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Research article · 2024 · Full text

International Journal of Veterinary Sciences and Animal Husbandry

Surgical management of unilateral horn cancer in cattle

Matthiesen A-SKartik BidariKumar WadeyarPrasanna HMD JahangirbashaSyeda Mumtaz

Volume 9(2) · Pages 97–99 · DOI: 10.22271/veterinary.2024.v9.i2b.1180 ↗

Research areasVeterinary Oncology ResearchMicrobial infections and disease research

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Abstract

Author-written

The report describes a case of unilateral (left) horn cancer in a 15 year old cattle. The horn was soft at the base and bent downward and backward. The affected horn was surgically amputated under inj. Xylazine HCl sedation and cornual nerve block and ring block around base of the horn with 2% Lignocaine HCl. The cattle recovered uneventfully. Histopathology confirmed the condition was squamous cell carcinoma of horn.

Summary

Source-checked

Plain-language reading of the full paper, prepared with AI and checked against the text. Each point links to the authors' own words.

  1. Why it matters

    • Horn cancer frequently occurs in bulls with large horns, typically affecting one side in animals aged 5 to 10 years. View evidence ↗

      Why it matters

      Horn cancer frequently occurs in bulls with large horns, typically affecting one side in animals aged 5 to 10 years.

      In the paper's own words

      “Horn cancer is common in bulls with big horns and usually affects one-sidedness in the 5-10 age groups”

      Page 1

      Found in: Introduction

      Read it in the full textOpen PDF at page 1 ↗
    • Several factors are associated with the development of horn cancer, including solar radiation, genetic predisposition, sex hormones, horn dye, and irritation. View evidence ↗

      Why it matters

      Several factors are associated with the development of horn cancer, including solar radiation, genetic predisposition, sex hormones, horn dye, and irritation.

      In the paper's own words

      “Many predisposing factors such as irritation, horn dye, solar radiation, genetic predisposition, and sex hormones are associated with it”

      Page 1

      Found in: Introduction

      Read it in the full textOpen PDF at page 1 ↗
    • Common symptoms of horn cancer in animals include nasal bleeding, head shaking, and bending at the impact angle. View evidence ↗

      Why it matters

      Common symptoms of horn cancer in animals include nasal bleeding, head shaking, and bending at the impact angle.

      In the paper's own words

      “Head shaking, bending at impact, bending at impact angle, and nasal bleeding are common symptoms in animals”

      Page 1

      Found in: Introduction

      Read it in the full textOpen PDF at page 1 ↗
  2. The question

    • The objective of this report is to describe the successful surgical treatment of a case of unilateral horn cancer in cattle. View evidence ↗

      The question

      The objective of this report is to describe the successful surgical treatment of a case of unilateral horn cancer in cattle.

      In the paper's own words

      “This document describes the successful treatment of unilateral horn cancer in cattle.”

      Page 1

      Found in: Introduction

      Read it in the full textOpen PDF at page 1 ↗
  3. What they did

    • The subject was a 15-year-old cattle that presented with a two-month history of left horn bending and discharge from the horn base. View evidence ↗

      What they did

      The subject was a 15-year-old cattle that presented with a two-month history of left horn bending and discharge from the horn base.

      In the paper's own words

      “15 year old cattle presented with history of bending of the horn of left horn along with discharge from horn base since 2 months.”

      Page 1

      Found in: Case details

      Read it in the full textOpen PDF at page 1 ↗
    • Sedation was achieved using intramuscular Xylazine HCl at 0.03 mg/kg, combined with a cornual nerve block and a 2% Lignocaine HCl ring block for analgesia. View evidence ↗

      What they did

      Sedation was achieved using intramuscular Xylazine HCl at 0.03 mg/kg, combined with a cornual nerve block and a 2% Lignocaine HCl ring block for analgesia.

      In the paper's own words

      “Inj. Xylazine HCl @ 0.03 mg/ kg was administered intramuscularly to sedate the cattle and Cornual nerve block was performed parallel to the frontal crest to desensitize the nerve and additional ring block around the base of the horn (Figure 2A) with 2% Ligocaine HCl achieve complete analgesia.”

