MSK neoplasia Flashcards

1
Q

What is a soft tissue sarcoma?

A
  • Spindle cell sarcoma
  • Mesenchyoma
  • Mlaignancy of mesenchymal origin
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2
Q

What is the clinical appearance of soft tissue sarcomas?

A

Soft, fluctuant, mobile subcutaneous

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3
Q

What is the biology of tumours?

A
  • Locally aggressive, expansile malignant halo surrounding heterogenous mass
  • Often extra-compartmental, margins are poorly defined
  • Distant metastasis
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4
Q

What is the general prognosis for a soft tissue tumour?

A
  • In general - excellent prognosis
  • early detection appropriate management
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5
Q

What is a fibrosarcoma?

A
  • Arises from fibroblasts
  • skin, subcut, oral and nasal cavity
  • Unique oral form
  • hsitologically low grade, biologically high-grade
  • invades local soft tissues
  • metastasis in 20% cases
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6
Q

What is a myxosarcoma?

A
  • Fibroblast origin
  • Differentiated from fibroblasts from untercellular mucin
  • Biologic behaviour is predicted by the tumour grade
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7
Q

What is a hemangiopericytoma?

A
  • Origin in the pericyte or nerve sheath- similiar biologic behaviour
  • Synonyms = schwannoma
  • neurogenci sarcoma
  • neurofibrosarcoma
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8
Q

What is a PNST?

A
  • Grouped in relation to the CNS
  • away from the CNS its called a peripheral
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9
Q

What are the clinical signs of a PNST?

A
  • significant neurological changes can be evident
  • severe neuropathic pain
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10
Q

What is a liposarcoma?

A
  • Rare tumour of older dogs
  • locally aggressive and metastasize site
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11
Q

What is an infiltrative lipoma?

A
  • Not malignant and no metastasis
  • locally infiltrative
  • invades local muscle and fascial planes
  • aggressive therapy may be required
  • radiation can be helpful
  • reduce blood supply to the tumour
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12
Q

What is an infiltrative lipoma?

A

Not malignant and no metastasis
* locally infiltrative
* Invades local muscle and fascial planes, joint capsule, abdominal cavity, nerves and bone
* Aggressive therapy may be required
* Radiation can also be helpful
* Reduced blood supply to the tumour

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13
Q

What is a lymphangiosarcoma?

A

Common in the subcut
liver, pericardium and nasopharynx
* high to moderate metastatic potential
* channels do not contain red cells

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14
Q

What is a rhabdomyosarcoma?

A

Originates in the striated muscle
* occurs in younger dogs
* locally invasive
* Botryoid rhabdomyosarcoma is found in the bladder of young dogs

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15
Q

What is a leiomyosarcoma?

A

Originates in the smooth muscle
* found in the GIT
* Locally aggressive
* Metastasize depending on the grade
* Paraneoplastic syndrome hypoglycaemia

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16
Q

What is a synovial cell sarcoma?

A
  • Originates in the tenosynovial tissue
  • Metastasis to the local lymph node
  • M,iddle aged dogs
  • Histopathology grade may predict the metastatic potential
17
Q

How do you prevent/ Monitor Injection Site Sarcomas?

A
  • Do not over vaccinate
  • Use single dose vials
  • Keep detailed vaccine records
  • Standardise and separate vaccine injections
18
Q

What is the most common primary bone tumour in dogs and cats?

A

Osteosarcoma

19
Q

What is the diagnosis/ Work up for osteosarcoma?

A
  • Clinical presentation
  • Regional radiographs
  • Chest X-ray essential
  • Scintigraphy
20
Q

What are the biopsy options for a tumour?

A
  • Cytology -> Fine needle aspirate, Roll prep
  • Histology -> Needle core, Michel trephine, Incisional/ Excisional
21
Q

What are the risks of bone biopsy?

A
  • Increased lameness
  • Pathologic fracture
  • Non-Diagnostic
  • Tumour seeding
22
Q

What medication do you use for tumour home care?

A
  • NSAIDS
  • Tramadol
  • Gabapentin
  • Pamidronate
  • Zoledronate
  • Dead from limb disease approx 3m
23
Q

What is the affect of amputation alone?

A

Reduction in bone pain
Dead from metastasis
11% alive 1 year post-op

24
Q

What is external beam radiation?

A

Palliative
Curative Intent

25
Q
A