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neoplasia
neoplasia
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Veterinary Medicine
Professional
10/12/2020

Additional Veterinary Medicine Flashcards

 


 

Cards

Term
What is Cutaneous plasmacytosis?
Definition
Syndrome of multiple cutaneous plasma cell tumors, in the absence of multiple myeloma



Boostrom et al. J Vet Intern Med 2017[image]
Term
True/False Plasma cell tumors are uncommon in dogs
Definition
True Of soft tissue plasma cell tumors, termed extramedullary plasmacytomas, 86% are cutaneous, 9% appear in the oral cavity or lips, and 4% in the rectum or colon.

Boostrom et al. J Vet Intern Med 2017
Term
How is Cutaneous plasmacytosis distinguished from systemic plasmacytosis?
Definition
By the absence of disseminated disease in the bone marrow, liver, spleen, and lymph nodes.

Boostrom et al. J Vet Intern Med 2017
Term
Name the plasma cell- specific immunohistochemical markers (for specific diagnosis): 
Definition
Lambda Ig light chains, MUM1 (plasma cell), thioflavin T.14 and CD79a (pan B cell) markers.


Boostrom et al. J Vet Intern Med 2017
Term
Canine epitheliotrophic lymphoma is typically a tumour of T lymphocytes, what phenotypes are typically expressed?
Definition
CD3 + and CD4-/CD8+ phenotype

Chan et al. Vet Derm 2017
Term
Name treatments for canine ETL
Definition
Linoleic acid, lomustine (CCNU), masitinib, PEGylated l-asparaginase, PEGylated liposomal doxorubicin, retinoids and VDC-1101


Chan et al. Vet Derm 2017
Term
What is a Pautrier’s microabscess?
Definition
Collection of neoplastic lymphocytes around cutaneous dendritic cells

Chan et al. Vet Derm 2017
Term
What immunohistochemical markers are used to confirm dx of melanomas?
Definition

Melan A (picture), S-100 protein, neuron-specific enolase (NSE) and vimentin
Meyrer et al. Vet Derm 2016

[image]

Term
A rare congenital subtype of melanomas is described what species?
Definition

Equines, swine, bovids and humans (recently 1 case in a dog)

Meyrer et al. Vet Derm 2016

[image]

Term
Melanocytic tumours have been identified by selective breeding to be heritable in what species? Name some breeds.
Definition
Miniature swine breeds Sinclair, Hormel, Munich Troll and MeLiM
Meyrer et al. Vet Derm 2016
Term
Melanocytic tumours in haired areas are considered benign and referred to as what?
Definition
Melanocytomas

Meyrer et al. Vet Derm 2016
Term
A common neoplasm derived from Langerhans cells found in young dogs 
Definition
Cutaneous histiocytoma

Faller et al. JSAP 2016 57, 548–552
Term
Histiocytes are ___ stem cell-derived cells, which undergo differentiation into antigen-presenting cells (dendritic cell lineage) or phagocytes (monocyte/macrophage lineages)
Definition
CD34+

Faller et al. JSAP 2016 57, 548–552
Term
Regression of cutaneous histiocytomas is thought to be mediated by?
Definition
CD8+ T-cells

Faller et al. JSAP 2016 57, 548–552
Term
What are the predilection sites for histiocytic sarcoma?
Definition
Lungs, spleen, liver, lymph nodes and bone marrow

Faller et al. JSAP 2016 57, 548–552
Term
True/False Reactive histiocytosis is a non-neoplastic group of diseases
Definition
True They can be subdivided into cutaneous and systemic histiocytosis

Faller et al. JSAP 2016 57, 548–552
Term

What is the marker for Langerhans cells?
Definition
E-cadherin

Faller et al. JSAP 2016 57, 548–552
Term
CD18 is expressed on all _____ 
Definition
All leukocytes

Faller et al. JSAP 2016 57, 548–552
Term
In canine ETL, there are 2 clinical forms of Pagetoid reticulosis: 
Definition
A localized form (Woringer–Kolopp type) and a generalized form (Ketron–Goodman type)

Fontaine et al, Vet Derm 2010, 21, 267–275.
Term
What disease is characterized by cutaneous infiltration of neoplastic lymphocytes showing a variable degree of epitheliotropism that may involve the epidermis and adnexa?
Definition
CETL

Fontaine et al, Vet Derm 2010, 21, 267–275.
Term
Recently, Santoro et al. suggested a possible association between what condition and CETL in dogs. 
Definition
Atopic dermatitis In that study, the odds of developing CETL were 12 times higher in dogs with AD than in dogs without AD
Fontaine et al, Vet Derm 2010, 21, 267–275.
Term
What is the most characteristic lesion, common to all forms of CETL?
Definition
The tropism of neoplastic cells for epithelium