      Page 2

      Found in: Case details

      Read it in the full textOpen PDF at page 2 ↗
    • The surgical procedure involved ligating the cornual artery with chromic catgut No.1 and removing part of the skull bone at the base using a hexablade. View evidence ↗

      What they did

      The surgical procedure involved ligating the cornual artery with chromic catgut No.1 and removing part of the skull bone at the base using a hexablade.

      In the paper's own words

      “Following skin incision the cornual artery were located and ligated by chromic catgut No.1. The bleeding was controlled using artery forceps and with gauze pieces. The part of skull bone at the base was evenly removed using hexablade to make space for skin suturing (Figure 2B).”

      Page 2

      Found in: Case details

      Read it in the full textOpen PDF at page 2 ↗
    • Tissue growth and pus were cleared from the frontal sinus via gauze, suction, and normal saline flushing, followed by skin suturing with Nylon No.1. View evidence ↗

      What they did

      Tissue growth and pus were cleared from the frontal sinus via gauze, suction, and normal saline flushing, followed by skin suturing with Nylon No.1.

      In the paper's own words

      “The tissue growth and the thick pus were removed from the frontal sinus using gauzes and were flushed with normal saline solution and suction. The skin was sutured with Nylon No.1 in vertical mattress suture pattern.”

      Page 2

      Found in: Case details

      Read it in the full textOpen PDF at page 2 ↗
  4. What they found

    • Histopathology of the removed tissue confirmed the diagnosis of squamous cell carcinoma, characterized by keratinized squamous cells and epithelial pearls. View evidence ↗

      What they found

      Histopathology of the removed tissue confirmed the diagnosis of squamous cell carcinoma, characterized by keratinized squamous cells and epithelial pearls.

      In the paper's own words

      “Histological examination of collected sample was suggestive of squamous cell carcinoma with typical keratinized squamous cell with characteristic epithelial pearls.”

      Page 2

      Found in: Results and Discussion

      Read it in the full textOpen PDF at page 2 ↗
    • The animal recovered without complications, and no recurrence of the cancer was observed following the surgery. View evidence ↗

      What they found

      The animal recovered without complications, and no recurrence of the cancer was observed following the surgery.

      In the paper's own words

      “Cattle recovered uneventfully and there was no recurrence after surgery.”

      Page 2

      Found in: Results and Discussion

      Read it in the full textOpen PDF at page 2 ↗
    • The surgical site healed sufficiently to allow for the removal of skin sutures on the 22nd post-operative day. View evidence ↗

      What they found

      The surgical site healed sufficiently to allow for the removal of skin sutures on the 22nd post-operative day.

      In the paper's own words

      “The skin sutures were removed on 22nd post-operative day.”

      Page 2

      Found in: Post-operative care

      Read it in the full textOpen PDF at page 2 ↗
  5. What it means

    • The authors conclude that surgical dehorning under Xylazine HCl sedation and Lignocaine local analgesia provides a satisfactory outcome for cattle with horn cancer. View evidence ↗

      What it means

      The authors conclude that surgical dehorning under Xylazine HCl sedation and Lignocaine local analgesia provides a satisfactory outcome for cattle with horn cancer.

      In the paper's own words

      “In the present case cattle affected with horn cancer treated surgically by dehorning under Xylzine HCl sedation and Lignociane local analgesia resulted in satisfactory outcome.”

      Page 2

      Found in: Results and Discussion

      Read it in the full textOpen PDF at page 2 ↗
    • The authors state that early diagnosis and treatment are essential for achieving a good prognosis. View evidence ↗

      What it means

      The authors state that early diagnosis and treatment are essential for achieving a good prognosis.

      In the paper's own words

      “Early Diagnosis and treatment is essential for good prognosis.”

      Page 2

      Found in: Introduction

      Read it in the full textOpen PDF at page 2 ↗
    • Chemotherapy was not administered in this case due to the owner's economic constraints. View evidence ↗

      What it means

      Chemotherapy was not administered in this case due to the owner's economic constraints.

      In the paper's own words

      “The chemotherapy treatment was not undertaken due to economic considerations of the owner.”

      Page 2

      Found in: Results and Discussion

      Read it in the full textOpen PDF at page 2 ↗

Visual summary

1 visuals

Illustrations explain the paper; they do not show study data.

