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© Kirrawee Veterinary Hospital CANINE DISEASES
Intestinal Tumours
The two most common intestinal tumors of dogs and cats are adenocarcinomas
and lymphosarcomas. Clinical signs of intestinal tumors generally develop slowly starting
with loss of weight and appetite. Usually diarrhoea and vomiting
follow with secondary symptoms including fluid swelling of the
abdomen and anaemia. Adenocarcinomas are seen predominantly in older animals with an increased incidence
in males. These tumors lead to thickening of the gut which may
grow both outwards to form a mass or inwards to block the intestine.
Ulceration of the gut lining is also common producing black faeces
and occasionally anaemia. These tumours readily spread to local
lymph nodes (glands) draining the intestine and are capable of
spreading (metastasizing) to other parts of the body. Identifying the tumors can be difficult without surgically removing
part of the intestine for examination (biopsy). Xrays may identify
a mass or thickening but these can resemble other obstructions. Because of the tendency for adenocarcinomas to spread the outlook
for animals with this tumor is generally poor. Average survival
time after surgery is quoted at 4-6 months. Lymphosarcomas can occur at any age but are also more common in older animals
and males. Both a diffuse form which causes extensive thickening
of the gut and a nodular form which produces localized narrowing
and obstruction of the gut are recognized. As with adenocarcinomas
ulceration of the lining may be seen and spread to lymph nodes
is common. Unfortunately lymphosarcomas are also cancerous spreading
to a large number other organs relatively early in their course
making the outlook for this disease poor. Clinical signs, Xrays, and laboratory tests showing increased
white blood cells (neutrophils), liver enzymes, and low blood
protein, may suggest lymphosarcoma however diagnosis is eventually
made by biopsy of the effected intestine. Lymphosarcomas are one tumor which is very sensitive to chemotherapy
in dogs and cats. Recent studies have indicated this treatment
may offer a more reasonable long term prognosis for animals with
intestinal lymphosarcoma in combination with surgical removal
of the effect gut. |