Distribution of Lesions in Red and Fallow Deer Naturally Infected with Mycobacterium bovis

Study of the medial group retropharyngeal node metastasis from nasopharyngeal carcinoma based on 3100 newly diagnosed cases

The retropharyngeal lymph nodes are the least well-described portion of the Waldeyer ring. Originally described as occurring in medial and lateral groups, reports have described only the presence of lateral nodes in children. We have seen cases of MRI sleep studies in children with obstructive sleep apnea (OSA) in which lateral and medial retropharyngeal lymph nodes are present and have been misinterpreted. Our purpose is to describe the frequency and appearance of retropharyngeal lymph nodes in children with and without OSA. Axial and sagittal T2-weighted MRI scans were reviewed in 150 children with OSA and 150 control subjects without OSA, who underwent imaging for other indications. The presence, size, and location of the retropharyngeal lymph nodes were evaluated. Retropharyngeal lymph nodes were evaluated for frequency of medial nodes, frequency of lateral nodes, size as indicated by the anterior-to-posterior diameter, laterality (bilateral or unilateral), and superior-to-inferior location compared with the cervical vertebral body level. Analyses were performed using the chi-square or Fisher's exact test (for categorical data) and generalized linear model or two-sample Wilcoxon's Mann-Whitney test (for continuous data). Lateral retropharyngeal lymph nodes were common in both children with OSA (137/150 [91.3%]) and children without OSA (146/150 [97.3%]). Medial retropharyngeal lymph nodes occurred not uncommonly in both children with OSA (32/150 [21.3%]) and those without OSA (26/150 [17.3%]). Lateral retropharyngeal lymph nodes were more commonly bilateral (95% CI, 88.4-97.4%; p < 0.0001) and located at the skull base (C1) or C1-C2 level (99%; p < 0.0001). Medial retropharyngeal lymph nodes were more commonly unilateral (95% CI, 71.9-84.6%; p < 0.0004) and located at the C2-C3 level (95% CI, 78.13-84.62%; p < 0.0001). There were no statistically significant differences in the proportion of medial or lateral retropharyngeal lymph nodes in the OSA group compared with the control group. Retropharyngeal lymph nodes are seen commonly in children in both lateral (95% CI, 91.3-97.3%) and medial (95% CI, 17.3-21.3%) locations. Media nodes are present more frequently than previously described. Such nodes occur almost equally frequently in populations with and without OSA. Retropharyngeal lymph nodes should be considered normal in children and not be interpreted as abnormal or misdiagnosed.

Ultrasonography provides a minimally invasive method to evaluate the cervical lymph nodes in dogs as part of staging head and neck cancer; however, standardized cohesive reports of the normal lymph node size and appearance are lacking. The purpose of this prospective, descriptive, reference interval study was to characterize the ultrasonographic appearance of cervical lymph nodes in 27 clinically healthy dogs. The size, shape, echogenicity, and margination of the mandibular, medial retropharyngeal, and superficial cervical lymph nodes were evaluated and correlated with age, breed, sex, body weight, and stage of dental disease. The appearance of the lymph nodes was variable among the population. The majority were cigar or ovoid in shape with smooth margins. The echogenicity of the mandibular lymph nodes was predominantly hypoechoic whereas the medial retropharyngeal lymph nodes were predominantly isoechoic compared to the salivary glands. The superficial cervical lymph nodes were predominantly hyperechoic to the surrounding muscle bellies. Higher body weight and younger age were associated with increased size in the medial retropharyngeal and superficial cervical lymph nodes (P-values<.05). Sex and breed were not found to correlate with lymph node characteristics, and there was no trend noted in lymph node appearance associated with dental disease. These data establish normal parameters for the ultrasonographic size and appearance of cervical lymph nodes in dogs and can provide a reference of comparison for future canine cervical ultrasounds, which can be considered for routine staging procedures for head and neck cancer.

