Histiocytic sarcomas Flashcards

1
Q

Histiocytic sarcoma behavior

A
  • ROUND CELL TUMORS (or very high grade sarcomas)
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2
Q

How will histiocytic sarcomas often report?

A
  • Round cell sarcoma, histiocytic tumor possible
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3
Q

Cell origin for histiocytic sarcomas

A
  • Macrophage origin

- Macrophages or antigen presenting cells

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4
Q

Signalment for histiocytic sarcomas

A
  • Flat coated retrievers are the poster child
  • Golden Retrievers
  • Rottweilers
  • Any age, sex, or breed
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5
Q

Presentation for histiocytic sarcomas

A
  • masses often associated with muscle groups or joints but can be anywhere
  • Often painful
  • Often require HIC for correct diagnosis
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6
Q

Staging for histiocytic sarcoma

A
  • Draining lymph node, though sometimes the tumor appears to arise in a lymph node
  • Lungs (like a round cell)
  • Abdomen - liver and spleen
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7
Q

Treatment for histiocytic sarcoma - when to do?

A
  • HAS to be localized to one site (stage 1)
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8
Q

Treatment for histiocytic sarcoma

A
  1. Surgery (if you can remove with minimal morbidity)
  2. Radiation therapy (palliative protocol)
  3. Chemotherapy with lomustine
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9
Q

Prognosis for histiocytic sarcoma

A
  • Rarely curable, but will initially respond to treatment
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10
Q

Median survival for histiocytic sarcoma

A
  • 9 months with radiation and lomustine

- Long term survival (+/-) cure when low stage

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11
Q

What is a histiocytoma?

A
  • Langerhans cell proliferation
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12
Q

How do histiocytomas present?

A
  • Dermal nodules in a young dog, often on the extremities
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13
Q

Histiocytoma prognosis and treatment

A
  • Very good

- Spontaneously regress or removal curative

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14
Q

Hemophagocytic histiocytic sarcoma or malignant histiocytosis - what is the cell type that causes?

A
  • Phagocytic macrophages
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15
Q

WHo gets hemophagocytic histiocytic sarcoma?

A
  • Most common in Bernese mountain dogs

- Can occur in other breeds

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16
Q

Common presenting complaints for hemophagocytic form of histiocytic sarcoma

A
  • SEVERE anemia (immature cells coming out)
  • Responsive
  • Coombs negative
17
Q

Treatment for histiocytic sarcoma hemophagocytic form

A
  • None at this time

- MAYBe lomustine early on?

18
Q

RECAP: Which sarcomas have we learned about?

A
  • Osteosarcoma
  • Soft tissue sarcoma
  • Hemangiosarcoma
19
Q

Tissue of origin for sarcomas?

A
  • Mesenchymal tumors
20
Q

How do sarcomas spread?

A
  • Via blood

- LOOK AT THE LUNG

21
Q

Metastatic potential for sarcomas

A
  • Depends on grade
22
Q

Which round cell tumors have we learned about?

A
  • Lymphoma
  • Mast cell tumors
  • Histiocytic sarcomas
23
Q

Round cell tumor lines in general

A
  • Hematopoietic cells
24
Q

How do round cell tumors tend to spread?

A
  • Lymphatics

- Lymph nodes, spleen, and liver

25
Q

Carcinomas - where do they arise?

A
  • epithelial surfaces and glandular structures
26
Q

Carcinoma behavior locally

A
  • Locally a little more circumscribed
  • They tend to stick together
  • Clean margins easier to do with ~1 cm margin
27
Q

Where do carcinomas tend to metastasize?

A
  • Lymph nodes more than blood