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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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Ear canal tumors are abnormal growths that can develop from any part of the ear canal (the skin, the glands of the skin that produce earwax and oil, and the underlying connective tissues, muscles, and bones). Initially, these tumors may appear as one or more pink, white, or purple nodular masses in the ear canal. If benign, they may grow to a certain size and may or may not be problematic. If malignant, they may grow, ulcerate (break open) and bleed, and nearly always become infected, causing recurrent or chronic ear infections. The treatment of choice for ear canal tumors is surgical excision.
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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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Tumors can affect the eyelids, conjunctiva, and periocular tissues can be benign or malignant and can lead to secondary problems such as eye infections and corneal ulcerations. Diagnosis is best achieved through surgical excision of the tumor, but fine needle aspiration may be pursued as an initial diagnostic. Surgery is highly recommended to provide the pet with symptomatic relief, remove the tumor, and obtain a definitive diagnosis.
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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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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.
