45 Papillomatosis (Oral)

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

c45uf003ETIOLOGY/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

c45uf004SIGNALMENT/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

    • Miniature schnauzer, pug: pigmented plaque
    • Oral, ocular, and genital papillomas generally in young dogs
    • Cutaneous papillomas at any age

  • Cats

    • More common in older cats; associated with being immunocompromised (e.g., feline immunodeficiency virus [FIV])
    • Cutaneous lesions

c45uf005CLINICAL 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

  • 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)

May 22, 2017 | Posted by in GENERAL | Comments Off on 45 Papillomatosis (Oral)

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