Vertebral Osteosarcoma in Two Cats—Diagnosis, Treatment, and Outcome

In this case report, we describe the diagnosis, treatment, and outcome of two feline cases of vertebral osteosarcoma. Case 1: A 6-year-old female neutered domestic longhaired cat was presented with progressive paraparesis, ataxia, and spinal hyperesthesia. MRI of the thoracolumbar spinal cord and ve...

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Main Authors: Koen Maurits Santifort, Martijn Beukers, Arno Roos, Benjamin van Rijswoud, Nadine Meertens, Klaas Peperkamp, Ron Ben-Amotz, Niklas Bergknut
Format: Article
Language:English
Published: MDPI AG 2023-11-01
Series:Animals
Subjects:
Online Access:https://www.mdpi.com/2076-2615/13/22/3478
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author Koen Maurits Santifort
Martijn Beukers
Arno Roos
Benjamin van Rijswoud
Nadine Meertens
Klaas Peperkamp
Ron Ben-Amotz
Niklas Bergknut
author_facet Koen Maurits Santifort
Martijn Beukers
Arno Roos
Benjamin van Rijswoud
Nadine Meertens
Klaas Peperkamp
Ron Ben-Amotz
Niklas Bergknut
author_sort Koen Maurits Santifort
collection DOAJ
description In this case report, we describe the diagnosis, treatment, and outcome of two feline cases of vertebral osteosarcoma. Case 1: A 6-year-old female neutered domestic longhaired cat was presented with progressive paraparesis, ataxia, and spinal hyperesthesia. MRI of the thoracolumbar spinal cord and vertebral column revealed a strongly contrast-enhancing mass lesion originating from the dorsal lamina and spinous process of T13. The lesion caused extradural compression of the spinal cord. Surgical debulking was performed, and the histopathological evaluation of surgical biopsies was consistent with vertebral osteosarcoma. The cat was paraplegic with intact nociception post-surgery. Subsequently, the cat recovered ambulation while remaining mildly ataxic and paraparetic at long-term follow-up. Post-operative chemotherapy was started with doxorubicin. CT scans at 2, 4, 9, 13, and 20 months post-surgery showed no signs of local recurrence or metastasis. Case 2: A 15.5-year-old male neutered domestic shorthaired cat was presented with progressive paraparesis, tail paresis, and spinal hyperesthesia. Radiographs and CT scan of the lumbar vertebral column showed a large mass originating from the dorsal lamina and spinous process of L6, suggestive of neoplasia, with severe compression of the spinal cord. Surgical debulking was performed, and the histopathological evaluation was consistent with vertebral osteosarcoma. Post-operative chemotherapy was started with doxorubicin. Seven months post-surgery, the patient was neurologically normal with no signs of metastatic disease. This case report highlights the possibility of good outcomes after the surgical treatment of feline vertebral osteosarcoma supplemented with post-surgical chemotherapy.
