PMID- 17186853 OWN - NLM STAT- MEDLINE DCOM- 20070109 LR - 20200422 IS - 0891-6640 (Print) IS - 1939-1676 (Electronic) IS - 0891-6640 (Linking) VI - 20 IP - 6 DP - 2006 Nov-Dec TI - Myeloma-related disorders in cats commonly present as extramedullary neoplasms in contrast to myeloma in human patients: 24 cases with clinical follow-up. PG - 1376-83 AB - BACKGROUND: Myeloma-related disorders (MRD) are rare neoplasms of plasma cells. Published case reports describe a diversity of clinical presentations with confusing terminology and diagnostic criteria as a consequence of the assumption that MRD in cats are analogous to those in dogs or humans. OBJECTIVE: The aim of the study was to describe clinical, clinicopathologic and imaging findings, response to treatment, survival and possible associations with other diseases or vaccination in a large case series. A priori hypotheses were that cats with MRD commonly present with extramedullary involvement and uncommonly have radiographic bone lesions, in contrast to human patients. ANIMALS: Twenty-four cats with MRD confirmed by cytology or histopathology and immunohistochemistry. METHOD: A multicenter retrospective study was performed. RESULTS: Two types of clinical presentation were observed. The first group (n = 17) had neoplasia involving abdominal organs, bone marrow, or both. All developed systemic clinical signs and paraproteinemia. Five of 7 cats that received chemotherapy improved clinically or had decreased serum globulin concentration (median survival, 12.3 months; range, 8.5-22 months). The second group comprised 7 cats with skin masses, 2 of which were paraproteinemic and developed rapidly worsening systemic signs. In cats without systemic signs, excision of the skin masses appeared to be associated with prolonged survival (up to 2.4 years). Cats with MRD commonly presented with extramedullary involvement (67%), versus humans with MRD (5%) (P < .001), and uncommonly presented with radiographic bone lesions (8%) versus humans with MRD (80%) (P < .001). CONCLUSIONS: Radiographic bone lesions are uncommon in cats with MRD and extramedullary presentation is common, relative to human myeloma. FAU - Mellor, Paul J AU - Mellor PJ AD - Department of Veterinary Medicine, University of Cambridge, Cambridge, UK. p.j.mellor.02@cantab.net FAU - Haugland, Sean AU - Haugland S FAU - Murphy, Sue AU - Murphy S FAU - Smith, Ken C AU - Smith KC FAU - Holloway, Andrew AU - Holloway A FAU - Archer, Joy AU - Archer J FAU - Powell, Roger M AU - Powell RM FAU - Polton, Gerry A AU - Polton GA FAU - Tasker, Severine AU - Tasker S FAU - McCormick, David AU - McCormick D FAU - Tempest, Michelle E AU - Tempest ME FAU - McNeil, Pauline E AU - McNeil PE FAU - Scase, Timothy J AU - Scase TJ FAU - Knott, Chris D AU - Knott CD FAU - Bonfanti, Ugo AU - Bonfanti U FAU - Villiers, Elizabeth J AU - Villiers EJ FAU - Argyle, David J AU - Argyle DJ FAU - Herrtage, Michael E AU - Herrtage ME FAU - Day, Michael J AU - Day MJ LA - eng PT - Comparative Study PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't PL - United States TA - J Vet Intern Med JT - Journal of veterinary internal medicine JID - 8708660 SB - IM MH - Animals MH - Bone and Bones/diagnostic imaging/pathology MH - Cat Diseases/*diagnosis/pathology MH - Cats MH - Diagnosis, Differential MH - Dogs MH - Female MH - Humans MH - Male MH - Multiple Myeloma/diagnosis/pathology/*veterinary MH - Organ Specificity MH - Radiography MH - Retrospective Studies MH - Sarcoma, Myeloid/diagnosis/pathology/*veterinary MH - Species Specificity MH - Survival Analysis PMC - PMC7166647 EDAT- 2006/12/26 09:00 MHDA- 2007/01/11 09:00 PMCR- 2020/04/19 CRDT- 2006/12/26 09:00 PHST- 2006/12/26 09:00 [pubmed] PHST- 2007/01/11 09:00 [medline] PHST- 2006/12/26 09:00 [entrez] PHST- 2020/04/19 00:00 [pmc-release] AID - JVIM1376 [pii] AID - 10.1892/0891-6640(2006)20[1376:mdiccp]2.0.co;2 [doi] PST - ppublish SO - J Vet Intern Med. 2006 Nov-Dec;20(6):1376-83. doi: 10.1892/0891-6640(2006)20[1376:mdiccp]2.0.co;2.