期刊论文详细信息
Diagnostic Pathology
Comparative value of clinical, cytological, and histopathological features in feline mammary gland tumors; an experimental model for the study of human breast cancer
Ehsan Hosseini3  Farshid Khadivar1  Reyhaneh Safaei2  Danial Kheradmand4  Alimohammad Bahrami3  Nahid Atyabi2  Javad Javanbakht2  Radmehr Shafiee1 
[1] Graduate, Faculty of Veterinary Medicine, Tehran University, Tehran, Iran;Department of Pathology, Faculty of Veterinary Medicine, Tehran University, Tehran, Iran;Paraveterinary Faculty of Ilam, University of Ilam, Ilam, Iran;Graduate Student of Islamic Azad University of Mashhad, Faculty of Medicine, Mashhad, Iran
关键词: Tumours;    Mammary gland;    Cats;    Cytology;    Pathology;   
Others  :  805595
DOI  :  10.1186/1746-1596-8-136
 received in 2013-07-15, accepted in 2013-07-28,  发布年份 2013
PDF
【 摘 要 】

Background

The diagnosis of breast lesions is usually confirmed by fine-needle aspiration cytology (FNAC) or histological biopsy. Although there is increasing literature regarding the advantages and limitations of both modalities, there is no literature regarding the accuracy of these modalities for diagnosing breast lesions in high-risk patients, who usually have lesions detected by screening. Moreover, few studies have been published regarding the cytopathology of mammary tumors in cats despite widespread use of the animal model for breast cancer formation and inhibition. The objective of the present study was to evaluate the diagnostic interest of cytological and histopathological analysis in feline mammary tumours (FMTs), in order to evaluate its possible value as an animal model.

Methods

The study was performed in 3 female cats submitted to surgical resections of mammary tumours. The mammary tumours were excised by simple mastectomy or regional mastectomy, with or without the superficial inguinal lymph nodes. Female cats were of different breeds (1 siamese and 2 persians). Before surgical excision of the tumour, FNA cytology was performed using a 0.4 mm diameter needle attached to a 8 ml syringe held in a standard metal syringe holder. The cytological sample was smeared onto a glass slide and either air-dried for May-Grünwald-stain and masses were surgically removed, the tumours were grossly examined and tissue samples were fixed in 10%-buffered-formalin and embedded in paraffin. Sections 4 μm thick were obtained from each sample and H&E stained.

Results

Cytologically, atypical epithelial cells coupled to giant nucleus, chromatin anomalies, mitotic figures, spindle shape cells, anisocytosis with anisokaryosis and hyperchromasia were found. Histologically, these tumors are characterized by pleomorphic and polygonal cell population together with mitotic figures, necrotic foci and various numbers inflammatory foci. Also, spindle shaped cells, haemorrhage localized in the different regions, local invasiveness and enlarged nuclei were observed. The samples included 3 tumors of mammary glands mammary tumors were complex carcinomas (n = 2) and adenocarcinoma (n = 1). The histological grades of the 3 cases were as follows: grade II, (1/3); grade III, (2/3) with high mitotic index. The preferential localization of mammary neoplasms was in the inguinal lobe (1/3 case) and abdominal lobes (2/3 cases). Furthermore, 1case of the inguinal mass affected the left caudo-inguinal lobe and 2cases right cranio and caudo abdominal lobes.

Conclusion

The study concluded that cytology could be used as a quick, rapid, field diagnostic technique in combination with histopathology for the diagnosis of feline mammary tumors (FMTs). Our findings in feline MTs indicate that FMTs could be useful as an animal model of human breast cancer. Moreover, because of the similarity of the cytohistopathological findings in the human and feline mammary gland tumours, it is possible to use the same cytopathological criteria applied in human pathology for the diagnosis of feline mammary gland tumours.

Virtual slide

The virtual slide(s) for this article can be found here: http://www.diagnosticpathology.diagnomx.eu/vs/2047361423103295 webcite

【 授权许可】

   
2013 Shafiee et al.; licensee BioMed Central Ltd.

【 预 览 】
附件列表
Files Size Format View
20140708081444530.pdf 1036KB PDF download
Figure 2. 158KB Image download
Figure 1. 170KB Image download
【 图 表 】

Figure 1.

Figure 2.

