Mw. Jackson et al., PRIMARY IGG SECRETING PLASMA-CELL TUMOR IN THE GASTROINTESTINAL-TRACTOF A DOG, Journal of the American Veterinary Medical Association, 204(3), 1994, pp. 404-406
A mixed-breed dog, evaluated because of a chronic history of diarrhea
and intestinal bleeding, was found to have a multilobular mass involvi
ng the intestine. Surgical resection of the mass necessitated an ileoc
olic anastamosis. On the basis of histologic and electron microscopic
appearance and staining characteristics, a tentative diagnosis of inte
stinal carcinoid was made. Recovery was uncomplicated; the owners decl
ined further diagnostic tests or treatment. Eight weeks later, the dog
was reexamined because of signs consistent with hyperviscosity syndro
me and hyperproteinemia. At the owner's request, the dog was euthanati
zed. At necropsy, extensive metastases to liver and lymph nodes, but n
ot to bone, were seen. Reevaluation of the intestinal mass supported c
lassifying the tumor as an IgG-secreting extramedullary plasmacytoma.
This case underscores the need for additional histologic techniques, e
specially when confronted with an unusual manifestation of hyperprotei
nemia.