Papillary Renal Cell Carcinoma With Widespread Metastases in an Arabian Mare.
Abstract: This report describes a case of massive renal cell carcinoma (RCC) causing mild chronic colic in a 20-day-postpartum Arabian mare. The mare presented with deteriorating abdominal pain following normal parturition. Clinical examination revealed tachycardia, tachypnoea, weak intestinal motility and pale mucosal membranes. Rectal examination identified a very large mass in the caudal part of the abdominal cavity, and abdominal ultrasound examination revealed a huge space-occupying mass with renal architecture. During midline exploratory laparotomy, a massive tumour was observed in the anatomical location of the left kidney, with numerous adhesions to abdominal organs. Due to the severity of the condition and intra-abdominal spread of the neoplasm, the horse was euthanized intraoperatively. Upon necropsy, a 23-kg mass was found in the left kidney, along with widespread metastases to the liver, diaphragm and lungs. Histopathological examination confirmed primary and metastatic papillary RCC. This case highlights that colic should be considered a potential symptom of neoplastic lesions within the abdomen.
© 2025 The Author(s). Veterinary Medicine and Science published by John Wiley & Sons Ltd.
Publication Date: 2025-04-02 PubMed ID: 40172015PubMed Central: PMC11962752DOI: 10.1002/vms3.70281Google Scholar: Lookup
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Summary
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The research article discusses a case of massive renal cell carcinoma (RCC) in a 20-day postpartum Arabian mare, resulting in mild chronic colic, and eventually leading to euthanasia due to the intra-abdominal spread of the cancer and severe condition.
Case Presentation
- The Arabian mare, who had recently given birth, presented with chronic colic, a kind of abdominal pain.
- Clinical examinations revealed symptoms including tachycardia (rapid heart rate), tachypnea (rapid breathing), weak intestinal motility, and pale mucosal membranes.
- A large mass was identified in the caudal (rear) part of the abdominal cavity through a rectal examination. Further, an ultrasound showed a large mass that possessed renal architecture, indicating the mass had likely originated from the kidney.
Surgical Investigation and Findings
- During a midline exploratory laparotomy, a procedure to examine the abdominal organs, a substantial tumor was discovered in the location of the left kidney. The tumor had numerous adhesions to other abdominal organs, indicating severe disease progression.
- Given the severity of the condition and the spread of the cancer within the abdomen, the decision was made to euthanize the horse during the operation.
Postmortem Examination and Histopathology
- An autopsy revealed a 23-kg mass in the left kidney, highlighting the size and extent of the tumor. There were also widespread metastases noted in the liver, diaphragm, and lungs, showing that the cancer had spread significantly.
- The histopathology (microscopic examination of tissue to study disease) confirmed the masses as primary and metastatic papillary RCC.
Discussion and Conclusion
- The study emphasizes the fact that symptoms of colic in equine patients may potentially indicate the presence of neoplastic lesions or tumors within the abdomen, not just disorders of the digestive system as commonly thought.
- The findings suggest that veterinarians should consider underlying oncological conditions when diagnosing causes of persistent colic, especially in cases where the source of the colic isn’t readily identifiable.
Cite This Article
APA
Azari O, Ghamsari SM, Roustaei A, Golchin D, Baharloo F, Javaheri M, Valizadeh N.
(2025).
Papillary Renal Cell Carcinoma With Widespread Metastases in an Arabian Mare.
Vet Med Sci, 11(3), e70281.
https://doi.org/10.1002/vms3.70281 Publication
Researcher Affiliations
- Department of Surgery and Radiology, Faculty of Veterinary Medicine, University of Tehran, Tehran, Iran.
- Department of Surgery and Radiology, Faculty of Veterinary Medicine, University of Tehran, Tehran, Iran.
- Department of Surgery and Radiology, Faculty of Veterinary Medicine, University of Tehran, Tehran, Iran.
- Department of Pathology, Faculty of Veterinary Medicine, University of Tehran, Tehran, Iran.
- Large Animal Internal Medicine Specialist, Equine Practitioner, Isfahan, Iran.
- Large Animal Internal Medicine Specialist, Equine Practitioner, Isfahan, Iran.
- Department of Surgery and Radiology, Faculty of Veterinary Medicine, University of Tehran, Tehran, Iran.
MeSH Terms
- Carcinoma, Renal Cell / veterinary
- Carcinoma, Renal Cell / pathology
- Carcinoma, Renal Cell / surgery
- Animals
- Horse Diseases / pathology
- Female
- Horses
- Kidney Neoplasms / veterinary
- Kidney Neoplasms / pathology
- Fatal Outcome
- Neoplasm Metastasis
Conflict of Interest Statement
The authors declare no conflicts of interest.
References
This article includes 29 references
- Baskin GB, De Paoli A. Primary Renal Neoplasms of the Dog. Veterinary Pathology 14, no. 6: 591–605.
- Bellini MH, Jorge AS, Marumo MB, Oliveira SBD. Descriptive Epidemiological and Pathological Study of Canine Renal Cell Carcinoma. Journal of Veterinary Science & Medical Diagnosis 9: 3.
- Birkmann K, Trump M, Dettwiler M, Rütten M, Wehrli Eser M. Severe Polyuria and Polydipsia as Major Clinical Signs in a Horse With Unilateral Renal Adenocarcinoma. Equine Veterinary Education 28, no. 12: 675–680.