【 参考文献 】
  • [1]Morris J: Mammary tumours in the cat: size matters, so early intervention saves lives. J Feline Med Surg 2013, 15(5):391-400.
  • [2]Hughes K, Dobson JM: Prognostic histopathological and molecular markers in feline mammary neoplasia. Vet J 2012, 194(1):19-26.
  • [3]Mac Ewen EG, Withrow SJ: Tumors of the mammary gland. In Small Animal Clinical Oncology. 2nd edition. Edited by Mac Ewen EG Withrow SJ. London: WB Saunders; 1989:356-379.
  • [4]Moulton JE: Tumours of the mammary gland. In Tumours in Domestic Animals. 4th edition. Edited by Moulton JE. Los Angeles, CA: University of California Press; 2001:318-432.
  • [5]Weijer K, Hart AAM: Prognostic factors in feline mammary carcinoma. J Natl Cancer Inst 1983, 70:709-716.
  • [6]Carpenter JL, Andrews LK, Holtzworth J: Tumours and tumour-like lesions. In Diseases of the Cat: Medicine and Surgery. 1st edition. Edited by Holtzworth J. London, England: WB Saunders; 1987:406-596.
  • [7]Hayden DW, Nielsen SW: Feline mammary tumours. J Small Anim Pract 1971, 12:697-698.
  • [8]Moulton JE: Tumours of the mammary gland. In Tumours in Domestic Animals. 4th edition. Edited by Moulton JE. Los Angeles, CA: University of California Press; 1990:518-552.
  • [9]Cyrta J, Andreiuolo F, Azoulay S: Pure and mixed mucinous carcinoma of the breast: fine needle aspiration cytology findings and review of the literature. Cytopathology 2012. Epub ahead of print
  • [10]De Graaf H, Willemse P, Laddé BE: Evaluation of a cytological scoring system for predicting histological grade and disease-free survival in primary breast cancer. Cytopathology 1994, 5(5):294-300.
  • [11]Bofin AM, Lydersen S, Isaksen C: Interpretation of fine needle aspiration cytology of the breast: a comparison of cytological, frozen section, and final histological diagnoses. Cytopathology 2004, 15(6):297-304.
  • [12]Gupta K, Kumar Sood N, Kumar Uppal S: Epidemiological studies on canine mammary tumour and its relevance for breast cancer studies. IOSR Journal of Pharmacy 2012, 2(2):322-333.
  • [13]Sorenmo K: Canine mammary gland tumors. Vet Clin Small Anim 2003, 33:573-596.
  • [14]Seixas F, Palmeira C, Pires MA, Lopes C: Mammary invasive micropapillary carcinoma in cats: clinicopathologic features and nuclear DNA content. Vet Pathol 2007, 44(6):842-8.
  • [15]Misdorp B, Else R, Hellmen E: Histological classification of mammary tumors of the dog and cat. WHO International Histological Classification of Tumors in Domestic Animals. Volume VII. 2nd edition. Washington DC: Armed Forces Institute of Pathology, American Registry of Pathology; 2001.
  • [16]Bibbo M: Comprehensive cytopathology. 2nd edition. Philadelphia: WB Saunders Company; 1997.
  • [17]Owen LM: TNM Classification of Tumors in Domestic Animals, 46–7. Geneva: World Health Organization; 1980.
  • [18]Karayannopoulou M, Kaldrymidou E, Constantinidis TC: Histological grading and prognosis in dogs with mammary carcinomas: application of a human grading method. J Comp Pathol 2005, 133(4):246-252.
  • [19]Zekioglu O, Erhan Y, Bayramoglu H, Özdemir N: Invasive micropapillary carcinoma of the breast: high incidence of lymph node metastasis with extranodal extension and its immunohistochemical profile compared with invasive ductal carcinoma. Histopathology 2004, 44:18-23.
  • [20]Walsh MM, Bleiweiss IJ: Invasive micropapillary carcinoma of the breast: eight cases of an under-recognized entity. Hum Pathol 2001, 32:583-589.
  • [21]Ramalingam P, Middleton LP, Tamboli P, Troncoso P, Silva EG, Ayala AG: Invasive micropapillary carcinoma of the breast metastatic to the urinary bladder and endometrium: diagnostic pitfalls and review of the literature of tumours with micropapillary features. Ann Diagn Pathol 2003, 7:112-119.
  • [22]Paterakos M, Watkin WG, Edgerton SM, Moore DH, Thor AD: Invasive micropapillary carcinoma of the breast: a prognostic study. Hum Pathol 1999, 30:1459-1463.
  • [23]Kuroda H, Sakamoto G, Ohnisi K, Itoyama S: Clinical and pathologic features of invasive micropapillary carcinoma. Breast Cancer 2004, 11:169-174.
  • [24]Misdorp W: Tumors of the mammary gland. In Tumors in domestic animals. 4th edition. Edited by Meuten DJ. Ames, IA: Iowa State University Press; 2002:575-606.
