Clinical, morphological and immunophenotypic characteristics of carcinoma in a mixed tumor in a male dog
Keywords:
Breast neoplasia, histology, immunohistochemistryAbstract
Mammary neoplasms in male dogs are considered rare due to their low incidence. A 9-year-old uncastrated
Rottweiler, presenting a well-defined and firm enlargement on palpation in the right thoracic mamary gland, was
treated in Fortaleza. After carrying out blood counts (true microcytic, hypochromic anemia and thrombocytosis),
cytology (PAF) suggestive of mastitis and deep skin scrapings suggestive of moderate fungal infection, oral and
topical treatment was performed, which did not provide any improvement, leading to surgical removal of the
nodule (T1: <3cm), histopathology revealed that it was a well-defined mixed tumor carcinoma (MTC) with free
margins. Immunohistochemistry (IHC) yielded the following results: Ki-67 20%; RP >75%; RE 51-75%; COX-2
score 3 (<10% strong intensity marking); HER-2 score 2 (>10% moderate and incomplete membrane staining),
configuring a Luminal B HER-2 negative molecular classification tumor. The tumor characteristics (T1/ MTC/
RP+/ RE+/ COX-2 low) indicate less aggressive biological behavior. Although mammary neoplasms are rare,
they should always be the differential diagnoses in male dogs that present enlargement in the mamary gland,
carrying out a complete clinicopathological investigation covering IHC whenever possible, to increase our
understanding of the biological behavior of these tumors.
References
BERGMAN, P.J. Paraneoplastic syndromes. In: WITHROW, S.J.; VAIL, D.M. Small animal clinical oncology. 4. ed., Philadelphia: Saunders Elsevier, 2007. p.77-89.
BERTAGNOLLI, A.C.; NUNES; F.C.; SUEIRO, F.A.R.; NAKAGAKI, K.Y.R.; CASSALI, G. D. Aspectos Epidemiológicos das Neoplasias Mamárias em Cadelas e Gatas. In: CASSALI, G.D.; NAKAGAKI, K.Y.R. Patologia Mamária Canina e Felina do Diagnóstico ao Tratamento. 2. ed., São Paulo: MedVet, 2023. p.43-61.
CANADAS, A.; FRANÇA, M.; PEREIRA, C.; VILAÇA, R.; VILHENA, H.; TINOCO, F.; SANTOS, M. Canine Mammary Tumors: Comparison of Classification and Grading Methods. Veterinary and Comparative Oncology, v.4, n.17, p.489-496, 2019.
CASSALI, G.D.; JARK, P.C.; GAMBA, C.; DAMASCENO, K.A.; LIMA, A.E.; NARDI, A.B.; FERREIRA, E.; HORTA, R.S.; FIRMO, B.F.; SUEIRO, F.A.R.; RODRIGUES, L.C.S.; NAKAGAKI, K.Y.R. Consensus Regarding the Diagnosis, Prognosisand Treatment of Canine and Feline Mammary Tumors. Brazilian Journal of Veterinary Pathology, v.13, n.3, p.555- 574, 2020.
CASSALI, G.D.; FERREIRA, E.; GARCIA, A.P.V.; NAKAGAKI, K.Y.R. Marcadores Prognósticos e Preditivos no Câncer de Mama. In: CASSALI, G.D.; NAKAGAKI, K.Y.R. Patologia Mamária Canina e Felina do Diagnóstico ao Tratamento. 2. ed., São Paulo: MedVet, 2023. p.301-315.
CHUN, R. Paraneoplastic Syndromes. In: HENRY, C.J.; HIGGINBOTHAM, M.L. Cancer management in small animal pratice. 1. ed., Maryland Heights: Elsevier, 2010. p.94-100.
CIRILLO, J.V. Tratamento quimioterápico das neoplasias mamarias em cadelas e gatas. Revista do Instituto de Ciências da Saúde. v.26, n.3, p.325-327, 2008.
DUTRA, A. P.; AZEVEDO JÚNIOR, G. M.; SCHMITT, F. C.; CASSALI, G. D. Assessment of cell proliferation and prognostic factors in canine mammary gland tumors. Brazilian ournal of Veterinary and Animal Sciences, v.60, n.6, p.1403-1412, 2008.
ESTRALIOTO, B.L.C.T.; DE CONTI, J.B. Câncer de mama em cadelas – atualidades do diagnóstico e prognóstico ao tratamento cirúrgico. Enciclopédia Biosfera, v.16, n.29, p.444- 463, 2019.
ESTRELA-LIMA, A.; RIBEIRO; L.G.R.; CASSALI, G.D. Apresentações Clínico-patológicas de Carcinomas Mamários. In: CASSALI, G.D.; NAKAGAKI, K.Y.R. Patologia Mamária Canina e Felina do Diagnóstico ao Tratamento. 2. ed., São Paulo: MedVet, 2023. p.255-265.
FILHO, J.C.O.; KOMMERS, G.D.; MASUDA, E.K.; MARQUES, B.M.F.P.P.; FIGHERA, R.A.; IRIGOYEN, L.F.; BARROS, C.S.L. Estudo retrospectivo de 1.647 tumores mamários em cães. Pesquisa Veterinária Brasileira, Rio de Janeiro, v.30, n.2, p.177-185, 2010.