- Brown P, Holt P. Primary Renal Cell Carcinoma in Four Horses. Equine Veterinary Journal 17, no. 6: 473–477.
- Chin AI, Lam JS, Figlin RA, Belldegrun AS. Surveillance Strategies for Renal Cell Carcinoma Patients Following Nephrectomy. Reviews in Urology 8, no. 1: 1.
- Duncan JR, Prasse KW. Veterinary Laboratory Medicine: Clinical Pathology. .
- Haschek WM, King JM, Tennant BC. Primary Renal Cell Carcinoma in Two Horses. Journal of the American Veterinary Medical Association 179, no. 10: 992–994.
- Hilton HG, Aleman M, Maher O, Peterson TS, Whitcomb MB, Galuppo LD. Hand‐Assisted Laparoscopic Nephrectomy in a Standing Horse for the Management of Renal Cell Carcinoma. Equine Veterinary Education 20, no. 5: 239–244.
- Kim J, Kim NY, Pyo JS, Min KW, Kang DW. Diagnostic Roles of PAX8 Immunohistochemistry in Ovarian Tumors. Pathology‐Research and Practice 250: 154822.
- Knowles EJ, Withers JM, Day MJ, Mair TS. Renal Carcinoma as a Cause of Sudden Death in an Aged Horse. Equine Veterinary Education 20, no. 9: 452–455.
- Lopez‐Beltran A, Scarpelli M, Montironi R, Kirkali Z. 2004 WHO Classification of the Renal Tumors of the Adults. European Urology 49: 798–805.
- Mesquita LP, Mesquita Neto FDD, Varaschin MS, Wouters ATB, Wouters F. Renal Cell Carcinoma With Peritoneal Carcinomatosis in a Mare. Ciência Rural 47: e20160485.
- Meuten DJ. Tumors of the Urinary system. In Tumors in Domestic Animals. 509–523.
- Mooney SC, Hayes AA, Matus RE, MacEwen EG. Renal Lymphoma in Cats: 28 Cases (1977‐1984). Journal of the American Veterinary Medical Association 191, no. 11: 1473–1477.
- Oosterlinck M, Raes E, Verbraecken S. Severe Lameness Caused by Metastatic Renal Adenocarcinoma of the Third Phalanx in a Warmblood Mare. Equine Veterinary Education 23, no. 10: 512–516.
- Peat TJ, Edmondson EF, Miller MA, DuSold DM, Ramos‐Vara JA. Pax8, Napsin A, and CD10 as Immunohistochemical Markers of Canine Renal Cell Carcinoma. Veterinary Pathology 54, no. 4: 588–594.
- Ramirez S, Seahorn TL. Ultrasonography as an Aid in the Diagnosis of Renal Cell Carcinoma in a Horse. Veterinary Radiology & Ultrasound 37, no. 5: 383–386.
- Ramos‐Vara JA, Edmondson EF, Miller MA, Dusold DM. Immunohistochemical Profile of 20 Feline Renal Cell Carcinomas. Journal of Comparative Pathology 157, no. 2‐3: 115–125.
- Rhind SM, Hawe C, Dixon PM, Scudamore CL. Oral Metastasis of Renal Cell Carcinoma in a Horse. Journal of Comparative Pathology 120, no. 1: 97–103.
- Romero BF, García MI, Molino MG. Bilateral Uveitis in a Horse with a Renal Carcinoma. Journal of Equine Veterinary Science 118: 104111.
- Rumbaugh ML, Latimer FG, Porthouse KP, Cho DY, Leblanc CJ. Renal Carcinoma With Osseous and Pulmonary Metastases in an Arabian Gelding. Equine Veterinary Journal 35, no. 1: 107–109.
- Schott II HC, Brett Woodie J. Kidneys and Ureters. In Equine Surgery, edited by Auer JA, et al. 5th ed., pp:1122.
- Tacha D, Zhou D, Cheng L. Expression of PAX8 in Normal and Neoplastic Tissues: A Comprehensive Immunohistochemical Study. Applied Immunohistochemistry & Molecular Morphology 19, no. 4: 293–299.
- Traub‐Dargatz JL. Urinary Tract Neoplasia. Veterinary Clinics of North America: Equine Practice 14, no. 3: 495–504.
- Vienenkötter J, Siudak K, Stallenberger L, Herden C. Renal Neoplasia in Horses—A Retrospective Study. Tierärztliche Praxis Ausgabe G: Großtiere/Nutztiere 45, no. 05: 290–295.
- Weiss DJ, Wardrop KJ. Schalm's Veterinary Hematology. .
- Wise LN, Bryan JN, Sellon DC, Hines MT, Ramsay J, Seino KK. A Retrospective Analysis of Renal Carcinoma in the Horse. Journal of Veterinary Internal Medicine 23, no. 4: 913–918.
- Wu B, Kastl B, Cino‐Ozuna AG. Feline Sarcomatoid Renal Cell Carcinoma With Peritoneal Carcinomatosis and Effusion. Journal of Veterinary Diagnostic Investigation 34, no. 1: 153–159.
- Young A. Acute Lameness Associated With Osseous Metastasis of a Peri‐Renal Carcinoma in a Horse. The Australian Equine Veterinarian 2008, no. 3: 47–47.
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