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Forelimb amputation for the treatment of distal radius osteosarcoma in an African pygmy hedgehog (Atelerix albiventris)
Institution:1. Small Animal Clinical Sciences Department, Western College of Veterinary Medicine, University of Saskatchewan, Saskatoon, SK, Canada;2. Department of Veterinary Pathology, Western College of Veterinary Medicine, University of Saskatchewan, Saskatoon, SK, Canada;1. Small Animal Clinic, Department of Veterinary Medicine, Freie Universität Berlin, Berlin, Germany;2. Institute of Veterinary Pathology, Department of Veterinary Medicine, Freie Universität Berlin, Berlin, Germany;1. The Center for Bird and Exotic Animal Medicine, WA 98011, USA.;2. Bridge Animal Referral Center, WA, USA;3. Institute of Veterinary Pathology, Freie Universität Berlin, Germany;4. Institute of Pathology, University of Veterinary Medicine, Vienna, Austria;5. Michigan State University, Department of Pathobiology and Diagnostic Investigation, East Lansing, MI, USA;6. Michigan State University, College of Veterinary Medicine, Veterinary Diagnostic Laboratory, Lansing, MI, USA;7. ZNLabs, Salt Lake City, UT, USA;1. Department of Environmental and Radiological Health Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO;2. Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO;1. Dr. Vet. Dermatología Veterinaria, Cali, Colombia;2. Universidad de Guadalajara Centro Universitario De ciencias Biológico y Agropecuarias, Camino Ramón Padilla Sánchez 2100 Nextipac, Zapopan, Jalisco, México;3. Centro Universitario UAEM Amecameca, Universidad Autónoma del Estado de México, Estado de México, México;4. Dermatología Especializada. Centro Veterinario México, Ciudad de México, México;5. VETDERM. Dermatología Veterinaria Especializada, Jalisco, México
Abstract:Neoplasia is a common finding in African pygmy hedgehogs. Both skeletal and extraskeletal osteosarcomas have been previously reported in this species, but the only reported case of appendicular osteosarcoma was diagnosed postmortem. A 3-year-old intact female African pygmy hedgehog presented with a 10-day history of left foreleg swelling and lameness. Radiographs performed by the referring veterinarian confirmed the presence of a lytic lesion affecting the distal radius. A whole-body computed tomography scan was performed and confirmed a marked osteolytic lesion affecting the distal radius, which was consistent with bone neoplasia, however osteomyelitis could not be excluded. There was no evidence of thoracic or abdominal metastasis. Ultrasound-guided fine needle aspiration of the lesion yielded a nondiagnostic sample. The affected forelimb was amputated and along with the axillary lymph node, was submitted for histological analysis which confirmed a well differentiated osteosarcoma within the distal radius. The patient made a full recovery with no complications and remained disease free at the time of writing, 12 months after presentation. Osteosarcoma is rarely diagnosed antemortem in African pygmy hedgehogs. This case describes the management, diagnostic techniques, and successful treatment of an osteosarcoma affecting the distal radius by forelimb amputation.
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