HAMMOND, M.E.; HAYES, D.F.; DOWSETT, M.; ALLRED, D.C.; HAGERTY, K.L.; BADVE, S.; FITZGIBBONS, P.L.; FRANCIS, G.; GOLDSTEIN, N.S.; HAYES, M.; HICKS, D.G.; LESTER, S.; LOVE, R.; MANGU, P.B.; MCSHANE, L.; MILLER, K.; OSBORNE, C.K.; PAIK, S.; PERLMUTTER, J.; RHODES, A.; SASANO, H.; SCHWARTZ, J.N.; SWEEP,
F.C.; TAUBE, S.; TORLAKOVIC, E.E.; VALENSTEIN, P.; VIALE, G.; VISSCHER, D.; WHEELER, T.; WILLIAMS, R.B.; WITTLIFF, J.L.; WOLFF, A.C. American Society of Clinical Oncology/College of American Pathologists guideline recommendations for immunohistochemical testing of estrogen and progesterone receptors in breast cancer Journal of Clinical Oncology, v.28, n.16, p.2784-2795, 2010.
HANAHAN, D.; WEINBERG, R.A. The hallmarks of câncer. Cell, v.100, n.1, p.57-70, 2000.
LAVALLE G.E.; BERTAGNOLLI, A.C.; TAVARES, W.L.; CASSALI, G.D. Cox-2 expression in canine mammary carcinomas: correlation with angiogenesis and overall survival. Veterinary Pathology, v.46, n.6, p.1275-1280, 2009.
MANGIERI, J. Síndromes parneoplásicas. In: DALECK, C.R.; DE NARDI, A.B.; RODASKI, S. Oncologia em cães e gatos. 1. ed., São Paulo: Roca, 2009. p.238-249.
NUNES, F.C.; CAMPOS, C.B.; TEIXEIRA, S.V.; BERTAGNOLLI, A.C.; LAVALLE, G.E.; CASSALI, G.D. Epidemiological, clinical and pathological evaluation of overall survival in canines with mammary neoplasms. Arquivo Brasileiro de Medicina Veterinária e Zootecnia, v.70, n.6, p.1714-1722, 2018.
OGILVIE, G.K. Síndromes paraneoplásicas. In: ETTINGER, S.J.; FELDMAN, E.C. Tratado de medicina interna veterinária. 5. ed., Rio de Janeiro: Guanabara Koogan, 2004. v.1, p.529- 537.
PENA, L.; GAMA, A.; GOLDSCHMIDT, M.H.; ABADIE, M.J.; BENAZZI5, C.; CASTAGNARO, M.; DIEZ, L.; GARTNER, F.; HELLMEN, E.; KIUPEL, M.; MILLA, Y.; MILLER, N.M.A.; NGUYEN, F.; POLI, A.; SARLI, G.; ZAPPULLI, V.; LASMULAS, J.M. Canine Mammary Tumors: A Review and Consensus of Standard Guidelines on Epithelial and Myoepithelial Phenotype Markers, HER2, and Hormone Receptor Assessment Using
Immunohistochemistry. Veterinary Pathology, v.51, n.1, p 127-145, 2014.
REZENDE, K.K.; GAMA, A.P.A. Diagnóstico de carcinoma mamário em cão macho: relato de caso. Acta Biomédica Brasiliensia, v.9, n.2, 2018. p.130-133. Disponível em: https://doi.org/10.18571/acbm.180.
RICHARDS, H.G.; MCNEIL, P.E.; THOMPSON, H.; REID, S. W. J. An epidemiological analysis of a canine-biopsies database compiled by a diagnostic histopathology service. Preventive Veterinary Medicine, v.51, p.125–136, 2001.
SAAD, E.S.; MILLEY, K.M.; AL-KHAN, A.A.; NIMMO, J.S.; BACCI, B.; TAYEBIX, M.; DAY, M.J.; RICHARDSON, S.J.; DANKS, J.A. Canine Mixed Mammary Tumour as a Model for Human Breast Cancer with Osseous Metaplasia. Journal of Comparative Pathology, v.156, n.4, p.352-365, 2017.
SILVA, A.C.H.C.; Neoplasias Das Glândulas Mamárias Em Cães. 2007. 153p. (Monografia de Especialização em Medicina Veterinária). Universidade Tuiuti do Paraná, Curitiba, 2007.
SORENMO, K.U.; DEANNA, R.W.; GOLDSMIDT, R.H. Tumors of the mammary gland. In: WITHROW, S.J.; VAIL, D.M. Withrow & MacEwen`s small animal clinical oncology. 5.ed., Philadelphia: Saunders Company, 2013. p.553-571.
VISAN, S.; BALACESCU, O.; BERINDAN-NEAGOE, I.; CATOI, C. In vitro comparative models for canine and human breast cancers. Clujul Medical Journal, v.89, n.1, p.38-49, 2016.
WOLFF, A.C.; HAMMOND, M.E.; HICKS, D.G.; DOWSETT, M.; MCSHANE, L.M.; ALLISON, K.H.; ALLRED, D.C.; BARTLETT, J.M.; BILOUS, M.; FITZGIBBONS, P.; HANNA, W.; JENKINS, R.B.; MANGU, P.B.; PAIK, S.; PEREZ, E.A.; PRESS, M.F.; SPEARS, P.A.; VANCE, G.H.; VIALE, G.; HAYES, D.F. American Society of Clinical
Oncology; College of American Pathologists. Recommendations for human epidermal growth factor receptor 2 testing in breast cancer: American Society of Clinical Oncology/College of American Pathologists clinical practice guideline update. Journal of Clinical Oncology, v1,n.31, p.3997-4013, 2013.

