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Canine gastric cancer is a serious condition that affects many dogs worldwide. It's estimated that 1 in 100 dogs will develop gastric cancer.
Dogs with gastric cancer often experience a range of symptoms, including vomiting, weight loss, and loss of appetite.
The most common symptom of canine gastric cancer is vomiting, which can occur 1-4 times a day.
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What is Canine Gastric Cancer?
Canine gastric cancer refers to the uncontrolled growth of malignant cells within the stomach lining or wall.
Stomach cancer in dogs can be a serious condition that requires immediate medical attention.
The most common types of stomach cancer in dogs are adenocarcinoma, lymphoma, and leiomyosarcoma.
Each type of stomach cancer varies in terms of aggressiveness, rate of growth, and prognosis.
These cancerous cells can form tumors and may metastasize, spreading to other parts of the body, such as the lymph nodes, liver, or lungs.
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Causes and Risk Factors
Stomach cancer in dogs can be a devastating disease, and understanding its causes and risk factors is crucial for early identification and prevention.
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Older dogs, typically those over eight years old, are more commonly affected by stomach cancer.
Genetics play a role, with certain breeds such as Chow Chows, Belgian Shepherds, and Standard Schnauzers being more susceptible.
Diet can also contribute, with dogs fed low-quality diets high in preservatives and additives being at increased risk.
Environmental factors like exposure to toxic chemicals, secondhand smoke, and other pollutants can also be contributing factors.
Chronic gastritis, or long-term inflammation of the stomach lining, may predispose a dog to developing gastric cancer.
A diet high in nitrosamines, such as those found in processed meats, may slightly increase the risk of stomach cancer in dogs.
Here are some breeds that are more susceptible to stomach cancer:
- Chow Chows
- Belgian Shepherds
- Standard Schnauzers
It's worth noting that the risk of stomach cancer is very minimal if your dog has the occasional processed meat, like a hotdog at a family BBQ.
Etiology and Pathophysiology
Gastric tumors in dogs are a serious health issue, and understanding their causes and characteristics is crucial for early detection and treatment.
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The most common primary gastric tumor in dogs is adenocarcinoma, which can take various forms. Dogs with gastric tumors are typically middle-aged to older dogs.
Adenocarcinomas often occur in the antrum and lesser curvature of the stomach, making these areas the most common sites for this type of tumor.
Common metastatic sites of gastric adenocarcinomas include regional lymph nodes, liver, spleen, omentum/peritoneal cavity, and lung.
Ulceration of the gastric mucosa is a common feature of stomach tumors, but not all patients will exhibit this symptom.
In some cases, chronic blood loss from gastric ulceration can lead to iron deficiency anemia, which can be regenerative or non-regenerative.
The exact cause of stomach cancer in dogs remains unclear, but various factors may contribute to its development.
Here are some potential contributing factors to stomach cancer in dogs:
- Age: Stomach cancer is more commonly observed in older dogs, typically those over the age of eight.
- Genetics: Some breeds are more susceptible to stomach cancer, including Chow Chows, Belgian Shepherds, and Standard Schnauzers.
- Diet: Dogs fed low-quality diets high in preservatives and additives may have an increased risk of developing stomach cancer.
- Environmental Factors: Exposure to toxic chemicals, secondhand smoke, and other environmental pollutants can also be contributing factors.
- Chronic Gastritis: Long-term inflammation of the stomach lining may predispose a dog to developing gastric cancer.
Some breeds are more prone to stomach cancer than others, including the Rough Collie, Belgian Shepherd Dog, Staffordshire Terrier, Chow Chow, and Standard Poodle.
Other Risk Factors
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Males are more likely to develop stomach cancer than females.
Older dogs, specifically those between 7 and 11 years old, are at a higher risk of developing stomach cancer.
Helicobacter pylori (H. pylori) infection is associated with increased stomach cancer risk in humans, but its role in canine stomach cancer is unknown.
Exposure to nitrosamines, such as from tobacco or processed meats, can increase the risk of stomach cancer in dogs.
Obesity is associated with an increased risk of some types of stomach cancer in humans, and maintaining a healthy weight can reduce the risk of stomach and other cancers in dogs.
