Journal of Small Animal Practice • Vol 54 • September 2013 • © 2013 British Small Animal Veterinary Association 495
CASE REPORT
Journal of Small Animal Practice (2013) 54, 495–498
DOI: 10.1111/jsap.12076
Accepted: 21 March 2013; Published online: 6 May 2013
Successful transendoscopic oesophageal
mass ablation in two dogs
with Spirocerca lupi associated
oesophageal sarcoma
E. Yas*, G. Kelmer†, A. Shipov‡, J. Ben-Oz* and G. Segev*
*Department of Small Animal Internal Medicine, Koret School of Veterinary Medicine, The Hebrew University of Jerusalem, Israel
†Department of Large Animal Medicine and Surgery, Koret School of Veterinary Medicine, The Hebrew University of Jerusalem, Israel
‡Department of Small Animal Surgery, Koret School of Veterinary Medicine, The Hebrew University of Jerusalem, Israel
This report describes two cases of oesophageal tumours managed by transendoscopic
neodymium:yttrium-aluminum-garnet laser ablation and polypectomy snare electrocautery. In each
dog oesophagoscopy revealed caudal oesophageal masses, suspected to be Spirocerca lupi-induced
oesophageal neoplasia. To resect the masses, transendoscopic neodymium:yttrium-aluminum-garnet
laser ablation was used in the first case and polypectomy snare electrocautery in the second.
Recovery was uneventful. Histopathology was consistent with oesophageal fibrosarcoma and osteosar-
coma in each case, respectively. Follow-up oesophagoscopy revealed apparently healthy oesophageal
tissue except for focal scar tissue in the first case. Transendoscopic laser ablation and polypectomy
snare electrocautery is a potential non-invasive, cost effective alternative for surgical oesophageal
mass resection.
INTRODUCTION
Spirocerca lupi is a nematode of canidae, most commonly found
in tropical and subtropical areas (Mazaki-Tovi et al. 2002). After
larva migration through the gastric arteries and the aorta, the
adult worm matures in the caudal oesophageal wall, where it
promotes formation of a typical granulomatous nodule with a
nipple-like orifice. Malignant transformation to various types of
sarcomas has been reported (Ranen et al. 2004, Van der Merwe
et al. 2008), and consequently the prevalence of oesophageal
tumours increases in endemic areas. To date, resection and
anastomosis or partial oesophagectomy are the only treatment
options (Ranen et al. 2004). Such treatment options are invasive,
cost prohibitive, associated with postoperative complications,
prolonged hospitalization and painful recovery.
A novel approach of transendoscopic laser ablation or polyp-
ectomy snare electrocautery of oesophageal tumours is presented
in this report.
CASE HISTORIES
Case 1
A 14-year-old, female spayed, mixed breed dog, weighing 25 kg,
was presented to the Hebrew University Veterinary Teaching
Hospital (HUVTH) with the primary complaints of anorexia
and lethargy over the previous 2 days. Physical examination
revealed fever (40·8°C), and a large palpable abdominal mass.
Haematology and serum biochemistry revealed anaemia [haema-
tocrit (Hct) 34·6 L/L; reference interval, 37-55 L/L], leucocytosis
(23·6×10
9
/L; RI 6-17×10
9
/L), hypoalbuminaemia (24·8 g/L; ref-
erence interval, 28·3-38·3 g/L) and hyperglobulinaemia (45 g/L;
reference interval, 26-33 g/L).
Abdominal ultrasound demonstrated a large 10 cm diam-
eter hyperechoic splenic mass, and three smaller intraparenchy-
mal masses, ranging from 5 to 10 mm. Thoracic radiographs
revealed a caudal oesophageal mass but were otherwise
unremarkable.
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