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Collecting tissue samples for cytology or histopathology allow a pathologist to often give a diagnosis of the type of mass or tumor your pet has. Samples can be obtained by fine needle aspirate or biopsy, where a piece of the mass is cut out. Based on what the mass appears like under the microscope, the pathologist can often give a prognosis of how the tumor will behave.
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Tumors of the intestinal epithelial lining include non-cancerous polyps, benign adenomas and malignant epithelial tumors (adenocarcinomas). The polyps and adenomas may be multiple and cause local obstruction.
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Muscle (called “smooth muscle”) and fibrous connective tissues form the framework (stroma) that holds other tissues together within the organs of the body. They enable these organs to contract and stretch as part of their function, for example in digestion of food.
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Esophageal tumors are extremely rare but more often than not malignant type tumors. The cause is unknown but cases in tropical environments may be due to infection by the worm Spirocerca lupi. Treatment options are limited as surgical complications are high due to the advanced nature of the disease at time of diagnosis.
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Eye melanomas in cats may be benign or malignant (cancerous). Malignant tumors, called diffuse iris melanomas, show up as multiple spots of color change in the iris, while benign tumors, called limbal melanomas, present as a distinct mass at the edge of the cornea. The diagnosis of these tumors is largely by clinical signs and tumor appearance. Treatment for diffuse iris melanomas may include close monitoring, laser surgery, removing part of the iris (iridectomy) and removing the eye (enucleation). Metastasis has been reported in about 19-70% of cases of diffuse iris melanoma, with most spread to the regional lymph nodes, kidneys, liver, and lungs. Treatment for limbal melanomas may include close monitoring, and surgery, sometimes combined with cryosurgery, laser surgery, or radiation therapy. Enucleation is an option if the treatment is unsuccessful, or the tumor regrows.
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Primary intraocular tumors, aside from melanoma, are relatively uncommon. There are many different types of primary tumors, including ciliary body adenoma and adenocarcinomas, uveal schwannomas of blue-eyed dogs, feline post-traumatic ocular sarcomas, and iridociliary adenomas and adenocarcinomas. When an intraocular tumor is suspected, a referral to a veterinary ophthalmologist may be recommended. Diagnosis is usually via an abnormal ophthalmic examination and/or ophthalmic ultrasound. Surgery is often recommended, especially if the pet has symptoms that reduce quality of life. The risk of metastasis is related to the type of tumor.
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Intestinal tumors are uncommon in dogs and cats, comprising about 2% of all cancers. There are many kinds, including leiomyosarcomas, lymphomas, adenocarcinomas, mast cell tumors, gastrointestinal stromal tumors (GISTs), plasmacytomas, carcinoids, and osteosarcomas (all malignant) and leiomyomas, adenomatous polyps, and adenomas (all benign). Most intestinal tumors are malignant. Intestinal tumors are more prevalent in older animals and certain breeds. Signs, diagnosis, and treatment are discussed.
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It is important to recognize that multiple tumors in the liver are not always cancers.
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The liver has a massive blood supply so many cancer cells from elsewhere arrive within it and start to grow. In dogs, metastatic tumors are three times as common as primary tumors and over 30% of malignant cancer may metastasize to the liver.
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Lymph is a fluid that circulates in the body, transporting cells of the immune system (macrophages and lymphocytes) to sites where they are needed and draining areas where excess fluid or debris has accumulated, such as occurs with inflammation.