L3 Pt. 2 Flashcards

1
Q

Chars. Of TCC

A
  • most common form of canine bladder cancer
  • most common in trigone
  • increased incidence in females, scotties, shelties, and beagles
  • uncommon in cats, cattle
  • cows that eat bracken fern can get
  • assoc. with dysuria, hematuria, pollakiuria, bladder mass on US/rectal
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2
Q

Best sample collection technique to get sample of TCC

A

traumatic catheterization

  • cystoscopy more expensive
  • 30% of free catches will have cells
  • aspiration can seed abdomen with cancer cells; only perform if owner wants an answer but doesn’t want to treat
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3
Q

Cytological appearance of TCC

A
  • large sheets of cells
  • distinct cytoplasmic borders in some cases
  • malignant features: large, irregular nucleoli, areas of light and dark, binucleation, nuclear molding, high N:C ratio, anisokaryosis
  • can have large cytoplasmic vacuoles filled with pink secretory material (“signet ring”)
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4
Q

Chars. Of benign prostatic hyperplasia

A
  • more common in older intact dogs
  • assoc. with uniform enlargement of the prostate
  • may or may not be painful
  • cytology appears like a uniform sheet of epithelial cells in a honeycomb pattern
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5
Q

Chars. Of prostatic carcinoma

A
  • most common in older dogs >10 yrs
  • irregularly enlarged, nodular, firm, painful
  • dysuria +/- hematuria may be present
  • mineralization common
  • locally invasive, but can met to LN, other organs, and axial skeleton
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6
Q

Chars. Of Neuroendocrine neoplasms in general

A
  • tumors of chemoreceptors and endocrine glands (thyroid, parathyroid, endocrine pancreas, adrenal gland, carotid and aortic body)
  • exfoliate well
  • have free nuclei in background of cytoplasm (fragile cells)
  • have uniform populations with minimal atypia - difficult to call malignant
  • require histo to call malignant
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7
Q

Chars. Of Canine Thyroid neoplasms

A
  • neuroendocrine tumor
  • typical presentation = mass on ventral neck to thoracic inlet
  • common in boxers, beagles, goldens
  • 90% malignant
  • usually not biochemically active/secretory
  • locally invasive and will met as they grow bigger
  • tx of choice = surgical excision
  • thyroid and parathytoid tumors look same, except parathyroid more likely to be hypercalcemic
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8
Q

Cytologic appearance of canine thyroid neoplasms

A
  • uniform pop. Of nuclei in background of cytoplasm
  • few distinct cytoplasmic borders
  • aspirates may be heavily blood contaminated
  • typical neuroendocrine appearance
  • colloid (pink) and tyrosine (dk purple/black) granules
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9
Q

Chars. Of feline thyroid neoplasms

A
  • may be cystic or bilateral
  • usually benign in cats
  • biochemically active (hypersecretion of thyroid hormones)
  • adenocarcinomas locally invasive (40-70% met to regional LN)
  • adenomas most common, but requires histo to dx
  • can cause hyperthyroidism in cats
  • look similar to canine
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10
Q

Equine thyroid tumors

A
  • common in horses > 16 yrs
  • most benign
  • usually nonfunctional
  • adenocarcinoma possible
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11
Q

Chars. Of parathyroid neoplasia

A
  • uncommon
  • dx relies on lab findings
  • majority benign
  • adenocarcinomas uncommon
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12
Q

Name 3 urogenital tumors

A
  • Transitional cell carcinoma
  • Benign prostatic hyperplasia
  • Prostatic adenocarcinoma
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13
Q

Chars. Of transitional cell carcinoma

A
  • most common form of canine bladder cancer
  • most commonly in the trigone
  • increased incidence in females
  • scotties, shelties, and beagles
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14
Q

Chars. Of Endocrine pancreatic neoplasia

A
  • insulinoma (tumor of islet/beta cells)
  • overproduces insulin
  • most common in large breeds >5yrs, ferrets
  • assoc. with hypoglycemia
  • can dx. With insulin:glucose ratio
  • usually a small lesion that is biologically active
  • frequently malignant (mets to LIV, LN)
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15
Q

Cytologic appearance of endocrine pancreatic neoplasia (insulinoma)

A
  • neuroendocrine
  • numerous cytoplasmic vacuoles
  • usually get samples from imprints from surgery
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16
Q

Chemoreceptor tumors (Paragangliomas) include:

A
  • chemodectomas: aortic body and carotid body tumors
  • pheochromocytomas
  • most common in dogs
17
Q

Chars. Of heartbase tumors (aortic body)

A
  • type of chemodectoma (chemoreceptor tumor)
  • most common in dogs, esp. Brachys >6 yrs
  • usually present with pericardial effusions and CS of R heart failure
  • generally slow-growing, multi-lobulated, encapsulated mass
  • can be benign or malignant
  • if malignant can invade myocardium
  • can met to veins or lymphatics
18
Q

Cytologic appearance of heartbase tumors

A
  • highly cellular
  • neuroendocrine
  • round nuclei
  • degree of anisokaryosis varies
19
Q

Cortex of adrenal gland produces:

A
  • mineralocorticoids
  • glucocorticoids
  • adrenal androgens
20
Q

Medulla of adrenal gland produces:

A
  • catecholamines
  • epinephrine
  • norepinephrine
21
Q

Functional adenoma/adenocarcinoma –>

A

Hyperadrenocorticism and/or hyperaldosteronism (cats)

22
Q

Chars. Of adrenocortical tumors

A
  • primarily in the dog or ferret
  • causes CS of hyperadrenocorticism due to hypersecretion of corticosteroids
  • adenomas surgically resectable
  • adenocarcinomas locally invasive to veins, LIV
23
Q

Cytologic appearance of adrenocortical tumors

A
  • neuroendocrine
  • dense, cytoplasmic vacuolization
  • degree of anaplasia depends on adenoma vs. adenocarcinoma
24
Q

Chars. Of Pheochromocytoma

A
  • tumor of adrenal medulla chromaffin cells
  • produces catecholamines
  • can be benign or malignant
  • rare tumor
  • older dogs
  • up to 50% incidental finding
  • 50% asymptomatic
  • can locally invade CVC or met to LIV, LU
  • 50% occurence of concurrent neoplasms
  • > 10% have concurrent hyperadrenocorticism
25
Q

Cytologic appearance of pheochromocytoma

A
  • neuroendocrine
  • variable degrees of anaplasia
  • may see multinucleated cells