Fontaine et al, Vet Derm 2010, 21, 267–275.[image]
Term
The lymphocytes show cytoplasmic labelling with what T-cellmarker? (CETL)[image]
Definition
CD3
(The use of the pan-T-cell marker CD3 facilitates the analysis of lymphoid infiltration but does not help in the differentiation between neoplastic and reactive cells)


Fontaine et al, Vet Derm 2010, 21, 267–275.
Term
What is SCC in situ (also called Bowenoid carcinoma in situ or Bowen’s disease)?
Definition
Confined to the epidermal and follicular epithelium without invasion of the dermis

Layne et al. JFMS 2016
Term
True/False SCC in situ is UV light-induced
Definition
False SCC in situ is non-UV light-induced

Layne et al. JFMS 2016
Term
What have been reported in association with SCC, specifically Bowenoid carcinoma in situ? 
Definition
FIV and FeLV infections, and recently feline papillomavirus (Felis catus papillomavirus - FcaPV)

Layne et al. JFMS 2016
Term
What am I? Lesions start with erythema and scale, crusted erosions, that progress to severe ulcerations or proliferative plaques and nodules. Affect sparsely haired non-pigmented skin of the pinnae, eyelids and nasal planum in older cats (mean age 12 years).
Definition
SCC - accounts for 10–15% of all skin tumors in cats
Layne et al. JFMS 2016
Term
Where do Mast cell tumors most commonly metastasize to? 
Definition
Regional LN, spleen, and liver


Mutz et al. JAVMA 2017, 251 (4): 421-428
Term
What is the name of the 3 tier MCT grading scheme?
Definition
Patnaik grading scheme

Mutz et al. JAVMA 2017, 251 (4): 421-428
Term
What are the Patnaik grading scheme grades?
Definition
Grade 1 - confined to the dermis and contain well-differentiated mast cells that lack mitotic activity Grade 2 - infiltrate or replace the lower dermal, subcutaneous, or skeletal tissues and contain mast cells that vary moderately in cell or nuclear size or shape (pleomorphic). Mitotic cells are rare. Grade 3 - replace the subcutaneous and deeper tissues and contain highly pleomorphic mast cells. Mitotic cells are common

Mutz et al. JAVMA 2017, 251 (4): 421-428
Term
What is the name of the 2 tier MCT grading scheme?
Definition
Kiupel grading scheme

Mutz et al. JAVMA 2017, 251 (4): 421-428
Term
What are the 2 most prevalent neoplastic lesions induced by ultraviolet irradiation in dogs and cats?
Definition
Cutaneous SCC, and cutaneous hemangiosarcoma
Spugnini et al. J Vet Intern Med 2015
Term
Cutaneous carcinomas originate from epidermal stem cells that have the potential for self-renewal and multi-lineage differentiation; where are these cells located?
Definition
In the hair follicle bulge and the basal layer of the inter- follicular epidermis
Spugnini et al. J Vet Intern Med 2015
Term
Where are Merkel cells found?
Definition
The basal layer of the epidermis and mucosa of vertebrates

Dohata et al. Vet Path 2015, 52(6) 1012-1018
Term
What is the function of Merkel cells?
Definition
Mechanoreceptor of tactile sensation
Dohata et al. Vet Path 2015, 52(6) 1012-1018
Term
Merkel cell carcinoma is a rare cutaneous tumor showing what types of cell differentiation?
Definition
Both epithelial and neuroendocrine
Dohata et al. Vet Path 2015, 52(6) 1012-1018
Term
The immunohistochemical staining patterns of feline Merkel cell carcinoma cells for ?
Definition
CK20, CK18, NSE, synaptophysin, and PGP9.5
Dohata et al. Vet Path 2015, 52(6) 1012-1018
Term
Feline paraneoplastic alopecia (FPA) is a rare condition, which can occur in association with what neoplasias?[image]
Definition
Pancreatic carcinoma, cholangiocarcinoma, hepatocellular carcinoma and metastatic intestinal carcinoma

Caporali et al. Vet Derm 2016; 27: 508–e137
Term
[image]
Definition
Feline neoplastic alopecia Mild epidermal hyperplasia, a few perivascular inflammatory cells (upper centre), miniaturized follicle bulbs (right side) and normal sebaceous glands (left side)
Caporali et al. Vet Derm 2016; 27: 508–e137
Term
[image]
Definition
Feline paraneoplastic alopeciaIntracorneal mites, marked epidermal hyperplasia and spongiosis, miniaturized follicle bulbs and hyperplastic sebaceous glands

Caporali et al. Vet Derm 2016; 27: 508–e137
Term
What are the main histopath findings in feline paraneoplastic alopecia ?
Definition

Atrophy of hair follicles, telogenisation, miniaturisation of the hair bulb and orthokeratotic and parakeratotic hyperkeratosis.


