An 8-year-old castrated male mixed-breed dog had an ill-defined hemorrhagic and painful lesion in the base of the claw of the second digit of the right forelimb. Radiographically, the expansile and lytic lesion affected the distal phalanx. The digit was amputated and submitted for histologic examination. Histologically, the distal phalanx was largely replaced by a mass composed of variably sized cavernous vascular spaces lined by a single layer of flattened endothelial cells. A similar mass was in the subcutis adjacent to the distal phalanx. The benign vascular proliferation involving the medulla of bone and a second tissue type in this dog is consistent with skeletal-extraskeletal angiomatosis as described in humans. To the authors' knowledge, this is the first report of skeletal-extraskeletal angiomatosis in the veterinary literature.Angiomatosis is a condition with multiple tumorlike lesions caused by congenital or developmental malformations of blood vessels. In veterinary medicine, the term angiomatosis has been used to describe various conditions, including a benign dermal vasoproliferative lesion in young adult cattle (cutaneous bovine angiomatosis); 5 multifocal vascular proliferations in the abdominal and thoracic viscera (disseminated hemangioma) in a dog; 4 vascular malformations in the thoracic vertebrae (vertebral angiomatosis) in cats; 14 multifocal vascular proliferations in the dermis and subcutis (cutaneous angiomatosis) in dogs, 8,12 cats, 2,12 and horses; 13 multifocal nodules of numerous abnormal vascular channels in the intestines and/or ovary in horses; 9,13 and vascular malformations in the meninges (meningoangiomatosis) in dogs.1 Here, we report skeletal-extraskeletal angiomatosis characterized by vascular proliferative lesions involving the distal phalanx and the adjacent subcutis of the second digit of the right forelimb in a dog.
Clinical HistoryAn 8-year-old castrated male mixed-breed dog was presented to the University of Missouri Veterinary Medical Teaching Hospital for an ill-defined lesion of the claw base of the second digit of the right forelimb, with pain and profuse bleeding. Radiographically, an expansile and lytic lesion was observed in the distal phalanx of the affected digit (Fig. 1). Thoracic radiographs were unremarkable. There was a normocytic hypochromic anemia (hematocrit, 22% [reference interval, 37-57%]; mean corpuscular volume, 59 fl [reference interval, 59-76 fl]; mean corpuscular hemoglobin concentration, 28.1 g/dl [reference interval 32.0-36.4 g/dl]) with mild polychromasia and reticulocytosis (reticulocyte, 4% [no reference range]). Hematologic findings were consistent with the clinical history of profuse external hemorrhage. Based on the location of the lesion and the radiographic findings, subungual squamous cell carcinoma was suspected. The affected digit was amputated at the metacarpophalangeal joint and submitted for histopathology.
Gross and Histologic FindingsThe amputated digit was fixed in 10% formalin for approximately 24 hours before trimming...