Patients with nasopharyngeal carcinoma (NPC) represent a distinct group of head and neck cancer patients. They are often non-smokers, non-drinkers, and on average 10 to 20 years younger than those with cancers of other head and neck sites. Given good baseline health status and the effectiveness of contemporary treatment [1], patients with NPC typically have long projected life expectancies and commonly develop late treatment adverse effects, such as dysphagia and swallowing dysfunction. Delineation and coverage of microscopic disease within the clinical target volume (CTV) are crucial in head and neck radiation treatment planning. The retropharyngeal lymph node (RPLN) is the first echelon nodal drainage for NPC. RPLN represents a special entity as they are usually not clinically detectable. Their diagnosis is based on computed tomography (CT) and magnetic resonance imaging (MRI). RPLN was identified almost one hundred years ago. French anatomist Henri Rouviére (1875-1952), through his extensive work in the delineation and classification of human lymph nodes using fresh cadavers, identified a set of lymph nodes in the lateral retropharyngeal space (RPS) [2]. These lateral RPLNs were later named nodes of Rouviére. The nodes of Rouvière, along with the medial RPLN, form the retropharyngeal nodal group, which is located within the RPS. Above the level of the hyoid, RPS contains RPLN and adipose tissues. At the infrahyoid level, the RPS contains only adipose tissues. It is a common practice to delineate the entire RPS up to the level of the hyoid as a CTV target. In this era when technology dominates the field of oncology, tremendous resources have been invested in the development of high-tech radiation delivery machines and pharmaceuticals. Much less effort has been put into the artistry of oncology, such as refining the delineation of target volumes in radiation planning, albeit a significantly less cost-effective and labor-intensive approach [3-6]. Recently, Mao et al. [7], in a multicenter randomized phase III trial, demonstrated how sparing of the medial retropharyngeal nodal group alone in radiation planning – a process that solely relies on human intelligence without any additional human effort or technological resources – results in 39% reduction in ≥ grade one clinician-rated acute dysphagia and 24% reduction in ≥ grade one weight loss. In addition, there was a significant improvement in patient-reported quality-of-life outcomes at 3 years, such as global health status, role-social function and swallowing function. No recurrence was observed in the medial RPLN sparing group. After adjusting for covariates, the regional relapse-free survival rates were similar in medial RPLN sparing and the medial RPLN non-sparing groups [7]. In the study by Mao et al. [7], utilizing the medial RPLN sparing approach, the mean dose to the middle pharyngeal constrictors decreased from 54 Gy to 49 Gy. Why would such a mild decrease in dose result in such modest improvement in clinician- and patient-rated swallowing function? It is a common misunderstanding that swallowing dysfunction from radiation is a direct result of muscle damage. The neural contribution of swallowing dysfunction is commonly overlooked. By sparing pharyngeal constrictor muscles, one also inevitably spares the pharyngeal nerve plexus, which lies on the posterior surface of the middle pharyngeal constrictor muscle. The pharyngeal nerve plexus contains fibers of cranial nerves IX, X, and superior sympathetic ganglion - the main sensory and motor nervous supply of the pharynx. Objective assessment of swallowing function using video fluoroscopic swallow study or high-resolution manometry of pharyngeal swallow pressure would help us to define the objective outcome of this medial RPLN and pharyngeal plexus sparing approach. Developmentally, medial RPLN undergoes atrophy before puberty, and it usually disappears by the age of 5. Lateral RPLN, however, persists in adulthood. Tumor involvement of the medial RPLN is very rare [8]. In a study of 3,100 newly diagnosed NPC, using contemporary MRI techniques, medial PRLN involvement was only identified in 0.2% of the patients, and they were all located at the level of the second or third cervical vertebra [8]. The group by Mao et al. [7], by leveraging and transferring the knowledge of lymphatic development and pattern of tumor spread – human intelligence – into clinical treatment planning and toxicity reduction. Much of the practice in medicine is based on myth and tradition. In the field of radiation oncology, it is common for clinicians to follow the one-size-fits-all rule by following national or protocol guidelines without understanding patterns of tumor spread or employing the-bigger-the-better approach while believing that a larger CTV would result in improved local control. It is not until we combine human intelligence with technological advancements will we see improved tumor control and quality of life in our patients. Annie W. Chan contributed substantially to the conception and drafted the article. The author has nothing to report. The author declares no conflicts of interest. Not applicable. Not applicable. Not applicable. Not applicable.

To compare shear-wave velocities (SWVs) with shear-wave elastography of various peripheral lymph nodes (LNs). 11 healthy Beagles. For each dog, bilateral mandibular, medial retropharyngeal, superficial cervical, axillary, superficial inguinal, and popliteal LNs were evaluated with shear-wave elastography in sagittal and transverse scanning planes. Depth of each lymph node was recorded, and intra- and interobserver reliability was determined. SWVs for all LNs were significantly higher in the sagittal scanning plane, compared with those in the transverse scanning plane. The SWV of the most superficial LN, the mandibular LN, was significantly higher, compared with that for the other LNs, except for the medial retropharyngeal LN. The SWV of the deepest LN, the medial retropharyngeal LN, was as high as that for the mandibular LN. Intra- and interobserver reliability was excellent. SWVs for normal peripheral LNs of Beagles may serve as a reference to compare with those for other breeds and diseased LNs. Scanning plane, LN depth, and interfering tissues between the LN and the transducer may affect SWV. Shear-wave elastography may not be operator dependent.

