Canine bladder cancer is a serious health issue that affects many dogs. According to the American Kennel Club, it's estimated that 1 in 8 dogs will develop bladder cancer in their lifetime.
Some breeds are more prone to bladder cancer than others. The article notes that certain breeds, such as German Shepherds, Golden Retrievers, and Labradors, are at higher risk. These breeds often develop transitional cell carcinoma, the most common type of canine bladder cancer.
Preventing bladder cancer in dogs requires a multi-faceted approach. Regular veterinary check-ups can help identify any potential issues early on.
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What Is Canine Bladder Cancer?
Canine bladder cancer is a serious health issue that affects dogs worldwide.
It's primarily a disease of older dogs, with most cases occurring in dogs over the age of 10.
The exact cause of canine bladder cancer is still unknown, but it's believed to be linked to a combination of genetic and environmental factors.
Bladder cancer in dogs can be classified into two main types: transitional cell carcinoma and squamous cell carcinoma.
Transitional cell carcinoma is the most common type of canine bladder cancer, accounting for about 80% of all cases.
Symptoms and Diagnosis
Dog owners should be aware of the common symptoms of canine bladder cancer, including inability to urinate, difficult urination, blood in the urine, and urinary incontinence.
Symptoms can change as the disease progresses, and in later stages, some dogs may experience lameness due to the cancer spreading to the dog's bones or lungs.
Dogs with bladder cancer often exhibit symptoms that mimic other urinary tract conditions, such as stones or infections, making diagnosis tricky. Common symptoms include urinating small amounts frequently, difficulty urinating, accidents in the house, and discolored or bloody urine.
Common Symptoms of Bladder Cancer in Dogs:
- Urinating small amounts frequently
- Urinating blood
- Straining to urinate or making multiple attempts to urinate
In some cases, dogs with bladder cancer may also experience urinary tract infections, which can be resistant to treatment.
Carcinoma
Carcinoma is a type of cancer that affects the bladder, specifically Transitional Cell Carcinoma (TCC).
Obesity is a risk factor for TCC in dogs, which is a key consideration for pet owners.
Smoking is a major causative factor in humans with TCC, highlighting the importance of quitting smoking to reduce cancer risk.
Dogs excrete large quantities of tryptophan metabolites in the urine, which is a unique characteristic that sets them apart from cats.
Cats metabolize tryptophan differently and do not excrete urinary tryptophan metabolites, making them less prone to TCC.
COX-2 is overexpressed in primary and metastatic bladder tumors in dogs, which increases the invasive ability of tumor cells.
Here are some risk factors associated with TCC in dogs:
- Obesity
- Aromatic amino metabolites of tryptophan (especially ortho-aminophenol)
- Industrial environments
- Exposure to marshlands sprayed with insecticides
- Exposure to lawns or gardens treated with phenoxy herbicides
- Exposure to topical insecticides for flea and tick control
Symptoms
Symptoms of bladder cancer in dogs can be tricky to diagnose because they often mimic other urinary tract conditions. Some common symptoms include frequent urination, difficulty urinating, accidents in the house, and blood in the urine.
In the early stages, dogs may exhibit frequent urination, urinating small amounts at a time, and straining to urinate. However, these symptoms can be caused by other conditions, such as urinary tract infections, which is why it's essential to have your dog checked by a veterinarian.
According to the American Veterinary Medical Association, some common clinical signs of bladder cancer in dogs include urine accidents in the house, straining to urinate, and blood in the urine. These symptoms can be resolved with symptomatic therapy, but they often return after treatment is discontinued.
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Here are some common symptoms of bladder cancer in dogs:
- Frequent urination
- Difficulty urinating
- Accidents in the house
- Blood in the urine
- Straining to urinate
- Urinary incontinence
- Lameness (in later stages)
It's essential to be proactive about monitoring middle-aged dogs with a higher risk of TCC, as symptoms may not be noticeable until the cancer is advanced. Regular check-ups and diagnostic tests, such as urinalysis and ultrasound, can help catch bladder cancer early.
Cystoscopy
Cystoscopy is a procedure that allows veterinarians to examine the inside of the urinary tract and bladder. A fiberoptic scope is inserted into the urethra and maneuvered into the bladder.
During a cystoscopy, veterinarians can see what's happening inside the urinary tract and even collect a tissue biopsy. This procedure is typically only done in specialty hospitals that have the proper equipment and training.
