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Int.J.Curr.Microbiol.App.Sci (2018) 7(6): 282-286 International Journal of Current Microbiology and Applied Sciences ISSN: 2319-7706 Volume 7 Number 06 (2018) Journal homepage: http://www.ijcmas.com Original Research Article https://doi.org/10.20546/ijcmas.2018.706.033 Surgical Management of Fibrosarcoma of Teat in a Cow – A Case Report C. Premsairam*, N. Aruljothi, T.P. Balagopalan, R. Kumar and R.M.D. Alphonse Department of Veterinary Surgery and Radiology, Rajiv Gandhi Institute of Veterinary Education and Research, Pondicherry – 605009, India *Corresponding author ABSTRACT Keywords Cow, Teat, Ulcerated growth, ultrasonography and Fibrosarcoma Article Info Accepted: 02 May 2018 Available Online: 10 June 2018 A seven year old cross bred jersey presented with an ulcerated growth on the right fore teat with dribbling of milk. By ultrasonographical examination the teat diameter and thickness of the teat wall were measured. Under xylazine sedation with local analgesia the growth was excised and the defect was corrected surgically. Postoperative administration of antibiotics, analgesics were given and healing was studied using ultrasonography. Histopathological examination confirmed the condition as fibrosarcoma. The animal recovered uneventfully with apparently normal milk from the affected teat. Introduction Fibrosarcoma is an uncommon tumor in bovines (Pandey et al., 1984). Most of these are tumors of soft tissue structures, including the mammary gland, retroperitoneal tissue, testicles viz., spermatic cord remnants following castration, neck, intestines, and reticulum. There have also been several reports of congenital fibrosarcoma in calves (Britt et al., 1998). Mammary fibroadenoma and fibrosarcoma were reported in 7 months heifer and aged cow respectively. Teat fibroma and fibrosarcoma are smooth firm nodules covered by intact skin that occur at the base of the teat. Intramammary tumors and hyperplastic lesions cause firm localization to diffuse areas of mammary gland that may or may not result in overall enlargement of affected gland. Mastitis and fistulations can occur secondary to malignant tumors. Fibroma and fibrosarcoma consists of proliferating fibroblasts with admixed collagen and variable mitotic activity. Fibroma and fibrosarcoma of the teat are typically localized lesions whereas the fibrosarcoma of the mammary gland was invasive. Surgical excision of teat fibromas and fibrosarcomas is apparently curative. Materials and Methods A seven year old pleuriparous cross bred jersey weighing around 268kg was presented to Department of Veterinary Surgery and 282 Int.J.Curr.Microbiol.App.Sci (2018) 7(6): 282-286 Radiology, TVCC, RIVER with a history of an abnormal mass hanging on the right fore teat (Fig. 1) since 4 years which was progressively increasing in size. On clinical examination, the mass was found to be ulcerated showing dribbling of milk continuously (Fig. 2). The right teat was found to be having normal teat orifice which was confirmed by probing with a sterile teat siphon (Fig. 3). The milk from the affected teat was normal in color, consistency, pH and negative for mastitis by California mastitis test. The physiological and haematological parameters were within the normal range. patency was maintained with modified polyvinyl chloride tubeno.10 (Infant feeding tube, Romsons Scientific and Surgicals India) placed in situ and stay sutures applied. This was connected to a 2ml sterile disposable syringe and the sutured site was protected with elastic adhesive bandage (Dynafix) (Fig. 6). Ultrasonographical images of the affected teat showed the teat diameter at the mid teat sinus as 23.3mm with thickness of the teat wall as 9mm (Fig. 4). The condition was tentatively diagnosed as teat fistula connecting the teat sinus to the ulcerated growth and surgical correction was advised. The skin sutures were removed on 10th postoperative day (Fig. 7) and ultrasound examination revealed hyperechogenicity of skin with normal echotexture, hypoechoiec teat wall with the presence of blood vessels confirmed the healing and intact anechoic teat sinus indicated the closure of teat fistula. Results and Discussion The teat wall thickness (4.9mm) and teat sinus diameter (7.9mm) were also measured (Fig. 8). Histopathological examination confirmed