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KMID : 1094020140310040307
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Journal of Veterinary Clinics
2014 Volume.31 No. 4 p.307 ~ p.312
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Prognosis and Surgical Treatment of the Urethra Embedding Leiomyosarcoma in a Dog
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Kim Ji-Hyun
Lee Jun-Am
Kim Ill-Hwa
Jang Dong-Woo
Kang Hyun-Gu
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Abstract
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A 16-year-old female Shih-Tzu, weighing 5 kg, presented with clinical symptoms of abdominal distensionand urinary and fecal incontinence. Abdominal palpation detected a large mass. According to the radiographic findings,the bladder had been moved to the umbilicus by the mass and a large abdominal mass was confirmed in the lowerabdominal area. Ultrasonography indentified a large heterogeneous mass with heterogeneous parenchyma and a focalanechoic area in the lower abdominal area. The complete blood count abnormalities suggested thrombocytosis andmild neutrophilia, and the serum chemistry indicated an elevated alkaline phosphatase value. During laparotomy, afirm mass that measured 10.5 × 9.6 cm was found between the uterine cervix and urinary bladder. The urethra wasembedded in the mass. A diagnosis of leiomyosarcoma was established based on histopathology and histochemistry. One week after surgery, urinary retention symptoms that did not appear to be related to mechanical obstruction presentedsuddenly, but they did not respond to several drug treatments, thus long-term conservative therapy was adopted. Theurinary symptoms disappeared on day 27 and the patient started to void large quantities of urine in a smooth andfrequent manner. This case report describes the serial changes in the patient’s status and the response after surgicalremove of the urethra embedding leiomyosarcoma.
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KEYWORD
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dog, leiomyosarcoma, urinary incontinence, micturition disorder after surgery
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