Essays 61-70 Flashcards
incidence of mast cell tumour
1st skin tumour in dogs
2nd in cats
breed predisposition of mast cell tumour
boxer
weimaraner
golden retriever
siamese cat
signs of mast cell tumour
lesions
vomiting
melena
coagulopathy
delayed wound healing
hypotension
local bleeding
lesions of mast cell tumour
trunk
perineum
genitals
legs
head, neck
mast cell tumour in dogs
solitary, non encapsulated, highly infiltratvie into dermis and subcut
mast cell tumour in cats
solitary, well circumscribed, dermal mass
fna of mast cell tumour
give premed of antihistamines
treatment of mast cell tumour
surgery
radiotherapy
chemotherapy
targeted therapy
stage I of mast cell tumour
One tumor confined to dermis, no regional lnn involvement
stage II of mast cell tumours
One tumor confined to dermis with regional lnn involvement
stage III of mast cell tumour
Multiple dermal tumors: large infiltrating tumors + lnn involvement + systemic signs
stage IV of mast cell tumour
Any tumor with distant metastasis or recurrence with metastasis
name of eye melanoma
canine anterior uveal melanoma
metastasis of canine anterior uveal melanoma
low
diagnosis of canine anterior uveal melanoma
US, translumination
FNA, cytology
therapy of canine anterior uveal melanoma
iridectomy/ cycletomy
neodinium laser irridation
laser therapy
choroidal melanoma
no predisposition
dont grow for years then suddenly become invasive
cat eye tumour
feline primary intraocular melanoma
feline primary intraocular melanoma
no breed predisposition
malignant
melanomas arounds eyes
canine conjunctival melanoma
feline conjunctival melanoma
limbal melanoma
orbital tumours occurrence
90% malignant
dogs - female> male
cats - male > female
quick retinal degeneration syndrome
orbital tumours diagnosis
FNA
orbital meningioma
- Slow progression
- Rare metastases
- Osteolytic
- Involves neighboring tissue, CNS, optic foramen
orbit adenoma
- obular, can cause enophtlmus and exophtalmus
- Difficult to operate
radiotherapy eye side effects
- Chronic keratoconjunctivitis
- Corneal ulcer
- “dry eye”
- Enophthalmus
- Entropion
- Cataract
- Retinal bleeding
- Retinal detachment
- Blindness
chemo eye side effects
- Blurred vision
- Partial visual field defect
- Loss of color vision
- Diplopia
mechanisms in tumour pain
painful signals from PNS
mediators release from the tumour and immune cells
inflammatory signalling cascade
rodent cancer models
persistent noxious signals
can cause genetic alterations
dysregulation of neuron glial immune system
painful diagnostic intervention
bone marrow aspiration
tumour biopsy
positioning for xray
RDP
tumour palpation
surgery
radiation associated pain
acute - oral mucositis, dermatitis
late - neuropathies, fibrosis
chemo associated pain
paresthesia
abdominal pain
muscle cramps
burning like sensations
numbness
chemo induced peripheral neuropathy
side effects of nsaids
gi toxicity
renal toxicity
liver toxicity
grapiprant
- Highly selective EP4 prostaglandin, PGE2 receptor antagonist
- FDA approved for chronic osteoarthritis pain in dogs
- 2mg/kg SID PO
acetaminophen
- Non-acidic NSAID
- ! cats : highly toxic
- Caution in dogs with liver dysfunction
- 10-15mg/kg BID PO
- codein 1-2 mg/kg
opioids
- Moderate to severe pain
- In combination with NSAIDs
biphosphonates
- bone cancer
- Initiated by dysregulated osteoclasts and activation of nociceptors by prostaglandins
- Inhibit mevalonate pathway - block osteoclasts activity
- accumulation in bone tissue
biphosphonates drugs
Pamidronate
Zoledronate
anticonvulsants
chronic pain
carbamazepine
gabapentin
tricyclic antidepressants
for chronic pain in humans
amitriptyline, clomipramine, fluoxetine
ovarian tumours
epithelial cell tumours
germ cell tumours
sex cord stroma/ gonadostromal tumours
mesenchymal tumours
germ cell & sex cord stromal tumours
Epithelial cell tumors
- Outer surface of ovaries
- Malignant > benign
- 6-15 yo
- Malignant : adenocarcinoma, undifferentiated carcinoma
- Benign : Rete adenoma, Papillary adenoma, cystadenoma
Germ cell tumors
- Dysgerminoma (ovarian seminomas)
- Teratomas
- Malignant teratomas (teratocarcinomas)
- Sex cord stroma / Gonadostromal tumors
- Malignant : Granulosa-thecal cell tumors (Inhibin-α = specific marker)
- Benign : Thecomas, Luteomas
- Mesenchymal tumors
- Hemangioma, hemangiosarcoma, leiomyoma
Germ cell + Sex cord stromal cells tumors
- Mixed dysgerminoma / granulosa-cell tumor