Lobectomia pulmonar total por adenocarcinoma pulmonar de padrão acinar em lobo caudal direito em canino

Abstract

This study aims to report the activities carried out during the mandatory supervised internship in Veterinary Medicine and to describe the clinical case of a dog submitted to total pulmonary lobectomy due to acinar-type pulmonary adenocarcinoma. The internship was divided into two stages: the first was conducted in the Anesthesiology and Veterinary Emergency Medicine Department of the Veterinary Hospital of the Federal University of Mato Grosso do Sul, which allowed the monitoring of emergency care, anesthetic procedures in routine surgeries, and sedations for imaging and laboratory procedures. The second stage took place in the Small Animal Surgical Clinic Department of the Veterinary Hospital of the Federal University of Uberlândia, providing the opportunity to follow clinical-surgical consultations and to participate in surgical procedures of varying complexity, as well as to assist in the pre- and postoperative management of patients. The case report refers to a 13-year-old Shih-Tzu dog with a history of chronic coughing and hemoptysis, diagnosed through imaging exams with a pulmonary mass in the right caudal lobe consistent with primary neoplasia. Intercostal thoracotomy and total pulmonary lobectomy of the right caudal and middle lobes were performed. Histopathological examination confirmed an acinar-type pulmonary adenocarcinoma with features compatible with malignancy. This study reinforces the importance of integrated action between clinical practice, anesthesiology, and surgery, as well as the role of early detection and surgical intervention as key factors in prognosis. It is concluded that the experience acquired during the internships was essential for technical and scientific development, and that surgical excision remains the treatment of choice for primary pulmonary neoplasms in dogs.