the condition as Fibrosarcoma (Fig. 9). The animal was sedated by using Inj. Xylazine (Xylaxin- Indian Immunologicals, Hyderabad) @ 0.1mg/kg I/V and local analgesia was achieved by ring block with Inj. 0.5% Bupivacaine hydrochloride. The growth was excised from its attachments on the teat and the additional teat orifice other than the normal one was identified (Fig. 5), dissected and closed by simple continuous suture pattern using Polyglactin 910 of size 30. The muscular layer and skin were sutured separately using Polyglactin 910 (Vicryl Plus Johnson and Johnson, Mumbai) of size 3-0 in simple continuous pattern (Ghamsari et al., 1995 and Balagopalan and Aruljothi, 2016) and braided silk (Ethicon, Johnson and Johnson, Mumbai) of size 0 in simple interrupted pattern respectively. The teat Postoperatively Inj. Streptopenicillin (Dicrysticin- S- Zydus AHL) @10mg/kg for 7 days along with Inj. Meloxicam (Melonex®, Intas Pharmaceuticals Ltd, Matoda, Ahmedabad) @0.3mg/kg for 5 days were administered intramuscularly. Tumors of mammary gland are uncommon in cattle. Fibroma and Fibrosarcoma of the teat occurs in yearlings. Reports on bovine fibrosarcoma compared with other tumors of cattle are very rare (Yeruham et al., 1999; Musal et al., 2007 and Birgit et al., 2004). Modified PVC tubes employed was useful in maintaining patency of the teat lumen postoperatively which is in accordance with that observed by Aruljothi et al., (2012). Ultrasonography with water bath method using normal saline and 7.5MHz linear probe was found to be very useful tool in visualizing the fistulous tract which was connected to the tumorous growth preoperatively and to study the healing postoperatively (Franz et al., 2009 and Mulon, 2016). 283 Int.J.Curr.Microbiol.App.Sci (2018) 7(6): 282-286 Fig.1Abnormal mass hanging on the right fore teat Fig.2 Ulceratedmass with dribbling of milk Fig.3Probing the teat sinus with a sterile teat siphon Tract to the growth Fistulous tract Fig.4Ultrasound image showing a fistulous tract connecting the teat sinus to the growth Fig.5After excision of the growth additional teat orifice other than the normal one was identified 284 Fig.6Insitu placement of modified PVC tube which was connected to a 2ml disposable syringe and application of Dynafix, Int.J.Curr.Microbiol.App.Sci (2018) 7(6): 282-286 Fig.8 Ultrasound image on 10th postoperative day showing hyperechogenicity of skin with normal echotexture, teat wall with blood vessel and anechoiec teat sinus Fig.7Skin sutures removed on 10th postoperative day Fig.9Histopathological examination of the tissue showing the presence of inflammatory cells under 40X As the ultrasonography is an effective tool to diagnose the pathological alterations such as congenital changes, inflammation, mucosal lesions, tissue proliferation, foreign bodies, milk stones, haematoma and abscess (Szencziová, and Strapák 2012). Acknowledgement The present case discussed the occurrence of fibrosarcoma with the presence of fistula of teat in a seven year old cross bred jersey and its successful surgical management. References The authors are thankful to the Dean, Rajiv Gandhi Institute of Veterinary Education and Research, Pondicherry for the facilities provided to conduct the study. Aruljothi, N., Balagopalan, T.P., Rameshkumar, B., and Alphonse, 285 Int.J.Curr.Microbiol.App.Sci (2018) 7(6): 282-286 R.M.D. (2012). Teat fistula and its surgical management in bovines. Intas Polivet. 13(1): 40-41 Balagopalan, T.P and Aruljothi, N. 2016. Surgical management of webbed teat in a cow. JAVS, 9 (7): 84-86. Birgit, M. Kofler, J., Huber, J. and Schilcher, F. (2004). Neoplasms of the extremities in cattle-clinical findings, surgical treatment and outcome in 10 cases. 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Szencziova, I., and Strapak, P. 2012. Ultrasonography of the udder and teat in cattle. A perspective measuring technique. Slovak. J. Anim. Sci., 45: 96104. Yeruham, I., Perl, S., Orgad, U. and Yakobson, B. (1999). Tumors of the vulva and vagina in cattle - a 10-year survey. Vet. J. 158: 237-239. How to cite this article: Premsairam, C., N. Aruljothi, T.P. Balagopalan, R. Kumar and Alphonse, R.M.D. 2018. Surgical Management of Fibrosarcoma of Teat in a Cow – A Case Report. Int.J.Curr.Microbiol.App.Sci. 7(06): 282-286. doi: https://doi.org/10.20546/ijcmas.2018.706.033 286