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| + | ==Classification== |
| + | |
| + | *Although metastatic pulmonary tumours are common in the lung, primary pulmonary tumours are relatively rare in domestic animals (cf. humans) |
| + | *However, primary tumours are more common in dogs and cats than in other animals |
| + | |
| + | *Classification of pulmonary tumours can be difficult due to the [[General Pathology - Disorders of Cell Growth#Metaplasia|metaplasia]] which can occur in both inflammation and in neoplasia |
| + | **Bronchial papilloma |
| + | **Bronchial adenoma/ carcinoma (arising from major airways) |
| + | **Bronchioloalveolar adenoma/ carcinoma (arising from small airways or alveolar parenchyma - either secretory bronchiolar cells or type II epithelial cells) |
| + | **Carcinoid: in humans, these tumours arise from neuroendocrine cells - rare in animals |
| + | |
| + | |
| + | ==Primary tumours== |
| + | [[Image:Pulmonary carcinoma.jpg|right|thumb|100px|<small><center>Pulmonary carcinoma and emphysema (Image sourced from Bristol Biomed Image Archive with permission)</center></small>]] |
| + | [[Image:Adenomatosis of lung.jpg|right|thumb|100px|<small><center>Adenomatosis (Image sourced from Bristol Biomed Image Archive with permission)</center></small>]] |
| + | [[Image:Alveolar cell carcinoma.jpg|right|thumb|100px|<small><center>Alveolar cell carcinoma (Image sourced from Bristol Biomed Image Archive with permission)</center></small>]] |
| + | |
| + | *Most arise from pulmonary epithelium |
| + | *Usually middle aged to old dogs and cats |
| + | |
| + | |
| + | ===Bronchogenic carcinoma=== |
| + | |
| + | * In dogs usually invasive bronchogenic carcinomas mostly arising from hilar region an metastasise via the airways to other parts of the lungs |
| + | *Types: |
| + | **Squamous cell - large cells with vesicular nuclei |
| + | **Adenocarcinoma - invasive and destructive, least malignant |
| + | **Adenosquamous carcinoma - both squamous and glandular part in one tumour, common, similar to metastatic |
| + | **Undifferentiated - very rare in animals |
| + | *Large, irregular, pale, not well defined border |
| + | *Spread through pulmonary lymphatics |
| + | |
| + | |
| + | ===Bronchioloalveolar tumours=== |
| + | |
| + | *Most common in dogs |
| + | *Arise from either secretory bronchiolar or alveolar type II epithelial cells, often both types in same tumour |
| + | *May be an incidental necropsy finding |
| + | *Often occur as solitary nodules at the periphery of the lung, occasionally multiple |
| + | *Histologically: |
| + | **Regular alveolar pattern |
| + | *May resemble chronic inflammation or rapid metastatic spread of tumour from a primary elsewhere in the body |
| + | |
| + | |
| + | ===Sheep pulmonary adenomatosis (SPA/ Jaagsiekte)=== |
| + | |
| + | *Also called '''pulmonary carcinomatosis''' |
| + | *Infectious [[Bronchi and Bronchioles Inflammatory - Pathology#Infectious causes of bronchitis or bronchiolitis|bronchiolar]]-[[Lungs - inflammatory#Infectious causes of pneumonia|alveolar]] carcinoma caused by a [[Retroviridae|retrovirus]] |
| + | *Commonest under intensive management systems which favour aerosol transmission and close contact of disease |
| + | *Behaves like chronic pneumonia |
| + | *Takes months to years to express itself clinically as coughing and exercise intolerance |
| + | *Gross pathology: |
| + | **Heavy lungs which fail to collapse |
| + | **The lesions progress from small firm grey/white nodular lesions to extensive confluent areas with replacement by neoplastic tissue |
| + | **Cut surface oozes fluid |
| + | **There is often coexistent infection present |
