9 Pulmonary Carcinomas

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EXAM Q
Describe the differences between lung masses in dogs vs. cats.
-clinical signs
-imaging findings

Who does better overall, cats or dogs?

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Terms in this set (12)

EXAM Q
Describe the differences between lung masses in dogs vs. cats.
-clinical signs
-imaging findings

Who does better overall, cats or dogs?

Dogs do better overall
-CS: none; +/- coughing
-TRX: peripheral, caudal lung mass; solitary mass

Cats:
-CS: none, NOT coughing; lung-digit syndrome: cat presents for painful, swollen digits
-Rads: lytic lesions of digits (usually multiple digits)

EXAM Q
Name three factors that are associated with a worse prognosis for a dog with pulmonary carcinoma

large tumor
spread to LN
presents coughing
pleural effusion
intra-pulmonary mets present
(dirty margins to sx)

A dog has a pulmonary carcinoma, and you remove the primary tumor as a palliative treatment. Which chemotherapy options are best to use as an adjunct?

vineralbine
carboplatin

Why is it important to remove a lymph node in addition to the lung mass?

if cancer cells are in the LN, the animal needs chemo

What does Dr. Boston prefer to place for pain med diffusion, a chest tube or a chest catheter?

chest catheter (Mila)

When would you consider taking out an entire lung?

-mass high on the hilus
-mets in the lung, all on one side
-large mass

Cats often present with __-__ __ as the first indication that they have a pulmonary mass

lung-digit syndrome

(swollen, painful digits; no respiratory signs)

If you're going to remove a rib tumor, what are your margins?

1 rib crania, 1 rib caudal
dorsoventral margins of >3 cm
+/- disarticulate rib

preserve latissimus doris, skin (as long as they're not getting invaded)

The most common primary rib tumor is the ___ and it behaves like a ____ (high metastatic rate, improved survival with chemo)

osteosarcoma

appedendicular OSA

________________ is associated with decreased survival in a dog with a rib OSA.