Illustrated Articles
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Primary liver tumors in dogs and cats are rare. There are 4 types: hepatocellular tumors, bile duct tumors, neuroendocrine tumors, and sarcomas. These cancers can be massive, nodular, or diffuse in form. In dogs, most liver tumors are malignant, while in cats, most are benign. The signs of liver tumors range from being asymptomatic to having inappetence, fever, lethargy, and weight loss; and less commonly, nausea, vomiting and diarrhea; increased drinking and urination; and jaundice. Occasionally there are neurological signs, such as seizures. With tumor rupture and intrabdominal bleeding there may be weakness, collapse, and difficulty breathing. The diagnosis is based on history, clinical signs, exam findings, diagnostic imaging, and FNA or liver biopsy. A biopsy is best for a definitive diagnosis. Surgery is the treatment of choice for most primary liver tumors followed by chemotherapy. Chemoembolization is a newer treatment.
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Lung tumors are considered rare in cats and dogs. Many pets may not show symptoms at first, and a tumor may be found coincidentally. Depending on the type and stage of cancer, treatment may be possible; otherwise, symptomatic supportive care may be an alternative option.
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Lymphatic tumors are rare in pets. Lymphangiomas are benign and lymphangiosarcomas are malignant and have a moderate-to-high metastatic potential. Patients with lymphatic tumors typically have severe edema or cavity effusions because of lymphatic obstruction and leakage. These types of tumors occur more frequently in young dogs and cats. Treatment usually involves surgical excision and chemotherapy may be used as a follow-up treatment in the case of lymphangiosarcomas.
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Lymphoma is a cancer of the lymphocytes. Lymphocytes are cells that are involved in the immune system. Feline lymphoma most commonly affects the intestines; therefore, clinical signs of lymphoma are often similar to other intestinal diseases. Diagnosing lymphoma requires finding cancerous cells on microscopic examination. This cancer cannot be prevented, but the likelihood of a cat developing lymphoma can be decreased by preventing feline leukemia virus infection.
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The most common forms of cutaneous lymphoma are epitheliotropic lymphoma and dermal lymphoma. No specific risk factors or causes have been identified in the development of cutaneous lymphoma. Generally, cutaneous lymphoma can appear as various-sized irritated, ulcerated, or infected patches anywhere on the skin, including the gums, nose, or lip margins. These areas may become ulcerated and bleed, or become crusted. Secondary infections are possible. By far, the most common treatment for cutaneous lymphoma is chemotherapy. Unfortunately, the response to treatment, although initially encouraging, is typically short-lived, with gradual return of the tumors.
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A mammary tumor develops because of abnormal replication of the cells that make up the breast tissue. In cats, most mammary tumors (80-96%) are malignant. Sexually intact cats have a seven-fold increased risk for mammary tumors compared to spayed cats. Detecting and treating these tumors when they are small, and prior to metastasis, provides your cat with the best chance of long-term control. Surgery is by far the best treatment and, given the high metastatic rate in these tumors, chemotherapy is typically pursued afterward.
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Mast cells are a type of white blood cell that plays a large role in allergic response through degranulation. Mast cell tumors (MCT) can occur in the skin, spleen, or gastrointestinal tract of cats. Their cause is unknown; however, many affected cats show a genetic mutation in the KIT protein involved in replication and cell division. Cutaneous MCTs most often appear as hard pale/white plaques or nodules, often around the head and they may be itchy. Splenic MCTs cause decreased appetite, weight loss, and vomiting. Intestinal MCTs may cause GI upset and bloody stools, and a mass may be palpable. Diagnosis is typically achieved via fine needle aspirate although histopathology can be used. Treatment usually requires surgical removal of the masses or the spleen. Sometimes, chemotherapy or radiation is needed.
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Melanomas are cancerous growths of the cells responsible for pigmentation of the skin. They can develop anywhere on the body but those on the toes carry the highest chance for malignancy. They may be painful and you may notice your pet licking at the affected area. Surgery is often the treatment of choice and may be followed up with radiation or chemotherapy.
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Nasal tumors are an uncommon type of cancer but when they do occur, they tend to be malignant and locally aggressive. Staging can be done to determine the type of cancer and if it has affected anywhere else in the body. Treatment can be done in some cases to help relieve clinical signs, most often with radiation therapy.
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Neuroendocrine tumors are a group of tumors that develop from the cells of the neuroendocrine system, and include insulinomas, gastrinomas, glucagonomas, carcinoids, medullary thyroid carcinomas, small-cell lung carcinomas, pheochromocytomas, chemodectomas, and Merkel cell carcinomas. Some of these tumors are functional, while others are non-functional. The signs of disease in dogs and cats depend on the type of growth, location of the tumor, its size, the degree of infiltration in the surrounding tissues, whether it has metastasized, and whether it is functional. A definitive diagnosis requires tissue biopsy and histopathology, often with histochemical staining and electron microscopy. Staging is highly recommended for these tumors. Treatment may involve surgery, chemotherapy, radiation therapy, and medical and dietary management.