AI-generated illustration
AI-generated conceptual illustration (cattle head and horn). It explains the idea and does not show study data.↗ Enlarge
Surgical Workflow for Horn Amputation
AI-generated conceptual illustration (cattle head and horn). It explains the idea and does not show study data.

AI-generated conceptual illustration (cattle head and horn). It explains the idea and does not show study data.

Open full-size image ↗

Surgical Workflow for Horn Amputation

AI-generated conceptual illustration (cattle head and horn). It explains the idea and does not show study data.

View source evidence ↗

Figures & tables

From the original paper
Photograph showing bending of the left horn (yellow arrow)Figure 1Page 1A. Ring block with 2% Lignocaine HCl. B. Affected horn removed at base. C. Application of antiseptic bandage.Figure 2Page 2A. Ring block with 2% Lignocaine HCl. B. Affected horn removed at base. C. Application of antiseptic bandage.Figure 2Page 2A. Ring block with 2% Lignocaine HCl. B. Affected horn removed at base. C. Application of antiseptic bandage.Figure 2Page 2Photograph showing the normal wound healing andFigure 3Page 2
FULL TEXT Original article · reflowed for reading

Introduction

Horn cancer is common in bulls with big horns and usually affects one-sidedness in the 5-10 age groups (Giri et al., 2011; Veena et al., 2011; Tyagi and Singh, 2006) [2,20,18] . This pain is caused by chronic pain at the base of the horns as a result of animals rubbing against the skin. Many predisposing factors such as irritation, horn dye, solar radiation, genetic predisposition, and sex hormones are associated with it (Sahoo et al., 2022) [3] . Head shaking, bending at impact, bending at impact angle, and nasal bleeding are common symptoms in animals (Joshi et al., 2009; Sodhi and Sangwan, 2019) [6,17] . Amputation is recommended to treat horn cancer. However, chemotherapy and amputation were also reported by Udharwar et al. (2008) [19] , Kalim et al. (2021) [7] and Goode et al. (2022) [3] . This document describes the successful treatment of unilateral horn cancer in cattle.

Case details

15 year old cattle presented with history of bending of the horn of left horn along with discharge from horn base since 2 months. Clinical examination showed unstable horn and foul smelled discharge from the left horn base. Based on history and clinical examination a tentative diagnosis of horn cancer and animal was scheduled for surgery. Anaesthesia and surgical procedure Inj. Xylazine HCl @ 0.03 mg/ kg was administered intramuscularly to sedate the cattle and Cornual nerve block was performed parallel to the frontal crest to desensitize the nerve and additional ring block around the base of the horn (Figure 2A) with 2% Ligocaine HCl achieve complete analgesia. The surgical site was prepared aseptically by shaving hairs around base of the horn and scrubbing using Chlorhexidine solution followed by surgical spirit and povidone iodine. An elliptical skin incision was given at the base, saving maximum possible skin. The skin was undermined for the loosening and exposure of skull bone.

Following skin incision the cornual artery were located and ligated by chromic catgut No.1. The bleeding was controlled using artery forceps and with gauze pieces. The part of skull bone at the base was evenly removed using hexablade to make space for skin suturing (Figure 2B). The tissue growth and the thick pus were removed from the frontal sinus using gauzes and were flushed with normal saline solution and suction. The skin was sutured with Nylon No.1 in vertical mattress suture pattern. Antiseptic bandaging was done to prevent surgical site (Figure 2C). The sample of the tissue removed from the sinus was sent for histopathology.

Post-operative care

Post-operative care included antibiotics inj. Streptopencillin @ 10.000 IU/kg, for 7 days, and inj. Tolfenamic acid @ 2 mg/kg and inj. Chlorpheniramine maleate @ 0.3mg/kg intramuscularly for 3 days. Dressing of the suture site with 5% Povidone iodine solution and fly repellent spray. The skin sutures were removed on 22 nd post-operative day.

Results and Discussion

Horn cancer is a sporadic, malignant disease affecting the horn core epithelium and predominantly seen in aged bovines.

