AGASACA

Question 1

Amsellem
AGASACA cats
JAVMA 2019

Answer 1

Median Disease Free interval 234d

Survival time 260d

Clinical Signs
~Perianal ulceration
~discharge

Recurrence at 96 days
~incomplete excision
~high nuclear pleomorphic score

Negative DFI
~high nuclear pleomorphic score

Risk of death
~Local recurrence
~High nuclear pleomorphic score

Question 2

Skorupski
AGASACA with surgery alone
JAVMA 2018

Answer 2

MST 1237d

Recurrence 354d
Metastatic disease 589d

Cellular pleomorphism associated with metastatic disease

Question 3

Barnes
Sx management of recurrent AGASACA
JSAP 2017

Answer 3

MST 2nd surgery 283d

Perianal surgery
~major complications 12%

Lyph node extirpation complications
~bleeding 5%

Recurrence 12%
Subsequent met 42%

Altered ultrasonographic appearance of LN consistent with metastatic disease

Question 4

Approaches to the rectum

Answer 4

Ventral

• Pubic symphysiotomy
• Pubic osteotomy

Dorsal
-Inverted u-shape
(rectococcygeous m. & levator ani m. transected)

Lateral
-b/w Ext anal sphincter & Levator ani m

Question 5

Describe Atresia Ani classification

Answer 5

I: congenital stenosis
II: Persistence of anal membrane
III: Blind end of rectum cranially to opening
IV: Rectum ends in the pelvic canal

Question 6

Closure of Perianal Hernia

Answer 6

Traditional
-Ext anal sphincter to levator ani and coccygeus

Int Obt m. Transposition
-Ext anal sphincter to coccygeal and Int obturator

Superficial Gluteal

ST musc Transposition

Question 7

Perianal difference in cats

Answer 7

No sacrotuberous ligament