Superficial kilovoltage x-ray radiotherapy for the treatment of cutaneous mast cell tumors on the head in three dogs and one cat: a limited retrospective case series

J Am Vet Med Assoc. 2023 Apr 28;261(9):1-6. doi: 10.2460/javma.23.02.0080. Print 2023 Sep 1.

Abstract

Objective: To report preliminary findings of hypofractionated superficial radiotherapy for treatment of cutaneous mast cell tumors (MCTs) and report the acute and late toxicity associated with its use.

Animals: 3 dogs and 1 cat.

Procedures: In this retrospective study, medical records from January 2021 through July 2022 were searched for animals that received superficial radiation therapy for MCTs of the head.

Results: 4 patients with 5 MCTs were included. Three of the masses were periocular and required protection of the globe with a tungsten eye shield. One patient did not complete the intended protocol due to diffuse metastatic spread noted after the second fraction. Of the 3 patients that completed their protocol, 100% had a complete response. Two canine patients were treated adjunctively with toceranib. Two of the 4 patients experienced grade 1 acute veterinary radiation therapy oncology group (VRTOG) toxicity, and the 3 patients that completed their protocol experienced grade 1 late VRTOG toxicity. No radiation effects were documented to the cornea or lens in any patient.

Clinical relevance: Superficial radiation therapy was effective in our limited study population, and patients experienced minimal side effects for treatment of cutaneous MCTs.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Dog Diseases* / drug therapy
  • Dog Diseases* / pathology
  • Dog Diseases* / radiotherapy
  • Dogs
  • Mast Cells / pathology
  • Mastocytoma, Skin* / veterinary
  • Retrospective Studies
  • Skin Neoplasms* / pathology
  • Skin Neoplasms* / radiotherapy
  • Skin Neoplasms* / veterinary
  • X-Rays