MAST CELL TUMORS
Well, the longer you live, the more likely something will go wrong :-(!
Hoofprint Day Light Star will officially be 12 years and 6
months old tomorrow. If you have a Q child or grandchild, you
will want to take note of this information and add it to your
charts.
Day has been diagnosed as having had 2 mast cell tumours.
These tumours have been successfully removed and have been
confirmed by histopathology.
Her tumours are a Grade II mast cell. This is a little worse
than a Grade I, but although there is a 20% risk of these
tumours regrowing, they are not likely to metastasize.
Causes/Predispositions: No one fully understands what causes
cancer. Mast cell tumors are very common in dogs, yet they occur
far less frequently in cats and very rarely in human beings.
They occur in dogs of all breeds, ages, and genders and can
occur anywhere on the body. There appears to be a genetic
component, as certain breeds are predisposed to developing MCT.
Among the most common victims are beagles, Boston terriers,
boxers, bulldogs, bullmastiffs, bull terriers, dachshunds,
English setters, fox terriers, golden retrievers, Labrador
retrievers, schnauzers, American staffordshire terriers, and
weimaraners.
Boxers are at the highest risk, yet mast cell tumors are
often not as aggressive in this breed. There is some suggestion
that mast cell tumor development may be associated with
golden/red coat color and with chronic immune over-stimulation
that occurs in dogs with allergies or other inflammatory
conditions. There may be environmental factors, viruses, or
other undetermined contributors. Mast cell tumors, as with all
cancers, tend to be associated with age. Older dogs are more
likely to develop cancerous growths, with the average age of a
dog with MCT being 8-9 years.
I have edited out the parts of the following paper that pertain
to cats
Mast Cell Tumors in Dogs and Cats
By Daniel A. Degner, DVM, Diplomate ACVS
What are mast cells?
Mast cells are normally found in the tissues of the body
A mast cell tumor is a mass of cancerous mast cells
They release histamine when stimulated. Histamine causes signs
of
allergies such hives. Histamine increases stomach acid
production
Proteolytic enzymes released by mast cells delay healing of
incisions.
Heparin, a blood thinning agent is also found in the mast cells.
Below is a photo of a fine needle aspirate biopsy of a mast cell
tumor
as seen under a microscope; take note of the round mast cells
that are
filled with purple granules which contain histamine and
proteolytic enzymes;
the small purple granules surrounding the cells is from mast
cells that have
ruptured and spilled their granules.
Mast cell tumor locations
Skin - common location
Liver
Spleen
Gastrointestinal tract
Blood stream
Signs of a mast cell tumor
The most common presentation of a mast cell tumor is a lump in
the skin; about 10% of the patients will have or will develop
more than one mast cell tumor.
The mass may appear as a raised pink lump (see photo below).
Sometimes the mass may be a less well defined mass.
If the lump is massaged or rubbed it may swell or form hives..called
the Darier sign; this is causes by the release of histamine from
the mast cells.
The photo below shows the typical appearance of a mast cell
tumor, however other tumors such as benign histiocytomas can
look grossly the same.
In dogs
Three centimeters or normal looking skin surrounding the tumor
must also be removed with the mass. If the mast cell tumor is
grade 1, only 1 cm margins need to be included in the excision.
A deep layer of tissue below the tumor must also be removed. The
removed tumor is painted with India ink and a pathologist
examines the microscopic border of the tissue to ensure that the
entire tumor has been removed.
Prognosis -Dogs
Prognosis of mast cell tumors of the skin is directly related to
the grade of the tumor as determined by the biopsy results (histopathology).
If the tumor has been completely removed with surgery, then
recurrence of the tumor should be low.
Grade 1 - benign behavior - excellent cure rate with surgery
Grade 2 - moderately malignant behavior - recurrence rate is
about 20 % with aggressive surgery
Grade 3 - very malignant tumor - only 10% of these patients are
alive at 1 year - most of these have spread of tumor.
Some pathologists subclassify grade 2 mast cells as high grade 2
or low grade 2 mast cell tumors;
High grade 2 tumors behave like grade 3 tumors and low grade 2
mast cell tumors behave like grade 1 tumors.
Mast cell tumors located in the perineal region (anus, scrotum
and vulva) and lips tend to have a more malignant behavior.
Dogs that have evidence of mast cells also in the internal
organs, blood stream or bone marrow have a poor prognosis.
Tumors that are ulcerated may result in a poor prognosis.
Dogs that have signs of gastrointestinal ulcers (vomiting, black
stools) generally have a poor prognosis.
Tumors that are large have a poor prognosis.
Tumors that have shown recent rapid growth have a poor prognosis.
Tumors that have recurred after surgical removal have a poor
prognosis.
Mast cell tumors which have not changed for a period of 2 months
frequently have a good prognosis.
Dogs living greater than 30 weeks after surgery and not having
any recurrence of local or distant tumor are considered cured.
Prognosis of tumors of the internal organs is poor. |