Mesenchymal stem cells positive to surface antigen STRO-1 were isolated from regenerating antlers of red deer (Cervus elaphus) and fallow deer (Dama dama) using a magnetic-activated cell sorting (MACS) method. In this study we analysed factors potentially affecting the number of STRO-1+ cells in the cell cultures. With regard to the STRO-1 antigen, we evaluated data from 188 MACS separation procedures of cell cultures cultivated in Dulbecco’s Modified Eagle Medium and 10% fetal calf serum of four fallow deer males (130 procedures) and four red deer males (58 procedures). The analysed factors were the sampling site of the antler or the pedicle, cell passage and type of the cell culture (mixed or STRO-1 negative cell cultures). The percentage of obtained STRO-1+ cells varied greatly from 0.4 to 38.9% for fallow deer and from 1.8 to 16.5% for red deer. We have not found any significant influence of the sampling site. The passage and the type of culture were significant factors for both fallow and red deer cells. The highest numbers of STRO-1+ cells were obtained from the second passage from both fallow and red deer cell cultures (24.6 and 5.5%, respectively). Our experiment revealed that we can maximise the number of STRO-1+ cells in the cultures by manipulating the cultivation factors.

To compare ventral cervical and bilateral lateral incisions for extirpation of mandibular and medial retropharyngeal lymph nodes in dogs. Prospective randomized, crossover controlled cadaver trial. Eight veterinarians with advanced surgical training. Study participants were randomized to perform both techniques on paired cadavers. Time to extirpation of the first and last lymph node, length of incisions, and complications were recorded for both techniques. Participants were asked to rate satisfaction with their ability to identify local anatomy and lymph nodes as well as overall preferred technique by using a 10-point numerical rating scale. The total length of skin incised for the bilateral lateral approach exceeded that of the ventral cervical approach by 52.1 mm (mean, P < .001). The surgical time for removal of all 4 lymph nodes did not differ between the 2 approaches. The bilateral lateral approach was preferred by 62.5% (5/8) of participants for visualization of mandibular lymph nodes, and the ventral cervical approach was preferred by 87.5% (7/8) of participants for visualization of local anatomy. Overall, 62.5% (5/8) preferred the ventral cervical approach and 37.5% (3/8) preferred the bilateral lateral approach. The ventral cervical approach was preferred by participants for its perceived superior visualization of local anatomy and access to lymph nodes for removal. This approach also resulted in an overall shorter incision length. A ventral cervical or bilateral lateral approach allows successful removal of the medial mandibular and retropharyngeal lymph nodes in dogs, and surgical approach may be selected according to individual preference.

Correspondence has appeared in the literature concerning the relationships between red deer (Cervus elaphus), roe deer (Capreolus capreolus), fallow deer (Dama dama) and some other species, such as Japanese deer (Cervus nippon), which are feral in the British Isles. Competition, described as antipathy or antagonism by various writers, appears to be the most widely accepted mechanism whereby relative abundance of one deer species is often correlated with relative scarcity of others. Other explanations involve geographical limits of distribution, two examples being the relative abundance of fallow deer in the south of England, and of roe deer in the Lake District (Delap 1955, Carne 1955). Carne (1954) has stated that Japanese (syn. sika) and fallow deer are, having been introduced into Britain, a powerful deterrent to the roe; he claims support for this contention from historical records which he considers show that as fallow deer have increased in an area, roe deer have decreased, often to extinction. Having observed in the Lake District of England that fallow deer have never established themselves in forests occupied by roe deer, Carne confirmed (1955) a statement by Delap (1955) that there is antipathy between them. Delap also stated that roe deer and red deer or red deer and fallow deer can 'associate happily', but that antagonism exists between roe deer and fallow deer. However, even co-existence of red deer and roe deer does not appear to be a constant feature; Wildash (1951) records that roe deer are seldom found where red deer are present in any numbers in Austria, that the red deer is a 'natural enemy' of the roe, and also that Austrian foresters could not give any reason for this antipathy. The purpose of this paper is to examine these ideas in the light of further evidence. It will be shown that roe, red and fallow deer are characteristically most numerous at different stages in the development of several British forests; when two or more of these three species are present in the same forest area, the number of each of them increases and decreases in a successional manner, which is related to development of the forest habitat towards a climax of mature trees. Such successional changes of the deer fauna are considered to be similar in nature to the marked changes which were shown to occur to the species composition of the bird fauna when a heathland area in East Anglia was afforested (Lack & Lack 1951).