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Symptoms and Diagnosis
Symptoms of canine gastric cancer can be subtle and may not be immediately noticeable. Lethargy and a lack of socializing are often early signs, so if your dog is acting abnormally or not seeming like themselves, keep an eye out for additional symptoms or take them to the veterinarian.
Common symptoms include anorexia, loss of weight, vomiting tinged with blood, unhappy demeanor and body language, irregular urination and bowel movements, licking or scratching of any part of the body, and vocalization when touched due to pain.
Symptoms can vary based on the location and size of the tumor, as well as whether the stomach tumor is ulcerated or bleeding. Some less common symptoms include bloody vomit, a sore or distended stomach, low red blood cell count, diarrhea, constipation, and unexplained bad breath.
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7 Canine Symptoms
As a dog owner, it's essential to recognize the early signs of stomach cancer in your furry friend. Here are the 7 canine symptoms to look out for:
Anorexia is a common symptom of stomach cancer in dogs. If your dog suddenly seems disinterested in food or leaves meals unfinished, consult your veterinarian for a comprehensive examination.
Loss of weight is another warning sign, often accompanied by a decrease in appetite. Chronic nausea and vomiting are also common symptoms, which can lead to weight loss and dehydration.
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Vomiting tinged with blood is a more advanced symptom, but it's essential to monitor your dog's stool and vomit for any signs of blood. Unhappy demeanor and body language can also be indicative of stomach cancer.
Irregular urination and bowel movements are common symptoms, often caused by poor digestion, loss of blood, and protein from the ulcer or generalized tumorcachexia.
Licking or scratching of any part of the body can be a sign of discomfort or pain, which is often associated with stomach cancer. Vocalization, including nipping due to pain, is another symptom to watch out for.
Here is a summary of the symptoms to look out for:
Keep in mind that these symptoms can be nonspecific and may be caused by other health conditions. A veterinary exam is necessary to determine what is causing your dog's symptoms, and it may take quite a search to diagnose it properly.
5. Lethargy
Lethargy can be a sign of stomach cancer in dogs, manifesting as a lack of interest in activities they used to enjoy.
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A general decline in activity levels is a key indicator of lethargy in dogs, which can be a symptom of stomach cancer.
If your dog is normally energetic and playful, but now seems uninterested in walks or playtime, it could be a sign of lethargy.
A lack of enthusiasm for activities can be a subtle symptom of stomach cancer in dogs, so it's essential to monitor your dog's behavior closely.
Some dogs may exhibit a general decline in activity levels, while others may seem lethargic only at certain times of the day.
How Does a Vet Diagnose Dog Illness?
Diagnosing dog illness can be a complex process, but veterinarians use a variety of techniques to identify the underlying cause. A veterinarian will typically start by taking a thorough medical history and performing a physical examination to identify any signs of illness.
To diagnose stomach cancer in dogs, veterinarians use a range of diagnostic tests, including double contrast gastric radiographs, fluoroscopy, ultrasonography, biopsies, and gastroscopy with an endoscope. These tests can help identify a mass in the stomach and determine its location and size.
Some common symptoms of stomach cancer in dogs include anorexia, loss of weight, vomiting tinged with blood, and irregular urination and bowel movements. If you notice any of these symptoms in your dog, it's essential to take them to the veterinarian right away.
Here are some of the diagnostic tests used to diagnose stomach cancer in dogs:
- Double contrast gastric radiographs
- Fluoroscopy
- Ultrasonography
- Biopsies
- Gastroscopy with endoscope
- Test for microcytic hypochromic anemia
In some cases, veterinarians may also perform surgery to assess the stage of the cancer and remove any affected tissue. This can be a complex and delicate procedure, and the veterinarian will need to carefully weigh the risks and benefits before proceeding.
Blood Tests
Blood tests are a crucial tool in determining a dog's overall health. They can reveal valuable information about the body's fight against infection or disease.
A complete blood count can indicate whether the body is fighting off an infection or disease. Elevated white blood cell counts can be an indicator of cancer.
Biochemical profiles can provide insight into the dog's overall health. Irregularities in these profiles can indicate systemic issues.
Anemia can be a sign of underlying health problems. It's essential to address anemia promptly to prevent further complications.
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Endoscopy
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Endoscopy is a procedure that allows for real-time visualization of the stomach lining. This helps identify abnormal tissue or growths.
A flexible endoscope is inserted into the dog's stomach through the mouth, and it's attached to a light source and camera. This allows veterinarians to see inside the stomach.