| + | **Occasional metastases to bronchial and mediastinal lymph nodes can occur |
| + | *Histopathology: |
| + | **Widespread proliferation of alveolar (Type 2) and terminal bronchiolar epithelium, lining the alveoli and lower airways |
| + | **Multiple neoplastic foci of cuboidal/columnar cells forming papillary projections into the lumen |
| + | **Metastases of the same in the bronchial and mediastinal lymph nodes |
| + | *There is no serological test, and diagnosis depends upon raising the animal by the hind limbs whereupon a clear fluid issues from the nose = "Wheelbarrow test" |
| + | |
| + | |
| + | ===Carcinoids=== |
| + | |
| + | *Occasionally occur in animals, mainly in humans |
| + | *Originate from neuroendocrine components of major airways |
| + | *Microscopically: |
| + | **Large number of small secretory granules |
| + | |
| + | |
| + | ===Granular cell tumours=== |
| + | |
| + | *Also called '''myoblastomas''' |
| + | *Mesenchymal origin |
| + | *Occurs in [[Hindgut Fermenters - Horse - Anatomy & Physiology|horses]] |
| + | *Grossly: |
| + | **Multiple discrete of partially confluent nodules |
| + | **Tend to be associated with major bronchi |
| + | **May cause obstruction |
| + | *Histologically: |
| + | **Large polyhedral cells aggregation |
| + | **Fibrovascular stroma |
| + | |
| + | ===Lymphomatoid granulomatosis=== |
| + | |
| + | *Occurs in dogs |
| + | *Histologically: |
| + | **Mixed, atypical lymphoreticular cells infiltrating one or more lung lobes |
| + | **Tend to invade blood vessel walls and airways |
| + | **Fibrous stroma |
| + | **Many mitotic figures |
| + | |
| + | |
| + | ==Metastatic tumours== |
| + | [[Image:Lung carcinoma.jpg|right|thumb|100px|<small><center>Lung carcinoma in a dog (Image sourced from Bristol Biomed Image Archive with permission)</center></small>]] |
| + | [[Image:Metastatic fibrosarcoma.jpg|right|thumb|100px|<small><center>Metastatic fibrosarcoma in canine lung (Image sourced from Bristol Biomed Image Archive with permission)</center></small>]] |
| + | [[Image:Metastatic sweat gland carcinoma.jpg|right|thumb|100px|<small><center>Metastatic sweat gland carcinoma in feline lung (Image sourced from Bristol Biomed Image Archive with permission)</center></small>]] |
| + | |
| + | *All are malignant by definition |
| + | *Relatively common in domestic species |
| + | *Examples of common metastatic tumours include : |
| + | **Mammary carcinoma (dog and cat) |
| + | **Haemangiosarcomas |
| + | **[[Bones - hyperplastic and neoplastic#Osteosarcoma (OSA)|Osteosarcomas]] |
| + | **Uterine adenocarcinoma (cattle) |
| + | **Malignant melanoma (horse) |
| + | *Often manifest as multiple nodules scattered throughout the parenchyma - these lesions are often referred to as "cannon-ball" metastases, in all lung lobes |
| + | *Histological examination usually shows the metastases to resemble the primary tumour however they may be either better or less well differentiated |
| + | *Sometimes the metastasis can be sen only microscopically, grossly the lungs are discoloured and more firm than usual |
| + | *Disseminate widely through lymphatics |
| + | |
| + | |
| + | *'''In horses''' |
| + | **cranial mediastinal lymphosarcoma |
| + | **pulmonary granular cell tumour |
| + | **malignant melanoma |
| + | **haemangiosarcoma |
| + | **metastatic adenocarcinoma |
| + | **metastatic carcinoma |
| + | |
| + | |
| + | |
| + | |
| + | |
| + | |
| + | <big>A space occupying lesion in the canine lung may produce periosteal thickening of the long bone - [[Bones - hyperplastic and neoplastic#Hypertrophic osteopathy|'''Hypertrophic Osteopathy''']]</big> |