Grandt et al. JFMS 2015, 1(2):

[image]

Term
Canine cutaneous histiocytoma originates from Langerhans cells indicated by expression of what markers?
Definition
CD1a, CD11c/CD18, and E-cadherin
Term
Feline pulmonary Langerhans cell histiocytosis has been recognized as a cause of respiratory failure due to diffuse pulmonary infiltration by histiocytes, which express what?
Definition
CD18 and E-cadherin and contain Birbeck’s granules
Term
Melanomas are tumours derived from what cells? 
Definition
Melanocytes or their precursors, melanoblasts
Term
Which marker is considered sensitive for melanocytic neoplasms but with low specificity?
Definition
S100
Term
True/False Amelanotic melanomas in dogs have a poorer prognosis
Definition
True

Chamel et al. JFMS 2017, 19 (4) 351–357
Term
Where are non-ocular melanomas mainly located in cats? 
Definition
Head, pinnae and in the oral cavity
Chamel et al. JFMS 2017, 19 (4) 351–357
Term
True/False Most feline non-ocular melanomas are malignant
Definition
True

Chamel et al. JFMS 2017, 19 (4) 351–357
Term
What is the recommended treatment for canine melanomas?
Definition
Radiation therapy after surgery

Chamel et al. JFMS 2017, 19 (4) 351–357
Term
What does the Oncept vaccine contain?
Definition
Plasmid DNA-targeting tyrosinase, a glycoprotein essential for melanin synthesis and demonstrated to be overexpressed in melanomas

Verganti et al. Journal of Small Animal Practice 2017, 58, 10–16
Term
Melanoma is the most common malignant tumour of the oral cavity in dogs, where does it metastasise to?
Definition
Regional lymph nodes and lungs (Verganti et al. Journal of Small Animal Practice 2017, 58, 10–16)

Via lymphatics or blood vessels to regional lymph nodes, lungs, liver, brain and kidney (Zuleger et al. Veterinary Medicine and Science 2017, 3, pp. 134–145)
Term
What is the name of the self-antigen, that catalyses the biosynthesis of melanin and is expressed in many human and canine melanomas 
Definition
Tyrosinase
Zuleger et al. Veterinary Medicine and Science 2017, 3, pp. 134–145
Term
How is Felis catus papillomavirus type 2 (FcaPV-2) thought to cause neoplasia?
Definition
By E7 protein-mediated degradation of the retinoblastoma protein. Loss of retinoblastoma protein function within a cell subsequently increases p16 and the increased p16 can be detected by immunohistochemistry

Munday et al. Vet Derm 2016
Term
Most evidence currently suggests that the majority of feline Bowenoid in situ carcinoma are caused by what?
Definition
Felis catus papillomavirus type 2 (FcaPV-2)
Munday et al. Vet Derm 2016
Term
What is the MOA of Toceranib phosphate (Palladia)?
Definition
Blocking the function of several receptors on the surface of tumour cells, as well as on the surface of new blood vessels through inhibition of KIT, vascular endothelial growth factor 2 and plaelet-derived growth factor receptor-2.

Cavalcanti et al. Vet Derm 2017.
Term
What are the adverse effects of toceranib phosphate (Palladia) in canine patients?
Definition
Gastrointestinal upset, bone marrow suppression and liver toxicity
Cavalcanti et al. Vet Derm 2017.
Term
In mammalian melanocytes, what is primarily responsible for transmission of pro-migration signals?
Definition
Activation of the c-Kit

Cavalcanti et al. Vet Derm 2017.
Term
What is one of the most commonly mutated genes described in literature in neoplastic mast cell?
Definition
KIT The encoded protein KIT is a tyrosine kinase receptor, which activates various downstream targets including the signal transducer and activator of transcription 5 (STAT5) and plays a major role in MC growth

Keller et al. Vet Comp Oncol. 2017;1–15.
Term
What stain can definitively diagnose a SCC when the cells look crazy?
Definition
Cytokeratin staining (for CK5/6) will stain all types of SCC.
Term
What color cat is 13x more likely to develop SCC on its head?
Definition
White cats
Term
Which types of dogs are predisposed to subungual SCC (including multiple subungual SCC)?
Definition
Large breed, often black dogs, such as schnauzers, poodles, rotties, labs, gordon setter, scottie
Term
What oncogene mutation has been identified in some dog and cat SCC?
Definition
P53 tumor suppressor gene, with overexpression of p53 protein.
Term
Which topical ointment that works by increasing macrophage expression of IFN alpha and TNF alpha has shown good success in treating Bowen SCC in situ?
Definition
Imiquimod- can have pretty robust local side effects
Term
The expression of which cell marker in canine epitheliotropic lymphoma was associated with a worse prognosis?
Definition
Expression of CD20 (usually a B cell marker) in addition to CD3.