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spelling doaj.art-7b4d15577d754849b9eb8f94b63b84a92023-11-24T14:24:40ZengMDPI AGAnimals2076-26152023-11-011322347810.3390/ani13223478Vertebral Osteosarcoma in Two Cats—Diagnosis, Treatment, and OutcomeKoen Maurits Santifort0Martijn Beukers1Arno Roos2Benjamin van Rijswoud3Nadine Meertens4Klaas Peperkamp5Ron Ben-Amotz6Niklas Bergknut7IVC Evidensia Small Animal Referral Hospital Arnhem, 6825 MB Arnhem, The NetherlandsIVC Evidensia Small Animal Referral Hospital Hart van Brabant, 5144 AM Waalwijk, The NetherlandsIVC Evidensia Small Animal Referral Hospital Nieuwegein, 3433 NP Nieuwegein, The NetherlandsIVC Evidensia Small Animal Referral Hospital Arnhem, 6825 MB Arnhem, The NetherlandsDepartment of Pathology, Royal GD, 7418 EZ Deventer, The NetherlandsDepartment of Pathology, Royal GD, 7418 EZ Deventer, The NetherlandsIVC Evidensia Small Animal Referral Hospital Hart van Brabant, 5144 AM Waalwijk, The NetherlandsIVC Evidensia Small Animal Referral Hospital Hart van Brabant, 5144 AM Waalwijk, The NetherlandsIn this case report, we describe the diagnosis, treatment, and outcome of two feline cases of vertebral osteosarcoma. Case 1: A 6-year-old female neutered domestic longhaired cat was presented with progressive paraparesis, ataxia, and spinal hyperesthesia. MRI of the thoracolumbar spinal cord and vertebral column revealed a strongly contrast-enhancing mass lesion originating from the dorsal lamina and spinous process of T13. The lesion caused extradural compression of the spinal cord. Surgical debulking was performed, and the histopathological evaluation of surgical biopsies was consistent with vertebral osteosarcoma. The cat was paraplegic with intact nociception post-surgery. Subsequently, the cat recovered ambulation while remaining mildly ataxic and paraparetic at long-term follow-up. Post-operative chemotherapy was started with doxorubicin. CT scans at 2, 4, 9, 13, and 20 months post-surgery showed no signs of local recurrence or metastasis. Case 2: A 15.5-year-old male neutered domestic shorthaired cat was presented with progressive paraparesis, tail paresis, and spinal hyperesthesia. Radiographs and CT scan of the lumbar vertebral column showed a large mass originating from the dorsal lamina and spinous process of L6, suggestive of neoplasia, with severe compression of the spinal cord. Surgical debulking was performed, and the histopathological evaluation was consistent with vertebral osteosarcoma. Post-operative chemotherapy was started with doxorubicin. Seven months post-surgery, the patient was neurologically normal with no signs of metastatic disease. This case report highlights the possibility of good outcomes after the surgical treatment of feline vertebral osteosarcoma supplemented with post-surgical chemotherapy.https://www.mdpi.com/2076-2615/13/22/3478osteosarcomafelineoutcometreatmentchemotherapysurgery
spellingShingle Koen Maurits Santifort
Martijn Beukers
Arno Roos
Benjamin van Rijswoud
Nadine Meertens
Klaas Peperkamp
Ron Ben-Amotz
Niklas Bergknut
Vertebral Osteosarcoma in Two Cats—Diagnosis, Treatment, and Outcome
Animals
osteosarcoma
feline
outcome
treatment
chemotherapy
surgery
title Vertebral Osteosarcoma in Two Cats—Diagnosis, Treatment, and Outcome
title_full Vertebral Osteosarcoma in Two Cats—Diagnosis, Treatment, and Outcome
title_fullStr Vertebral Osteosarcoma in Two Cats—Diagnosis, Treatment, and Outcome
title_full_unstemmed Vertebral Osteosarcoma in Two Cats—Diagnosis, Treatment, and Outcome
title_short Vertebral Osteosarcoma in Two Cats—Diagnosis, Treatment, and Outcome
title_sort vertebral osteosarcoma in two cats diagnosis treatment and outcome
topic osteosarcoma
feline
outcome
treatment
chemotherapy
surgery
url https://www.mdpi.com/2076-2615/13/22/3478
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AT martijnbeukers vertebralosteosarcomaintwocatsdiagnosistreatmentandoutcome
AT arnoroos vertebralosteosarcomaintwocatsdiagnosistreatmentandoutcome
AT benjaminvanrijswoud vertebralosteosarcomaintwocatsdiagnosistreatmentandoutcome
AT nadinemeertens vertebralosteosarcomaintwocatsdiagnosistreatmentandoutcome
AT klaaspeperkamp vertebralosteosarcomaintwocatsdiagnosistreatmentandoutcome
AT ronbenamotz vertebralosteosarcomaintwocatsdiagnosistreatmentandoutcome
AT niklasbergknut vertebralosteosarcomaintwocatsdiagnosistreatmentandoutcome