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Dog Owner's Home Veterinary Handbook.pdf - Mr. Walnuts

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542 •DOG OWNER’S HOME VETERINARY HANDBOOK<br />

locally, infiltrate surrounding tissue, and become quite large. They rarely<br />

metastasize.<br />

Signs include vaginal discharge or bleeding, a mass protruding through the<br />

vulvar lips, frequent urination, and excessive licking at the vulva. Large vaginal<br />

tumors can cause swelling and deformity of the perineum, block the birth<br />

canal, and cause problems in whelping. Note that a mass protruding through<br />

the vulva of a bitch in heat is most likely to be due to vaginal hyperplasia (see<br />

page 460).<br />

Treatment: Surgical removal with a margin of normal tissue is the treatment<br />

of choice. Recurrence may follow removal.<br />

TUMORS OF THE OVARIES<br />

Ovarian tumors are uncommon. Most cause no symptoms and are found incidentally<br />

during a spay operation. Occasionally, a tumor becomes large enough<br />

to produce a visible or palpable swelling in the abdomen.<br />

Papillary adenoma is a benign tumor that may arise simultaneously in both<br />

ovaries. A malignant variety, called papillary adenocarcinoma, is the most<br />

common ovarian cancer in bitches. These tumors spread throughout the<br />

abdominal cavity and are associated with ascites.<br />

Granulosa cell tumors can also become quite large. Some secrete estrogen,<br />

producing signs of hyperestrogenism with abnormal heat cycles, enlargement<br />

of the vulva, and a greasy skin and coat.<br />

Other tumors of the ovaries also occur. Ovarian cysts, which are not true<br />

tumors, are discussed in Abnormal Estrous Cycles, page 449.<br />

Abdominal ultrasonography is particularly helpful in determining the size,<br />

structure, and location of ovarian tumors. Finding ascites and masses in the<br />

abdominal cavity suggests malignancy.<br />

Treatment: Removal of the ovaries by ovariohysterectomy (spaying) cures<br />

benign tumors. The cure rate for malignant tumors is about 50 percent. The<br />

addition of chemotherapy for metastatic tumors may extend the time the dog<br />

is in remission.<br />

MAMMARY GLAND (BREAST) TUMORS<br />

The mammary glands in female dogs vary in number and can be determined<br />

by counting the nipples. The typical bitch has 10 mammary glands, five on<br />

each side of the midline, beginning on the chest and extending to the groin.<br />

The largest glands are located near the groin.<br />

Mammary gland tumors are the most common tumors in dogs. In fact,<br />

among unspayed females the risk of a mammary tumor is 26 percent. This is<br />

three times the risk of breast tumors in women. Most mammary gland tumors<br />

occur in bitches over 6 years of age (the average age is 10). Forty-five percent<br />

are cancerous and 55 percent are benign. An increased incidence occurs in

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