Biopsy samples can be taken during an endoscopy for further analysis. This helps confirm a diagnosis and determine the best course of treatment.
Treatment and Management
Treatment and management of canine gastric cancer often involves a combination of surgical, medical, and radiation therapies.
Surgical resection is the preferred treatment for dogs with gastric adenocarcinomas, especially when there's no evidence of metastatic disease. Surgery may also be beneficial for relieving gastric obstruction.
Chemotherapy is the preferred treatment for dogs with gastric lymphoma, and various protocols have been developed. The type of protocol used is often influenced by the grade of the lymphosarcoma.
In some cases, non-steroidal anti-inflammatory drugs (NSAIDs) may be considered as a treatment option, particularly for patients with carcinomas. However, this approach needs to be carefully considered due to the increased risk of mucosal ulceration.
The goal of treatment is often to stabilize the disease and keep the dog comfortable and symptom-free for as long as possible, rather than aiming for a cure.
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Treatment Options
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Treatment options for stomach cancer in dogs are often multidisciplinary and may involve a combination of surgical, medical, and radiation therapies.
Surgical resection is the preferred treatment for dogs with gastric adenocarcinomas, smooth muscle tumors, or extramedullary plasmacytomas, especially if there's no overt evidence of metastatic disease.
Surgery can involve removing up to 70% of the stomach in some cases, but if the tumor has extended beyond 70% of the stomach, the tumor is considered inoperable.
Chemotherapy is the preferred treatment approach for dogs with gastric lymphoma, and multiple protocols have been given to dogs and cats with gastric lymphosarcoma.
Locally extensive disease and/or metastatic disease in most patients with adenocarcinoma precludes surgical cure, but surgery may still be of palliative benefit for the relief of gastric obstruction if present.
In cases where surgery is not possible or declined, consideration can be given to therapy using a non-steroidal anti-inflammatory drug (NSAID), but this approach needs to be carefully considered due to the increased risk of mucosal ulceration.
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The goal of treating stomach cancer in dogs is usually to stabilize the disease and keep the dog comfortable and symptom-free for as long as possible, rather than aiming for a cure.
A good outcome or even a cure is possible in a few cases where the stomach tumor is caught early, surgically removed with clean margins, and has not metastasized.
Recovery and Management
Recovery and management following treatment for stomach cancer in dogs is complex and requires a multidisciplinary approach. Aftercare often depends on the type of treatment received, the extent of the disease, and the overall health status of the dog.
The goal of treatment is usually to stabilize the disease and keep the dog comfortable and symptom-free for as long as possible. This is because stomach cancer in dogs has usually metastasized by the time it's discovered.
A specialized diet rich in protein and essential nutrients can help improve the dog's overall health and tolerance to treatment. Dogs with stomach cancer often experience weight loss, loss of appetite, and malabsorption of nutrients.
In a few cases, if the stomach tumor is caught early, surgically removed with clean margins, and has not metastasized, a good outcome or even a cure is possible.
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Vetmed Treats
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At VetMed, we're committed to providing comprehensive care for dogs with stomach cancer, offering various treatment options to manage this challenging diagnosis.
Our dedicated team is here to help manage the condition, whether your pet is in the early stages or dealing with a more advanced condition.
We're dedicated to improving the lives of our patients and giving pet owners peace of mind during this difficult journey.
Chemotherapy
Chemotherapy is a treatment option for dogs with stomach cancer, but its effectiveness is unclear due to the rarity of the disease.
Some chemotherapy drugs that have been used in dogs with adenocarcinoma include carboplatin and cisplatin, doxorubicin, mitoxantrone, gemcitabine, 5-fluorouracil, cyclophosphamide, and prednisolone.
A combination of therapies may be considered for dogs with stomach cancer.
Gastric lymphomas account for a smaller number of stomach tumors in dogs and chemotherapy is often used, either alone or following surgery.
Here are some chemotherapy drugs that have been used in dogs with stomach cancer:
- Carboplatin and cisplatin
- Doxorubicin
- Mitoxantrone
- Gemcitabine
- 5-Fluorouracil
- Cyclophosphamide
- Prednisolone
- Piroxicam
In some cases, chemotherapy has shown effectiveness in shrinking tumors, such as in a study of toceranib phosphate (Palladia) in dogs with Gastrointestinal Stromal Tumors (GISTs).