We conducted a series of studies in the Dobris Forest, Czech Republic, to determine whether competition between white-tailed deer (Odocoileus virginianus) and sympatric cervid species could limit expansion of the white-tail population. We used grazing time among species as an indication of potential interspecific competition and predicted that grazing time on an open pasture would decrease if deer other than conspecifics were present or entered the pasture. We used 710 observational records in our analyses: 409 for white-tailed deer, 225 for fallow deer (Dama dama), 66 for red deer (Cervus elaphus), and 10 for roe deer (Capreolus capreolus). The time that white-tailed, fallow, and roe deer spent grazing was not affected by whether the pasture was harvested or whether any deer were present when the focal animal entered. We observed a strong tendency for grazing time by red deer to be directly related to the numbers of whitetails or female fallow deer visible before red deer entered the pasture, Grazing time of white-tailed and fallow deer increased if the focal deer was joined by another animal. For white-tailed and fallow deer, the anti-predatory strategy of joining a group may have been balanced by avoiding the most competitive classes of animals. Our results suggest that interspecific cooperative behavior, rather than interspecific competition, occurs among these sympatric cervids.

Mycobacterium avium subspecies paratuberculosis in fallow deer and wild boar in Spain

Integrating the interaction between cell wall components through a lignin and neutral detergent fibre ratio as a cell wall digestibility (CWD) index may provide a suitable method for diet quality and fibre digestibility estimation. Predictive faecal-Fourier-transform (FT)-near infrared reflectance spectroscopy (NIRS) equations useful for CWD determination were developed as an integrative assessment of the digestibility and quality of the diet selected by red (Cervus elaphus hispanicus) and fallow (Dama dama) deer in southern Spain. A chemometric regression was used from spectra of faeces and wet chemical rumen contents analysis as reference data coupled with partial least-squares. The accuracy and feasibility of the equations obtained for red and fallow deer samples separately were evaluated, as well as after pooling all samples for both species. The predictive equations had a high linearity with correlation coefficients (r) ranging between 0.89 and 0.99, as well as a reliable accuracy considering the errors of prediction (RMSEP 0.57–0.87), calibration (RMS 0.04–0.45) and cross-calibration (RMSECV 0.80–1.12) in relation to the range of values for which the NIRS calibration was set for each parameter, giving very good RER (residual error value) indices (7.44–13.23). The ability of the calibration equations to predict new samples from the same deer populations was also assessed through an external validation. Equations obtained for the red deer data were successfully applied not only to red deer but also to fallow deer, and vice versa. Feasible CWD simultaneous determination in red and fallow deer was also obtained by using the broad-based equations. There was variation of the CWD index throughout the year and differences between the two deer species. A lower CWD of the forage was recorded in red deer, while a lower CWD ratio was detected at the end of winter coinciding with the highest browsing levels in both species. This technique has potential to enable closer examination of the non-grass variables and distinguish between browse and herbage feeding behaviour. The faecal-NIRS method of CWD ratio determination is a useful, non-invasive tool for monitoring variations in the diet quality of Mediterranean deer in their natural environment.

BackgroundHunting constitutes an important industry in Europe. However, data on the prevalence of vector-borne bacteria in large game animal species are lacking from several countries. Blood or spleen samples (239 and 270, respectively) were taken from red, fallow and roe deer, as well as from water buffaloes, mouflons and wild boars in Hungary, followed by DNA extraction and molecular analyses for Anaplasma phagocytophilum, haemoplasmas and rickettsiae.ResultsBased on blood samples, the prevalence rate of A. phagocytophilum infection was significantly higher in red deer (97.9%) than in fallow deer (72.7%) and roe deer (60%), and in all these compared to mouflons (6.3%). In addition, 39.2% of the spleen samples from wild boars were PCR positive for A. phagocytophilum, but none of the buffalos. Based on blood samples, the prevalence rates of both Mycoplasma wenyonii (Mw) and ‘Candidatus M. haemobos’ (CMh) infections were significantly higher in buffaloes (Mw: 91.2%; CMh: 73.3%) than in red deer (Mw: 64.6%; CMh: 45.8%), and in both of them compared to fallow deer (Mw: 30.3%; CMh: 9.1%) and roe deer (Mw: 20%; CMh: 1.5%). The prevalence of Mw and CMh infection significantly correlated with the body sizes of these hosts. Furthermore, Mw was significantly more prevalent than CMh in buffaloes, red and roe deer. Mycoplasma ovis was detected in mouflons, M. suis in wild boars, R. helvetica in one fallow deer and one mouflon, and an unidentified Rickettsia sp. in a fallow deer.ConclusionsForest-dwelling game animal species were found to be important carriers of A. phagocytophilum. In contrast, animals grazing grassland (i.e. buffaloes) were less likely to get infected with this Ixodes ricinus-borne pathogen. Water buffaloes, deer species, mouflons and wild boars harbored haemoplasmas that may affect domestic ungulates. Evaluated animals with larger body size had significantly higher prevalence of infection with haemoplasmas compared to smaller deer species. The above host species rarely carried rickettsiae.

