Primary hepatic and biliary tract tumors in dogs and cats: An overview - Veterinary Medicine
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Primary hepatic and biliary tract tumors in dogs and cats: An overview
Since many of the clinical signs of hepatobiliary tumors are nonspecific, these tumors may be advanced at diagnosis. However, using the correct diagnostic tools, including cytology, tissue biopsy, and abdominal imaging, may lead to an earlier diagnosis and a better outcome.


VETERINARY MEDICINE


Feline neuroendocrine epithelial tumors


Table 4 Selected Clinical Features of Primary Feline Hepatobiliary Tumors*
Feline tumors arising from the neuroendocrine epithelium of hepatic and biliary tissues have been reported.45 The average age is 9 years, and males are overrepresented (Table 2). The clinical signs are similar to those seen with other hepatobiliary diseases; however, less than 30% of cats have a palpable abdominal mass (Table 4). More than 50% of cats with biliary neuroendocrine tumors are icteric, with elevations in AST, ALP, and ALT activities. Conversely, cats with hepatic neuroendocrine tumors rarely have marked biochemical changes.

Treatment for feline neuroendocrine tumors remains anecdotal, but attempted surgical resection has been reported. In one study, more than 80% of cats died or were euthanized soon after surgery. Metastasis—most often involving the lymph nodes, lungs, or intestines or with evidence of peritoneal carcinomatosis—was identified in all the cats in which necropsy information was available.45

Feline hepatocellular carcinomas

Feline hepatocellular carcinomas account for up to 17% of hepatobiliary tumors. Clinical findings, diagnostic tests, and treatment are similar to that of other hepatobiliary tumors. Pulmonary and splenic metastases have been rarely documented.38,39

Feline hepatic sarcomas

Primary hepatic sarcomas are uncommon in cats, but fibrosarcoma, hemangiosarcoma, osteosarcoma, leiomyosarcoma, and rhabdomyosarcoma have been reported.8,14,15,38

CONCLUSION

Although specific clinical signs such as a palpable liver mass or icterus may indicate a primary hepatobiliary tumor, signs and abnormalities in blood work may often be nonspecific. Thus, dogs and cats with hepatobiliary neoplasia may have advanced disease at the time of diagnosis. Cytology, tissue biopsy, and the use of advanced imaging such as MRI and CT can help you determine whether liver lesions are benign or malignant. In dogs, most tumors are malignant, while benign tumors are more common in cats.

Although a patient's prognosis depends on many factors, including tumor histologic type, the degree of parenchymal involvement, and metastatic disease, excisional surgery and supportive care remain the primary therapeutic options for all hepatobiliary tumors in dogs and cats. Through the use of advanced imaging modalities, hepatobiliary tumors may be more readily diagnosed in companion animals. In turn, the early detection of liver cancer may permit prompt institution of treatment, ultimately improving the survival outcomes for dogs and cats with liver cancer.

Jackie Wypij, DVM
Timothy M. Fan, DVM, DACVIM (oncology, internal medicine)
Louis-Philippe de Lorimier, DVM, DACVIM (oncology)
Department of Veterinary Clinical Medicine
College of Veterinary Medicine
University of Illinois
Urbana, IL 61802

REFERENCES

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8. Patnaik AK, Liu SK, Hurvitz AI, et al. Nonhematopoietic neoplasms in cats. J Natl Cancer Inst 1975;54:855-860.

9. Engle GC, Brodey RS. A retrospective study of 395 feline neoplasms. J Am Anim Hosp Assoc 1969;5:21-31.

10. Shiga A, Shirota K, Shida T, et al. Hepatoblastoma in a dog. J Vet Med Sci. 1997;59:1167-1170.

11. Aoki M, Kim T, Shimada T, et al. A primary hepatic plasma cell tumor in a dog. J Vet Med Sci 2004;66:445-447.

12. Langenbach A, Anderson MA, Dambach DM, et al. Extraskeletal osteosarcomas in dogs: a retrospective study of 169 cases (1986-1996). J Am Anim Hosp Assoc 1998;34:113-120.

13. Larsen AE, Carpenter JL. Hepatic plasmacytoma and biclonal gammopathy in a cat. J Am Vet Med Assoc 1994;205:708-710.


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