1. Circulating melanin-containing cells and neutrophils with phagocytized melanin granules in a horse with disseminated melanoma
- Author
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Sharleen Lopez, Caitlin Rothacker, Morgan H Matthews, Caroline A. McKinney, Francisco O. Conrado, Nicholas Iapoce, and Mainity Batista-Linhares
- Subjects
Male ,030213 general clinical medicine ,Pathology ,medicine.medical_specialty ,Skin Neoplasms ,Medullary cavity ,040301 veterinary sciences ,Neutrophils ,Tracheobronchial lymph nodes ,Peritonitis ,Spleen ,Abdominal cavity ,0403 veterinary science ,Melanin ,03 medical and health sciences ,0302 clinical medicine ,Medicine ,Animals ,Horses ,Melanoma ,Melanins ,General Veterinary ,business.industry ,04 agricultural and veterinary sciences ,medicine.disease ,Neutrophilia ,medicine.anatomical_structure ,Horse Diseases ,Lymph Nodes ,medicine.symptom ,business - Abstract
An 18-year-old, grey, Thoroughbred Cross gelding was referred to the Cummings School of Veterinary Medicine at Tufts University following a 3-week history of low-grade fever of unknown origin, distal limb swelling, and weight loss. Clinical examination identified a few black, round, smooth nodules along the ventral aspect of the proximal tail. Transabdominal ultrasound showed a markedly enlarged heterogenous spleen, hyperechoic liver nodules, and evidence of peritonitis with fibrin deposition. A mature neutrophilia was noted on complete blood count with variable numbers of phagocytized granules within neutrophils. The granules did not stain with Perl's Prussian blue, and were intensely positive when stained with Fontana-Mason, consistent with melanin. On necropsy, the spleen occupied approximately one-third of the abdominal cavity and was diffusely firm with abundant black pigment on cut section. The medullary space of the 18th thoracic vertebra was also diffusely blackened. The splenic, mediastinal, and tracheobronchial lymph nodes were five times the normal size and diffusely pigmented. The final anatomic diagnosis was disseminated malignant melanoma with extensive splenic involvement and hemolymphatic and vascular neoplastic dissemination. To the authors' knowledge, this is the first full report to identify circulating neutrophils containing phagocytized melanin granules, which confirmed an antemortem diagnosis of disseminated melanoma.
- Published
- 2019