PurposeThis study aimed to determine the diagnostic value of diffusion-weighted imaging (DWI) and to elucidate the clinical characteristics of medial group retropharyngeal lymph nodes (RLNs) based on multi-modal imaging. Also, we intended to explore the feasibility of optimizing the CTV60 boundary based on the characteristics of medial group RLNs.MethodsA total of 549 patients with nasopharyngeal carcinoma received magnetic resonance imaging (MRI), DWI, and contrast-enhanced computed tomography (CT) to detect and evaluate clinical characteristics of medial group RLNs. [18F]Fluorodeoxyglucose positron emission tomography/computed tomography was utilized to identify fluorodeoxyglucose uptaking and contrast-enhanced CT to ensure the reliability of CTV optimization during radiotherapy. The DESdC (Drinking, Eating, Swallowing Difficulties, and Coughing while Eating or Drinking) score was utilized to evaluate swallowing disability.ResultsFourteen of 549 patients had medial group RLNs with a transverse diameter of 2.0–19.0 mm, which distributed between the upper margin of 1st cervical vertebra (C1) and the upper one-third of C3. Lasso regression and Pearson chi-square test suggested that its occurrence was associated with stage N, bilateral cervical lymph node metastases, especially when the transverse diameter of cervical lymph nodes was > 3 cm. The sensitivity of DWI, T2 STIR, and contrast-enhanced CT was 100%, 57.1%, and 21.4%, respectively. We optimized CTV60 of medial group RLNs from the base of skull to the upper edge of C2 excluding specific cases. For patients with CTV60 optimization, radiation dose and volume of swallowing structures decreased obviously. Based on our radiotherapy strategy on CTV60, acute toxicities of enrolled patients were well tolerated. Ninety-six of 549 patients had scores with DESdC score. Eighty-three patients scored 1, seven patients scored 2, one patient scored 3, and three patients scored 4. The median interval from the onset of symptoms was 72 (4–114) months. The 5-year overall survival, progression-free survival, local recurrence-free survival, and distant metastasis-free survival were 87%, 80%, 93%, and 85%, respectively. None of the patients with regional recurrence happened in the optimized region.ConclusionDWI possesses superiorities in displaying lymph nodes. Based on the low incidence of the medial RLNs, CTV60 of medial group RLNs from the base of skull to the upper edge of C2 is feasible and has dosimetric advantages for protecting swallowing structures.

The wild population of fallow deer in Central Europe has grown considerably over the last decade. However, information on feeding habits of this alien species in relation to the indigenous red deer or roe deer, in areas of their co-occurrence, is scarce. A prevailing view maintains that their food-niches are distinct, although direct comparative studies have not been carried out. Therefore, the aim of the research was to compare the diets of fallow, red, and roe deer feeding in the same habitat. Research was based on the rumen contents of 242 animals hunted in the autumn-winter season in the forests of Southern Poland. The analyses demonstrated that fallow deer are moderate grazers in such conditions and eat more graminoids in comparison to red or roe deer (36.4% vs. 16.1% or 5.5%, respectively). On the other hand, it feeds on less browse (17.2% vs. 41.4%) or dwarf shrubs (8.4% vs. 19.0%) than red deer, and on less bramble (10.9% vs. 34.6%) or forbs (4.0% vs. 7.6%) in comparison to roe deer (P=0.05). Although the diets of the three deer species differ in terms of the proportion of each food type in their diet, overlapping of their food-niches is high (52.6%).

Manipulation of reproductive seasonality of farmed red deer ( Cervus elaphus) and fallow deer ( Dama dama) by strategic administration of exogenous melatonin