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Dog Waving Paw

CANINE

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This section focuses on the fundamentals of canine oncology, providing in-depth insights into the diagnosis, treatment, and management of common cancers in dogs. Explore key topics such as lymphoma, mast cell tumors, osteosarcoma, hemangiosarcoma, and more.

The notes include essential information on tumor biology, staging systems, advanced diagnostic techniques like cytology and histopathology, and treatment modalities such as surgery, chemotherapy, and radiation therapy.

Notes:

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NAVLE Flash Cards

Question 1:

A 10-year-old spayed female Scottish Terrier presents with stranguria, pollakiuria, and occasional hematuria. Physical examination is unremarkable except for discomfort on bladder palpation. Abdominal ultrasound reveals a mass at the trigone of the bladder. Which of the following is the most likely diagnosis?

A. Bacterial cystitis
B. Transitional Cell Carcinoma
C. Urolithiasis
D. Prostatic adenocarcinoma

Question 2:

Which of the following is the most appropriate initial treatment plan for a dog diagnosed with non-resectable transitional cell carcinoma of the bladder?

A. Immediate cystectomy
B. NSAIDs (e.g., piroxicam) with or without chemotherapy
C. Long-term antibiotics and dietary therapy
D. Radiation therapy followed by surgical excision

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Answers

Question 1:

Answer: B) Transitional Cell Carcinoma

📘 Explanation:
Transitional Cell Carcinoma (TCC) is the most common malignant bladder tumor in dogs, with a strong breed predisposition in Scottish Terriers, Shetland Sheepdogs, and Beagles. It typically affects older, spayed females and arises most commonly at the trigone of the bladder, although it can involve the urethra and prostate.
Clinical signs are due to obstructive or irritative lower urinary tract disease, such as:

  • Stranguria

  • Pollakiuria

  • Hematuria

  • Urinary incontinence

Diagnosis is based on:

  • Ultrasound findings (mass at trigone)

  • Urine cytology or traumatic catheterization (to avoid seeding with cystocentesis)

  • BRAF mutation testing in urine (non-invasive and specific)

TCC must be distinguished from chronic UTI or urolithiasis. Prostatic adenocarcinoma is rare in females.

 

Question 2:

Answer: B) NSAIDs (e.g., piroxicam) with or without chemotherapy

📘 Explanation:
Surgical resection is usually not feasible for bladder TCC due to the frequent location at the trigone, a critical area that includes the ureters and urethra. The cornerstone of therapy is medical management, especially:

  • NSAIDs, particularly piroxicam, which inhibits COX enzymes and has anti-tumor and anti-inflammatory effects.

  • Chemotherapy, such as mitoxantrone or vinblastine, is commonly used in combination with piroxicam for improved outcomes.

Radiation therapy may be used in some centers, but side effects to surrounding tissues (colon, rectum) limit its use.

Prognosis:

  • Median survival time with piroxicam alone: ~6 months

  • Combination therapy (NSAID + chemo): ~10–12 months

  • Metastasis to lungs or regional lymph nodes is common in later stages.

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