DEFINITION/OVERVIEW
- Cutaneous and mucous membrane lesions of dogs and cats caused by papillomaviruses (PVs)
- Warts or verrucae most common
- Viral plaques, sometimes progressing to squamous cell carcinoma (SCC) or invasive carcinoma, recognized in dogs and cats
- Bowenoid in situ carcinoma (BISC) most common PV in cats
- Most verrucae of dogs are exophytic; raised or inverted papillomas not uncommon
ETIOLOGY/PATHOPHYSIOLOGY
- Oral verrucae in naïve dogs and recovered animals immune
- Dogs: cutaneous papillomas thought to involve cell-mediated immunologic defects
- Older and immunosuppressed cats develop plaques or BISC
- Canine plaques: genetic basis in some breeds
SIGNALMENT/HISTORY
- Dogs
- Two genetic virus types with at least six strains and six syndromes
- Young dogs with footpad lesions
- Discrete pigmented papules, plaques, nodules in young adult dogs
- Young dogs with footpad lesions
- Miniature schnauzer, pug: pigmented plaque
- Oral, ocular, and genital papillomas generally in young dogs
- Cutaneous papillomas at any age
- Two genetic virus types with at least six strains and six syndromes
- Cats
- More common in older cats; associated with being immunocompromised (e.g., feline immunodeficiency virus [FIV])
- Cutaneous lesions
- More common in older cats; associated with being immunocompromised (e.g., feline immunodeficiency virus [FIV])
CLINICAL FEATURES
- Dogs
- Cutaneous papilloma often pedunculated, consisting of fronds of epithelium, up to 1 cm in diameter and located anywhere
- Oral papillomas in young dogs involve lips, gums, tongue, palate, oropharynx, and esophagus; interfere with prehension and swallowing; trauma results in severe halitosis and ptyalism (Fig. 45-1)
- Lesions may be confined to genital or eyelid regions
- Inverted papillomas less common and often on ventral abdomen, up to 2 cm, and have a central pore
- Canine plaque most often seen in miniature schnauzer and pug; rarely transform to SCC; ventral abdomen and inner thigh regions often involved
- Cutaneous papilloma often pedunculated, consisting of fronds of epithelium, up to 1 cm in diameter and located anywhere
- Cats
- Exophytic papillomas exceedingly rare; more common are simple pigmented plaques, which may progress to BISC or to invasive carcinoma
- Cats often 10 years or older; may have other systemic disease causing immunosuppression (e.g., FIV)
- Exophytic papillomas exceedingly rare; more common are simple pigmented plaques, which may progress to BISC or to invasive carcinoma
(Image courtesy of Dr. Larry Baker)