"Prostatic Tumors in Dogs" TUMOR TIDBITS, A BIWEEKLY VETERINARY ONCOLOGY E-LETTER Volume 2; Number 20; December 5, 2001. Editor: Kevin A. Hahn, DVM, PhD, Dipl - ACVIM (Oncology) & Overall Nice Guy! THIS WEEK'S TUMOR TIDBIT: PROSTATIC TUMORS IN DOGS Common Clinical Signs: Tenesmus, constipation, dyschezia, and (less commonly) dysuria and hematuria Common Histologic Types: Adenocarcinoma Biological Behavior: Equal frequency in castrated and uncastrated dogs regardless of age at castration; old dogs (median age is 10 years) Prognostic Findings: May be more aggressive in castrated dogs (but highly malignant in both castrated and uncastrated dogs) Treatment Considerations: - Surgery: Difficult because of anatomy of canine prostate. - Radiation Therapy: Palliative only, due to high metastatic rate to the sublumbar lymph nodes and vertebrae (include abdominal ultrasound and possible bone scintigraphy in your staging). - Chemotherapy: Has no proven efficacy in reducing tumor size but recent work suggests that Mitoxantrone combined with Piroxicam has efficacy in a limited number of dogs. - Hormonal Therapy: Ineffective because of hormone independence of canine prostatic carcinoma. What's our best protocol at Gulf Coast? We have found that the best form of palliation to relieve signs of tenesmus and dysuria includes a combination of radiation (once every 2 weeks for 3 times) with Mitoxantrone chemotherapy (once every 2 weeks for 5 times) combined with daily Piroxicam. ANY OTHER QUESTIONS ABOUT PROSTATIC TUMORS IN DOGS? Don't hesitate to call or email us at Gulf Coast Veterinary Oncology! We can forward additional info by email if needed. ALL THE BEST, Kevin A. Hahn, DVM, PhD Diplomate ACVIM (Oncology) & Overall Nice Guy Gulf Coast Veterinary Specialists 1111 West Loop South, Suite 150 Houston, TX 77027 P: 713.693.1166 F: 713.693.1167 www.gcvs.com drhahn@gulfcoastvetspec.com