A biopsy is the gold standard method of diagnosis, and cystoscopy is often used as an alternative to confirm a diagnosis of bladder cancer. If a biopsy is not possible, cystoscopy can still provide valuable information.
A cystoscopy may also be used to examine cells that have been shed into the urine, which can help diagnose bladder cancer.
Tumor Markers
Tumor markers can be a useful tool in diagnosing bladder cancer in dogs.
The bladder tumor antigen urine dipstick test measures a glycoprotein complex with a sensitivity of 85-90% for the detection of transitional cell carcinoma (TCC) in dogs.
This test, however, has a lower specificity of 35-78%, which means it can produce false-positive results. These false positives are often caused by conditions such as glucosuria, proteinuria, hematuria, and pyuria.
To improve the test's sensitivity, urine samples should be centrifuged prior to testing.
The bladder tumor antigen test is a useful screening tool to rule out TCC, but it does not provide a positive diagnosis.
Tumor Marker Test Results:
Treatment Options
Surgery is not always possible for bladder tumors in dogs, but it can be used to temporarily relieve symptoms by removing part of the tumor.
Chemotherapy is a common treatment option for bladder cancer in dogs, and it can be used alone or in combination with other treatments. Chemotherapy can slow down tumor growth and improve a dog's quality of life.
Piroxicam, an oral NSAID, has been shown to decrease inflammation around tumors and can improve or resolve clinical signs in dogs with bladder cancer.
Chemotherapy drugs like mitoxantrone, vinblastine, and doxorubicin can be effective in treating bladder cancer in dogs. These drugs can be used alone or in combination with other treatments like piroxicam.
Metronomic chemotherapy, which involves giving a low dose of an oral chemotherapy drug like chlorambucil, can control cancer growth in 70% of patients and has minimal side effects.
Here are some common chemotherapy options for bladder cancer in dogs:
Immunotherapy, such as blocking regulatory T-cells (Treg), is also being investigated as a treatment option for bladder cancer in dogs. This treatment has been shown to increase progression-free and overall survival times in dogs with bladder cancer.
Prognosis and Life Expectancy
If your dog has been diagnosed with bladder cancer, it's natural to wonder about their life expectancy. The prognosis depends on several factors, including the extent of the disease, its location, and the treatment chosen.
The good news is that with surgical intervention, an attempt is made to remove as much of the tumor as possible to increase survival time. Chemotherapy, in addition to surgery, often further improves survival times.
Without treatment, dogs with bladder cancer usually die from complications within a few to several months. The exact timeframe depends on how far along the cancer is when it's diagnosed and how quickly it grows.
Treatment options can significantly improve a dog's quality of life and survival time. For example, combining non-steroidal anti-inflammatory drugs (NSAIDs) with chemotherapy has an average survival time of 10-11 months. Adding radiation therapy to this combination can increase survival time to 20 months.
Here's a breakdown of the average survival times for dogs with bladder cancer:
Keep in mind that these are just averages, and every dog's situation is unique. Your veterinarian or oncologist will be able to give you a more accurate prognosis based on your dog's specific condition and treatment plan.
Frequently Asked Questions
What are the final stages of bladder cancer in dogs?
Bladder cancer in dogs can lead to fatal urinary obstruction if left untreated. Late-stage symptoms may include breathing difficulty, nausea, vomiting, and loss of appetite if the tumor spreads to the lungs or liver
How aggressive is bladder cancer in dogs?
Bladder cancer in dogs is a highly aggressive form of cancer that often spreads quickly to other parts of the body. It requires prompt and thorough treatment to manage its progression.
Does bladder cancer in dogs spread quickly?
Bladder cancer in dogs can grow and spread quickly, often in its invasive form. This aggressive type of cancer requires prompt veterinary attention to manage symptoms and improve outcomes
When should a dog be euthanized with Stage 4 bladder cancer?
Euthanasia may be considered if a dog with Stage 4 bladder cancer is unable to pass urine, causing severe pain and distress. This can happen within 1-2 days if the tumor completely blocks the urinary passage.
Sources
- Bladder Cancer in Dogs: Symptoms, Treatment and Life ... (petmd.com)
- Symptoms of Bladder Cancer in Dogs & Available ... (memphisveterinaryspecialists.com)
- Understanding Bladder Cancer in Dogs (avim.us)
- Bladder Cancer in Dogs, Including Transitional Cell ... (dogcancer.com)
- Bladder Tumors - Canine (vsso.org)
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