  • [25]Rutteman GR, Withrow SJ, MacEwen EG: Tumors of the mammary gland. In Small Animal Clinical Oncology. 3rd edition. Edited by Withrow SW, MacEwen EG. Philadelphia, PA: WB Saunders Co; 2001:467-473.
  • [26]Yamada S, Nabeshima A, Nagata Y, Tasaki T, Noguchi H, Kitada S, Kimura S, Wang KY, Shimajiri S, Sasaguri Y: Pleomorphic carcinoma of the breast associated with cyst formation: a unique surgical case focusing on cytological and immunohistochemical findings. Cystic breast PC. Diagn Pathol 2013, 8:75.
  • [27]Lin XY, Wang Y, Fan CF, Liu Y, Yu JH, Dai SD, Wang L, Wang EH: Pulmonary sclerosing hemangioma presenting with dense spindle stroma cells: a potential diagnostic pitfall. Diagn Pathol 2012, 7:174. BioMed Central Full Text
  • [28]Yamada S, Nabeshima A, Tabata T, Guo X, Tasaki T, Wang KY, Shimajiri S, Sasaguri Y: Invasive salivary duct carcinoma ex pleomorphic adenoma of the parotid gland: a teaching case giving rise to the genuine diagnostic difficulty on an inadequate cytology specimen. Diagn Pathol 2012, 7:61. BioMed Central Full Text
  • [29]Yamaguchi R, Tsuchiya S, Koshikawa T, Yokoyama T, Mibuchi K, Nonaka Y, Ito S, Higuchi H, Nagao M, Higaki K, Watanabe J, Kage M, Yano H: Evaluation of inadequate, indeterminate, false-negative and false-positive cases in cytological examination for breast cancer according to histological type. Diagn Pathol 2012, 7:53. BioMed Central Full Text
  • [30]Khaki F, Javanbakht J, Sasani F, Gharagozlou MJ, Bahrami A, Moslemzadeh H, Sheikhzadeh R: Cervical type AB thymoma (Mixed) tumour diagnosis in a mynah as a model to study human: clinicohistological, immunohistochemical and cytohistopathological study. Diagn Pathol 2013, 8(1):98. BioMed Central Full Text
  • [31]Choi YD, Choi YH, Lee JH: Analysis of Fine needle aspiration cytology of the breast. Acta Cytol 2004, 48:801-806.
  • [32]Ciatto S, Morrone D, Catarzi S: Radial scars of the breast: review of 38 consecutive mammographic diagnoses. Radiology 1993, 187(3):757-60.
  • [33]Haziroglu R, Yardimci B, Aslan S: Cytological Evaluation of canine mammary tumours with fine needle aspiration biopsy technique. Revue Méd Vét 2010, 161:5. 212–218
  • [34]Döpke C, Fehr M, Thiele A, Pohlenz J, Wohlsein P: Morphological and immunohistochemical characterization of spontaneous mammary tumours in Eur.opean hedgehogs (Erinaceus europaeus). J Comp Pathol 2007, 137:22-29.
  • [35]Kondo H, Onuma M, Shibuya H, Sato T: Morphological and immunohistochemical studies of spontaneous mammary tumours in Siberian hamsters (Phodopus sungorus). J Comp Pathol 2009, 140:127-131.
  • [36]Misdorp W, Else R, Hellmen E: Histological Classification of Mammary Tumors of the Dog and the Cat, 2nd series. Volume 7. Armed Forces Institute of Pathology, Washington, DC: WHO International Histological Classification of Tumors of Domestic Animals; 1999.
  • [37]Couto SS, Griffey SM, Duarte PC, Madewell BR: Feline vaccine-associated fibrosarcoma: morphologic distinctions. Vet Pathol 2002, 39:33-41.
  • [38]Hahn KA, Adams WH: Feline mammary neoplasia: biological behavior, diagnosis, and treatment alternatives. Feline Pract 1997, 25(2):5-11.
  • [39]Hayes AA, Mooney S: Feline mammary tumors. Vet Clin North Am Small Anim Pract 1985, 15:513-520. PubMed
  • [40]Engle GC: Mammary gland neoplasia in the cat: prognosis and treatment. Feline Pract 1973, 3(5):9-12.
  • [41]Ito T, Kadosawa T, Mochizuki M, Matsunaga S, Nishimura R, Sasaki N: Prognosis of malignant mammary tumor in 53 cats. J Vet Med Sci 1996, 58:723-726.
  • [42]MacEwen EG, Hayes AA, Harvey HJ, Patnaik AK, Mooney S, Passe S: Prognostic factors for feline mammary tumours. J Am Vet Med Assoc 1984, 185:201-204.
  • [43]Weijer K, Head KW, Misdorp W, Hampe JF: Feline malignant mammary tumors. I. Morphology and biology: some comparisons with human and canine mammary carcinomas. J Natl Cancer Inst 1972, 49:1697-1704.
  • [44]Hayes HM Jr, Milne KL, Mandell CP: Epidemiological features of feline mammary carcinoma. Vet Rec 1981, 108:476-479.
  • [45]Patnaik AK, Liu SK, Hurvitz AI, McClelland AJ: Nonhematopoietic neoplasms in cats. J Natl Cancer Inst 1975, 54(4):855-860.
  • [46]Morrison WB: Canine and feline mammary tumors. In Cancer in Dogs and Cats: Medical and Surgical Management. Edited by Morrison WB. Baltimore: Williams & Wilkins; 1998:591-598.
  文献评价指标  
  下载次数:1次 浏览次数:20次