Studi Kasus: Tumor Testis pada Anjing Geriatrik dengan Gangguan Kardiovaskular di My Vets

Abstract

Testicular tumors are a common neoplasm in older male dogs and may be accompanied by cardiovascular disorders that increase the risks associated with anesthesia and surgery. This study aims to evaluate the diagnosis, surgical management, anesthesia monitoring, and postoperative care in dogs with testicular tumors. Data were obtained through medical history, physical examination, hematology, blood chemistry, PT-aPTT, FNA, echocardiography, histopathology, as well as intra and postoperative monitoring. Hematology and PT-aPTT results showed no abnormalities, while blood chemistry revealed elevated ALT before surgery (257 U/L) and increased ALT (291 U/L) and GGT (11 U/L) after surgery. FNA findings indicated mesenchymal cell proliferation and inflammation, while echocardiography revealed cardiac abnormalities. Histopathology confirmed the diagnosis of soft tissue sarcoma accompanied by a grade 1 mast cell tumor. Management was performed through surgical tumor resection and supportive therapy, with good wound healing until suture removal. Appropriate diagnostic tests and anesthesia monitoring contribute to the success of surgery.

Tumor testikel merupakan neoplasia yang umum terjadi pada anjing jantan usia tua dan dapat disertai gangguan kardiovaskular yang meningkatkan risiko anestesi dan operasi. Penelitian ini bertujuan mengevaluasi diagnosis, penanganan operasi, monitoring anestesi, dan perawatan pascaoperasi pada anjing dengan tumor testikel. Data diperoleh melalui anamnesis, pemeriksaan fisik, hematologi, kimia darah, PT-aPTT, FNA, echocardiograf, histopatologi, serta monitoring intra dan pascaoperasi. Hasil hematologi dan PT-aPTT tidak menunjukkan kelainan, sedangkan kimia darah menunjukkan peningkatan ALT sebelum operasi (257 U/L) dan peningkatan ALT (291 U/L) serta GGT (11 U/L) setelah operasi. Pemeriksaan FNA menunjukkan proliferasi sel mesenkim dan inflamasi, sementara echocardiograf menunjukkan adanya regurgitasi katup mitral dan penurunan fungsi nilai EF sebesar 46,67% dan FS sebesar 18,80%. Histopatologi meneguhkan diagnosis soft tissue sarcoma disertai mast cell tumor grade 1. Penanganan dilakukan melalui pembedahan pengangkatan tumor dan terapi pendukung, dengan penyembuhan luka yang baik hingga pelepasan jahitan. Pemeriksaan penunjang dan monitoring anestesi yang baik mendukung keberhasilan operasi