In the present report 15 year old cattle affected with horn cancer. Clinical signs include downward bending of affected horn, soft at the base and shaky with loss of rigid orientation. Similar findings were recorded by Kumar et al. (2013) [9] , Prasad et al. (2016) [13] , Reddy, et al. (2017) [14] and Sodhi and Sangwan (2019) [17] . Dehorning is a delicate procedure because poor technique and management of wounds may result in ample complications that will lead to septicemia and delayed wound healing (Jesse et al., 2016) [5] . In the present case dehorning of affected horn was performed under inj. Xylazine HCl sedation and cornual nerve block with 2% inj. Lignocaine HCl. Similar anaesthesia protocol recorded by Kumar et al. (2013) [9] , Reddy et al. (2017) [14] , Sodhi and Sangwan (2019) [17] and Mulatu et al. (2021) [10] . The chemotherapy treatment was not undertaken due to economic considerations of the owner. However, Udharwar et al. (2008) [19] and Kumar et al. (2013) [9] reported successful use of intravenous injection of Vincristine sulphate @ 0.025 mg/kg thrice at interval of seven days. Cattle recovered uneventfully and there was no recurrence after surgery. Similar observations were reported by Giri et al. (2011) [2] , Jaiswal et al. (2014) [4] , Sharma and Singh, (2014) [16] , Pitlawar et al.

(2016) [16] and Behera et al. (2016) [1] . Histological examination of collected sample was suggestive of squamous cell carcinoma with typical keratinized squamous cell with characteristic epithelial pearls. Similar finding were reported by Kumar et al., 2013 [9] , Jaiswal et al. (2014) [4] , Reddy et al.

(2017) [14] and Sodhi and Sangwan (2019) [17] .

Acknowledgement

AcknowledgmentThe authors thankful to department of Veterinary Pathology and Veterinary Physiology and Biochemistry, Veterinary College, Gadag.

Figures and tables from the paper

Figure 1. Photograph showing bending of the left horn (yellow arrow)
Photograph showing bending of the left horn (yellow arrow)↗ Enlarge
Figure 1
Photograph showing bending of the left horn (yellow arrow)

Photograph showing bending of the left horn (yellow arrow)

Open full-size image ↗
Original paper figureSource PDF · page 1 ↗
Figure 2. A. Ring block with 2% Lignocaine HCl. B. Affected horn removed at base. C. Application of antiseptic bandage.
A. Ring block with 2% Lignocaine HCl. B. Affected horn removed at base. C. Application of antiseptic bandage.↗ Enlarge
Figure 2
A. Ring block with 2% Lignocaine HCl. B. Affected horn removed at base. C. Application of antiseptic bandage.

A. Ring block with 2% Lignocaine HCl. B. Affected horn removed at base. C. Application of antiseptic bandage.

Open full-size image ↗
Original paper figureSource PDF · page 2 ↗
Figure 2. A. Ring block with 2% Lignocaine HCl. B. Affected horn removed at base. C. Application of antiseptic bandage.
A. Ring block with 2% Lignocaine HCl. B. Affected horn removed at base. C. Application of antiseptic bandage.↗ Enlarge
Figure 2
A. Ring block with 2% Lignocaine HCl. B. Affected horn removed at base. C. Application of antiseptic bandage.

A. Ring block with 2% Lignocaine HCl. B. Affected horn removed at base. C. Application of antiseptic bandage.

Open full-size image ↗
Original paper figureSource PDF · page 2 ↗
Figure 2. A. Ring block with 2% Lignocaine HCl. B. Affected horn removed at base. C. Application of antiseptic bandage.
A. Ring block with 2% Lignocaine HCl. B. Affected horn removed at base. C. Application of antiseptic bandage.↗ Enlarge
Figure 2
A. Ring block with 2% Lignocaine HCl. B. Affected horn removed at base. C. Application of antiseptic bandage.

A. Ring block with 2% Lignocaine HCl. B. Affected horn removed at base. C. Application of antiseptic bandage.

Open full-size image ↗
Original paper figureSource PDF · page 2 ↗
Figure 3. Photograph showing the normal wound healing and
Photograph showing the normal wound healing and↗ Enlarge
Figure 3
Photograph showing the normal wound healing and

Photograph showing the normal wound healing and

Open full-size image ↗
Original paper figureSource PDF · page 2 ↗

References

20 in the original paper
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