| Acute severe hemorrhage secondary to arterial invasion in a dog with thyroid carcinoma. | |
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MedLine Citation:
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PMID: 12959383 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 7-year-old spayed female Labrador Retriever was referred because of progressive swelling and bruising of the neck, hemothorax, a possible mediastinal mass, and stridor. At the time of admission, the dog was recumbent, mentally dull, tachycardic, and hypothermic. Fluid therapy with hydroxyethyl starch and a balanced electrolyte solution was administered because of presumed hypovolemic shock secondary to hemorrhage; multiple units of packed RBCs and fresh frozen plasma were also administered. On the basis of the computed tomographic images, extensive subcutaneous, subfascial, and cranial mediastinal hemorrhage; hemothorax; prescapular lymphadenopathy; and a contrast-enhancing mass in the left cranioventral aspect of the neck were diagnosed. Exploratory surgery of the neck was performed. All subcutaneous structures were encased in a large blood clot. During dissection of the clot, pulsatile bleeding was observed just caudal to and to the left of the larynx; ligation of the left common carotid artery resulted in immediate cessation of the pulsatile bleeding. Further surgical exploration revealed a 2.5 x 2.5-cm mass adhered to the left common carotid artery at the level of the branching to the left cranial thyroid artery. The mass was removed; the histologic diagnosis was thyroid carcinoma. Three weeks after surgery, treatment with a combination of radiation and chemotherapy (doxorubicin and carboplatin) was begun. Thirteen months after surgery, the dog continued to be free from clinical signs of disease. |
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Authors:
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Kimberly A Slensky; Susan W Volk; Tobias Schwarz; Lili Duda; Elizabeth A Mauldin; Deborah Silverstein |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of the American Veterinary Medical Association Volume: 223 ISSN: 0003-1488 ISO Abbreviation: J. Am. Vet. Med. Assoc. Publication Date: 2003 Sep |
Date Detail:
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Created Date: 2003-09-08 Completed Date: 2003-12-09 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7503067 Medline TA: J Am Vet Med Assoc Country: United States |
Other Details:
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Languages: eng Pagination: 649-53, 636 Citation Subset: IM |
Affiliation:
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Department of Clinical Studies-Philadelphia, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA 19104-6010, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Animals Blood Transfusion / veterinary Carcinoma / complications, pathology, therapy, veterinary* Carotid Artery, Common / pathology, surgery Combined Modality Therapy Dog Diseases / etiology, pathology*, therapy Dogs Erythrocyte Transfusion / veterinary Female Fluid Therapy / veterinary Hemorrhage / etiology, therapy, veterinary* Ligation Neoplasm Invasiveness Plasma Shock / etiology, therapy, veterinary Thyroid Neoplasms / complications, pathology, therapy, veterinary* Tomography, X-Ray Computed |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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