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| − | {{toplink
| + | ==Classification== |
| − | |backcolour = D1EEEE | + | |
| − | |linkpage =Cardiorespiratory System - Pathology | + | *Although metastatic pulmonary tumours are common in the lung, primary pulmonary tumours are relatively rare in domestic animals (cf. humans) |
| − | |linktext =Cardiorespiratory System | + | *However, primary tumours are more common in dogs and cats than in other animals |
| − | |maplink = Cardiorespiratory System (Content Map) - Pathology | + | |
| − | |pagetype =Pathology | + | *Classification of pulmonary tumours can be difficult due to the [[Cell Growth Disorders#Metaplasia|metaplasia]] which can occur in both inflammation and in neoplasia |
| − | |sublink1=Lungs - Pathology | + | **Bronchial papilloma |
| − | |subtext1=LUNGS
| + | **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) |
| − | <br>
| + | **Carcinoid: in humans, these tumours arise from neuroendocrine cells - rare in animals |
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| | + | ==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>]] |
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| | + | *Most arise from pulmonary epithelium |
| | + | *Usually middle aged to old dogs and cats |
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| | + | ===Bronchogenic carcinoma=== |
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| | + | * 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 |
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| | + | ===Bronchioloalveolar tumours=== |
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| | + | *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 |
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| | + | ===[[Sheep Pulmonary Adenomatosis]] (SPA/ Jaagsiekte)=== |
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| | + | ===Carcinoids=== |
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| | + | *Occasionally occur in animals, mainly in humans |
| | + | *Originate from neuroendocrine components of major airways |
| | + | *Microscopically: |
| | + | **Large number of small secretory granules |
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| | + | ===Granular cell tumours=== |
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| | + | *Also called '''myoblastomas''' |
| | + | *Mesenchymal origin |
| | + | *Occurs in [[Alimentary System - Horse Anatomy|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 |
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| | + | ===Lymphomatoid granulomatosis=== |
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| | + | *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 |
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| | + | ==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>]] |
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| | + | *All are malignant by definition |
| | + | *Relatively common in domestic species |
| | + | *Examples of common metastatic tumours include : |
| | + | **Mammary carcinoma (dog and cat) |
| | + | **Haemangiosarcomas |
| | + | **[[Osteosarcoma|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 |
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| | + | *'''In horses''' |
| | + | **cranial mediastinal [[lymphosarcoma]] |
| | + | **pulmonary granular cell tumour |
| | + | **malignant melanoma |
| | + | **haemangiosarcoma |
| | + | **metastatic adenocarcinoma |
| | + | **metastatic carcinoma |
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| | + | <big>A space occupying lesion in the canine lung may produce periosteal thickening of the long bone - [[Hypertrophic Osteopathy|'''Hypertrophic Osteopathy''']]</big> |
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| | + | ==Test yourself with the Lungs Pathology Flashcards== |
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| | + | [[Lungs_Flashcards_-_Pathology|Lungs Pathology Flashcards]] |
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| | + | [[Category:Lungs - Pathology]] |
| | + | [[Category:Respiratory System - Hyperplastic/Neoplastic Pathology]] |