Comparison of methods to determine primary tumour size in canine apocrine gland anal sac adenocarcinoma

J Small Anim Pract. 2020 Mar;61(3):185-189. doi: 10.1111/jsap.13104. Epub 2020 Jan 20.

Abstract

Objectives: To assess agreement between measurement of primary apocrine gland anal sac adenocarcinoma tumours using digital palpation, CT and formalin-fixed tissue and to look for associations with metastasis at presentation.

Materials and methods: Retrospective study of different methods of measuring primary tumour size in histopathologically-confirmed canine apocrine gland anal sac adenocarcinoma.

Results: One hundred sixteen tumours from 107 dogs were included. There was moderate agreement between maximal dimension of the primary tumour measured by CT compared to formalin-fixed tissue and digital palpation. There was no significant difference in median maximum dimension between the measurement methods. Vascular invasion, CT stage, digital rectal examination stage and formalin-fixed tissue stage were significantly associated with metastasis at presentation, while mitotic index of the primary tumour was not. Dogs with tumours >2.5 cm (tumour-stage 2) were significantly more likely to present with metastatic disease.

Clinical significance: In canine apocrine gland anal sac adenocarcinoma, primary tumour size, tumour-stage and vascular invasion are strong predictors of metastasis at presentation.

MeSH terms

  • Adenocarcinoma / veterinary*
  • Anal Gland Neoplasms*
  • Anal Sacs*
  • Animals
  • Apocrine Glands
  • Dog Diseases*
  • Dogs
  • Retrospective Studies