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Lymphoma
by
Anita R. Weidinger, D.V.M.
Lymphoma,
also known as Lymphosarcoma, is a malignant cancer that is affecting
our canine companions. This type of cancer involves the lymph
system including the lymph nodes and sometimes the liver and
spleen. Middle aged to older dogs of either sex are potential
victims of this disease. Lymphoma in cats can be related to the
feline leukemia virus but there isn't any conclusive evidence
that a viral cause exists for the dog. A possible genetic predisposition
may exist though that could explain why this cancer is seen more
in particular breeds. A very scary story is unfolding at the
clinic where I work. We have seen at least four young Rottweilers
with Lymphosarcoma that were only three to four years old! The
Golden Retriever is a breed that is afflicted often but it doesn't
appear to be in the top four or five most commonly affected breeds.
Cancer in any form is an unregulated growth of cells. Something
causes the individual cells to divide the wrong way creating
an abnormal growth which takes over the normal tissue disrupting
the function of the tissues and organs. When the normal functions
can't continue, the animal becomes sick and the body's ability
to perform required tasks rapidly declines.
Lymphoma
can present itself in several different ways involving different
areas of the lymph system. The most common form in the dog is
multicentric (several sites in the body). The peripheral (around
the outside of the body) lymph nodes are affected in this form.
These lymph nodes are usually difficult to feel under the skin
but when affected by Lymphoma these lymph nodes are enlarged
and are easy to notice. Owners can usually feel enlarged lymph
nodes below the angle of the jaw, in front of the shoulder blades,
behind the knees, and under both the front and back legs where
they join the body. The enlarged lymph nodes at the jaw can make
the dog's face become swollen and this can be the first abnormal
sign noticed. Sometimes these lymph nodes are not easy to feel
and the first thing owners detect is a lack of energy in the
dog along with a decreased appetite, possible weight loss, increased
thirst and increased urination. This multicentric form can eventually
involve the liver and spleen in the abdomen.
Other
types of Lymphoma include alimentary, mediastinal, cutaneous
and extranodal. During alimentary Lymphoma, which involves the
stomach and the intestines, the dog will usually experience vomiting
and diarrhea, weight loss and lethargy. Mediastinal Lymphoma
causes a growth of cancer in the front part of the chest leading
to fluid in the chest and difficulty breathing. Cutaneous Lymphoma
affects the skin and is uncommon. Extranodal Lymphoma is a combination
of other potential sites in the body that can be affected with
this form of cancer. These include the eyes, the central nervous
system (the brain and the spinal cord), bones, heart, kidneys,
bladder and the nasal cavity.
Any type
of cancer carries with it a grave prognosis. Lymphoma can be
treated with chemotherapy and is probably the most commonly treated
cancer in dogs because the chemotherapy protocols are well established
and the chances of a good response to the chemotherapy are favorable.
The dreaded statistics are that an untreated dog will most likely
die from its disease within four to six weeks. With a combination
chemotherapy there is an eighty-four percent chance of remission
(making the cancer seem to disappear for a period of time) and
the average survival time of the dog when treated is 357 days.
The average duration of remission is 252 days.
If the
patient comes out of remission, a second remission can be induced,
but is usually only one-half the length of the first remission.
The bottom line is that a dog can be treated with this form of
cancer but it can be costly. A large number of treated dogs do
very well with treatment and can live a relatively normal life
for close to another year. We do have to remember that one year
in a dog's life is like six to seven years in ours.
If you
notice enlarged lymph nodes on your dog, it needs to be seen
by your Veterinarian as soon as possible. Infections caused by
ticks are another potential cause of enlarged lymph nodes. To
diagnose Lymphoma, and to differentiate it from other causes
of large lymph nodes, your dog will most likely need bloodwork,
x-rays, and a biopsy of the affected lymph tissues.
Source:
Saunders Manual of Small Animal Practice, 1994
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