doi.org/10.1111/j.1740-8261.2004.04096.x
  10. Seaman RL. Exocrine pancreatic neoplasia in the cat: a case series. J Am Anim Hosp Assoc 2004; 40: 238-245. https://doi.org/10.5326/0400238
  11. Takao S, Shinchi H, Maemura K, Aikou T. Ultrasonically activated scalpel is an effective tool for cutting the pancreas in biliary-pancreatic surgery: experimental and clinical studies. J Hepatobiliary Pancreat Surg 2000; 7: 58-62. https://doi.org/10.1007/s005340050155
  12. Tasker S, Griffon D, Nuttall T, Hill P. Resolution of paraneoplastic alopecia following surgical removal of a pancreatic carcinoma in a cat. J Small Anim Pract 1999; 40: 16-19. https://doi.org/10.1111/j.1748-5827.1999.tb03248.x
  13. Wouters E, Buishand F, Kik M, Kirpensteijn J. Use of a bipolar vessel-sealing device in resection of canine insulinoma. J Small Anim Pract 2011; 52: 139-145. https://doi.org/10.1111/j.1748-5827.2011.01040.x