Hematuria, Pollakiuria, Stranguria Part 3

Question 1

__ is the most common prostatic neoplasia

Answer 1

Adenocarcinoma

Question 2

Prostatic neoplasia is hormonally __ and castration significantly increases the risk of developing __

Answer 2

Independent, prostatic cancer

Question 3

Prostatic neoplasms are __ aggressive and have extensive local invasion and visceral __

Answer 3

Highly, metastases

Question 4

Prostatic Neoplasia Clinical Signs

Answer 4

Dysuria, Macroscopic Hematuria, dyschezia, hindlimb pain, ataxia

Question 5

What 3 things may you see on ultrasound of prostatic cancer?

Answer 5

Focal -> diffuse hyperechoic areas
Mineralization
Loss of normal prostatic contour

Question 6

Tx and prognosis of prostatic cancer

Answer 6

• NSAIDS (piroxicam)
• chemotherapy
• radiation therapy

Survival time is still short, often ranging from weeks to months

Question 7

Urinary Bladder and Urethral Tumors are high grade ___ that are most common in __ and __

Answer 7

Invasive transitional cell carcinoma, dogs and cats

Question 8

Signalment of of TCC

Answer 8

Older female dogs, specifically Scottish terriers

Question 9

What are common metastatic sites for TCC?

Answer 9

Lymph nodes, lung, bone and skin

Question 10

What would a rectal exam reveal in a patient with TCC?

Answer 10

Thickened urethra or enlarged sublumbar or intrapelvic lymph nodes

Question 11

__ is preferred for assessing location and extent of disease with TCC

Answer 11

Ultrasound

Question 12

For a definitive diagnosis of TCC, use __ or __ . What is a common procedure?

Answer 12

Cytology or histopathology

Catheterization with red rubber

Question 13

BRAF

Answer 13

Genetic mutation identified in approximately 80% of dogs with urinary tract urothelial carcinoma and prostatic carcinoma

Question 14

Treatment of TCC can be sx if in the __ of the bladder

Answer 14

Apex/cranial portion

Question 15

List other treatment options and palliative care for TCC

Answer 15

• chemo and cox inhibitors
• radiation

Palliative:
- cystotomy tubes
- urethral stent placement
- laser ablation

Question 16

Benign prostatic hyperplasia is present in __ of intact dogs >9 years

Answer 16

95%

Affects Scottish terriers more severely

Question 17

Definitive diagnosis of BPH requires what?

Answer 17

Prostatic biopsy

Question 18

__ is the first choice treatment for BPH but if not __ can be used to reduce prostate size by 50-70% while maintaining fertility

Answer 18

Castration, finasteride

Question 19

T/F: All intact males will develop BPH but only some will have it to an extreme extent that causes clinical signs

Answer 19

T