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Year : 2021, Volume : 45, Issue : 4
First page : ( 336) Last page : ( 337)
Print ISSN : 0250-4758. Online ISSN : 0973-970X. Published online : 2021  29.
Article DOI : 10.5958/0973-970X.2021.00060.2

A cystic trichoepithelioma in a dog - A case report

Shilpa V.T.1*, Girish B.C.1, Manjunatha D.R.2, Ravikumar P.1

1Department of Veterinary Pathology, Veterinary College, Hassan-573202.

2Department of Veterinary Clinical Complex, Veterinary College, Hassan-573202.

Address for Correspondence Dr V.T. Shilpa, Department of Veterinary Pathology, Veterinary College, Vidyanagar Post, Hassan-573202, Karnataka, India, E-mail: drshilpavt@gmail.com

Received:  02  ,  2021; Accepted:  24  November,  2021.

Abstract

Trichoepithelioma is a benign, well demarcated subcutaneous tumor that originates from hair follicle matrix or inner root sheet. A 4 year-old female Golden Retriever was presented to Department of Veterinary Clinical Complex, Veterinary College, Hassan with a history of growing mass on the left lateral digit of right forelimb. On physical examination, the mass was found to be soft in consistency and radiography revealed soft tissue swelling at 5th digit involving all the 3 phalanges. The mass was surgically excised and representativetissue samples from the mass were collected and processed by routine paraffin embedding technique, sectioned at approximately five micron thickness and stained with routine Haematoxylin and Eosin method. Histo-pathological examination of the mass showed several cysts of variable size with trichogenetic differentiation. Cysts wall were lined by thickened basal lamina cells having palisade arrangement of cells near the periphery along with shadow cells in the cystic lumen. Trichoepithelioma is considered as significant because of its histological similarities to basal cell carcinoma, and although benign, there is a rare risk of malignant transformation. The present communication describes pathological findings in a case of cystic trichoepithelioma involvingthe let lateral digit of right forelimb in a female dog.

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Keywords

Basal cell carcinoma, Cysts, Dog, Trichoepithelioma.

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Trichoepithelioma is a rare cutaneous tumor that originates from hair follicle matrix or inner root sheet. It is a benign, well demarcated subcutaneous tumor composed of multiple horn cysts1. The occurrence of the tumour is documented in dogs although its clinical features are not well described. It is generally suspected grossly on the basis of ulcerative and large plaque-like appearance with rough edges2. Though it is regarded as a benign tumor, it grows rapidly in the dermis and subcutaneous tissue and can also metastasise into regional lymph nodes and lungs. The affected skin appears “glassy” complicated often with ulcers. Its predilection sites are the dorsal trunk and the neck, thoracic region and tail1. In the current investigation, pathology of anencapsulatedtumor mass located in the let lateral digit of right forelimb diagnosed as trichoepithelioma is described.

A four year old female Golden Retriever was presented to Department of Veterinary Clinical Complex, Veterinary College, Hassan with a history of growing mass on the let lateral digit of right forelimb. On physical examination, the mass was found to be soft in consistency. On radiography, by AP (Anterioposterior) and ML (mediolateral) view, it revealed soft tissue swelling at 5th digit involving all the 3 phalanges. The periosteal reaction was noticed in 1st to 3rd phalanx of 5th digit. The mass was surgically excised and representative tissue samplesfrom the mass were collected and fixed in 10% NBF (Neutral Buffered formalin) for histopathological examination. The sample was processed by routine paraffin embedding technique, sectioned at approximately five micron thickness and stained with routine Haematoxylin and Eosin method3.

In the present case, an encapsulated tumor mass located in let lateral digit of right forelimb was recorded in a 4- year- old female Golden Retriever. This tumour is considered to be an infrequent one among general dog population and known to occur between 1 and 15 years of age. Its predilection sites are the dorsal trunk and the neck, thoracic region and tail1. In dogs, most affected are the animals of late middle age. Although there is no defined sex predilection, a breed predisposition exists in Basset Hounds, Bull Mastiffs, Irish Setters, Poodles, English Spaniels, and Golden Retrievers with male/female showing higher susceptibility4.

The mass weighed 115gram and with highest diameter of 6 cm and was located within the dermis deeply extending into the subcutaneous tissue mass.(Fig 1) The cut surface was hard with multiple greyish white foci.

On histopathological examination, the mass showed several cysts of variable size with trichogenetic differentiation. Cysts wall were lined by thickened basal lamina cells. The cells were arranged in a palisade arrangement near the periphery along with shadow cells in the cystic lumen5 (Fig 2). Few areas of necrosis and inflammation were also observed.

Trichoepithelioma is histologically similar to basal cell carcinoma, and although benign, there is a risk of malignant transformation. Many different methods have been proposed for trichoepithelioma management, low incidence and lack of enough evidences make it a controversial domain in human medicine. Surgical excision is considered as the treatment of choice1,5. Metastasis is not common, possible sites are the regional lymph nodes and the lungs.

In the present case, follow up was taken upto six months post-surgery and there was no history of any recurrence.

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Figures

Fig. 1.:

The encapsulated tumor mass located in left lateral digit of right forelimb




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Fig. 2.:

Section showing cyst wall lined by thickened basal lamina cells with palisade arrangements at the periphery. H&E x10.



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References

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