Urinary Tract Neoplasia Flashcards

1
Q

what are the benign neoplasias of the bladder and urethra?

A

papilloma
fibroma
leiomyoma
hemangioma

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2
Q

what are the malignant neoplasias of the bladder and urethra?

A

transitional cell carcinoma
undifferentiated carcinoma
squamous cell carcinoma
adenocarcinoma
leiomyosarcoma
botyroid rabdomyosarcoma

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3
Q

what is the most common neoplasia of the urinary tract?

A

transitional cell carcinoma

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4
Q

who more commonly gets canine transitional cell carcinoma?

A

older dogs
often spayed female
some breeds

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5
Q

which dog breed is more likely to get transitional cell carcinoma?

A

scottish terriers 18x increased risk

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6
Q

what are the risk factors for urothelial carcinoma?

A

exposure to topical insecticides
obesity
treatment with cyclophosphamide
lack of vegetables in diet

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7
Q

what are the obstructive urethral diseases?

A

neoplasia
strictures
extraluminal compression
dyssynergia

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8
Q

what can be found on urinalysis with urinary tract neoplasia?

A

hematuria
pyuria
bacteriuria
neoplastic cells

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9
Q

where can transitional cell carcinoma extend?

A

into ureter, urethra, prostate

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10
Q

where is transitional cell carcinoma usually located?

A

trigone
cranial bladder wall

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11
Q

what is transitional cell carcinoma associated with in dogs?

A

carcinogenic tryptophan metabolites

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12
Q

why is transitional cell carcinoma thought to be uncommon in cats?

A

different metabolic pathway for tryptophan metabolites

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13
Q

what is proliferative urethritis?

A

lymphocytic-plasmacytic inflammatory disease
rule out for urethral neoplasia

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14
Q

are secondary UTIs common with urinary tract neoplasia?

A

yes

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15
Q

what is V-BTA?

A

veterinary bladder tumor antigen test
avoid test

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16
Q

what is the cadet test?

A

cancer detection test
detects BRAF gene mutation in malignant cells
good test

17
Q

what radiographs should you take for urinary tract neoplasia?

A

chest: metastasis check
lateral caudal abdominal: pelvis and vertebral bodies for metastasis
contrast cystourethrogram

18
Q

what can you evaluate with ultrasonography?

A

bladder and proximal urethra for masses
lymph nodes and liver
traumatic suction biopsy
biopsy through red rubber

19
Q

what percentage of patients with transitional cell carcinoma develop dysuria?

A

> 80%

20
Q

what are some urethral smooth muscle relaxants?

A

alpha-1 adrenergic antagonist
prazosin
tamsulosin

21
Q

what percentage of patients with transitional cell carcinoma or prostatic adenocarcinoma develop urinary obstruction?

A

10-30%

22
Q

what are the malignant neoplasias of the kidneys?

A

renal carcinoma
nephroblastoma
lymphoma
cystadenocarcinoma
metastatic neoplasia

23
Q

what are the signs of polycythemia?

A

depression, weakness
seizures
hemorrhage

24
Q

what can be seen in a urinalysis from renal neoplasia?

A

hematuria
rarely neoplastic cells

25
Q

what are the therapy options for renal neoplasia?

A

surgical excision
chemotherapy for lymphoma
chemotherapy for carcinomas