Azuma et al 2021
Term
What class of drug is Palladia?
Definition
It is receptor tyrosine kinase inhibitor
Term
Which chemotherapeutic agent is most likely to cause hair loss in dogs?
Definition
Doxorubicin
Term
What type of hair loss occurs from doxorubicin administration?
Definition
Anagen effluvium- doxo targets anagen matrix cells
Term
How can a chemotherapeutic agent cause telogen effluvium? (most chemo causes anagen effluvium, this seems like a nit-picky difference)
Definition
Most chemotherapy has anti-mitotic action in rapidly dividing cells, like growing anagen hair follicles.
Admin of chemo will cause rapid cessation of anagen hair growth, leading to abrupt synchronization of affected hair follicles through catagen into telogen- then all the telogen hairs fall out in 3-4 weeks.
Term
Why do hairs fall out in anagen effluvium from chemotherapy?
Definition
The apoptosis of the anagen matrix cells leads to an abrupt narrowing of the hair follicle and fragility of the hair, which is broken and shed when it reaches the surface of the skin.
Term
What primary type of cell do regressing canine cutaneous histiocytomas express?
Definition
-Prominent lymphocyte (CD8+ T cells) infiltrates begin at the base of the tumor and are seen at power on histopath (over time, these lymphocytes will extend to infiltrate the entire mass)
Term
How do you differentiate canine cutaneous histiocytoma vs. epitheliotropic lymphoma?
Definition

-When epitheliotropism is present, need to rule out epitheliotropic lymphoma

-IHC needed to differentiate 

-E cadherin and CD18 used to identify histiocytoma

-CD3 used to identify T cell lymphoma

Term
What is sezary syndrome in CETL?
Definition
  • Simultaneous skin lesions and tumor cells in peripheral blood
Term
What is the most common form of cutaneous lymphoma in cats?
Definition
  • Non-epitheliotropic T cell lymphoma
  • Middle aged to older cats
  • No sex predilection
  • No breed predilection
  • Retroviral etiology?
    • FELV positive in some cats
Term
Cutaneous CEL in cats
Definition
  • "classic" MF: most common
  • tumor stage less prevalent
  • pagetoid reticulosis: not as prevalent
  • IHC: CD3+, CD4+
  • CD4-, CD8-
Term
Mast cell tumors in cats
Definition
  • Mast cell tumors in cats are rare
  • Etiology associated with FIV and multiple mast cell tumors
  • Majority are benign with local recurrence
  • Occasionally aggressive
  • Mastocytosis---> systemic involvement
  • Urticaria pigmentosa- papular mastocytosis
    • Cat: Sphinx
Term
Are melanocytic tumors in domestic animals affected by UV light?
Definition
  • No association with UV light exposure!
Term
Melanomas in dogs- location is important for malignancy. What sites are most malignant?
Definition
  • Oral: malignant
  • Lip: +/- aggressive
  • Nail bed (black dogs): malignant---> metastasis to LN---> lungs---> other organs
Term
Do melanomas occur in cats?
Definition
  • Rare
Term
Where do Melanocytomas occur in dogs?
Definition
  • Trunk
  • Proximal legs
Term
Best diagnosis of Inverted papilloma
Definition
  • Immunohistochemistry---> Intranuclear inclusion bodies
  • PCR!! False positive results!
  • Transition to invasive SCC is rare (SCID dogs)
Term
TH1 response
Definition
  • Prolonged chronic antigen challenge
  • IL-12, IFN-γ, CCL3, CL4, CCL5, TLR-APC
  • Increase IL-12
  • Interaction with B cells results in antibody production
  • DTH
  • Macrophage activity increased
Term
TH2 response
Definition
  • Mast cells, IL-4, IL-6 (absence of IL-12 and IFN-γ)
  • Interaction with B cells (CD40-40L): isotype switching
Term
TReg response
Definition
  • TGF-B, (IL-6)
  • FoxP3
  • Binding of APC- inhibits further binding of Th cells
  • Express CCR7 to migrate to LN
Term
TH17 response
Definition
  • IL-6
  • Express ROR-γt
  • Release IL-17: increase IL-6, CXCL8, CXCL2, CSF
  • Efficient amplifier of inflammation
Term
What receptor pathway has been shown to be involved in some canine mast cell tumours?
Definition
  • c-kit
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