Prognosis and Staging
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Dogs with benign stomach tumors have a very good prognosis.
The prognosis for gastric adenocarcinoma is usually poor, with a median survival time of 2 months.
Staging is a crucial step in determining your dog's prognosis and influencing treatment decisions.
The TNM method is typically used to stage gastric adenocarcinoma, rating your dog's tumor, lymph node involvement, and metastasis.
Here's a breakdown of the TNM ratings:
Most canine stomach cancers are diagnosed after they have already metastasized, which makes treatment more challenging.
Improving Prognosis
Early diagnosis is essential to improve the prognosis and expand the disease-free period of patients with gastric cancer. If caught early, treatment can extend the survival time up to four years.
The median survival time for gastric cancer patients is typically three to four months after diagnosis.
Prompt diagnosis and treatment are key to improving the prognosis of gastric cancer cases.
The RVC’s Diagnostic Pathology Service receives histopathological samples and biopsies from patients with gastrointestinal disease, and their team of board-certified veterinary pathologists has an international reputation in oncologic pathology.
Recent research has shown that molecules overexpressed in human gastric cancer, such as 14-3-3σ and CD44, are also found in canine gastric carcinomas.
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My Dog's Prognosis
My dog's prognosis with stomach cancer is usually poor because stomach cancer in dogs is often diagnosed at an advanced stage.
The median survival in gastric adenocarcinoma is 2 months, which can be a challenging reality to face.
In some cases, palliative bypasses can extend a dog's life by a few months, with a range of 1-6 months.
Prognosis and Staging
Prognosis and staging are crucial in determining the outcome and treatment of stomach cancer in dogs. The chances of recovery are usually poor when diagnosed at an advanced stage. The median survival time for gastric adenocarcinoma is 2 months. Palliative bypasses can extend the survival time to 1-6 months.
Benign tumors of the stomach have a very good prognosis. However, even if a benign tumor does not metastasize, it may still require surgery to prevent disruption of the stomach and gastrointestinal tract.
The TNM method is used to stage gastric adenocarcinoma. This involves rating the tumor, lymph node involvement, and metastasis. The ratings are as follows:
The staging method will differ for some rarer subtypes of stomach cancer in dogs, such as gastric lymphoma. Unfortunately, most canine stomach cancers are diagnosed after they have already metastasized. Dogs with benign stomach tumors and those whose stomach tumors were caught early and removed with clean margins have a median survival time of more than 3 years.
Types and Cells
Stomach cancer in dogs can arise from a variety of cell types in the stomach.
Stomach cancer can occur anywhere in the stomach, but certain parts are more prone to developing tumors, such as the lesser curvature and the pylorus, which is the part of the stomach that connects to the intestine.
Stomach cancer can metastasize, or spread, to other parts of the gastrointestinal system, to lymph nodes, and to other organs.
Types of Cells
Stomach cancer in dogs can arise from several types of cells in the stomach. This means that the cancer can develop in different areas of the stomach, making it a complex condition to diagnose and treat.
The lesser curvature of the stomach is a common site for stomach cancer in dogs. This area is more prone to developing tumors due to its unique anatomy.
The pylorus, which is the part of the stomach that connects to the intestine, is also a common site for stomach cancer in dogs.
Are Dogs' Tumors Always
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Dogs' tumors aren't always cancerous, but cancerous tumors can progress quickly and harm your dog.
Some stomach tumors in dogs are benign, meaning they're non-cancerous and may cause similar discomfort as malignant tumors.
A dog's stomach tumors can be malignant, which means they can spread quickly and have a negative impact on your dog's health.
Not all tumors in a dog's stomach are cancer, and identifying the type of tumor is crucial for proper treatment.
Frequently Asked Questions
What are the top 3 symptoms of stomach cancer?
Unexplained weight loss, black stools containing blood (melaena), and persistent stomach pain are the top 3 symptoms of stomach cancer. If you're experiencing these symptoms, it's essential to consult a doctor for proper diagnosis and treatment
How long do dogs live with stomach cancer?
Median survival time for dogs with stomach cancer is typically 3-4 months, but early diagnosis and treatment can extend life up to 4 years with proper care
Should I treat my 13 year old dog for cancer?
Treatment decisions are based on the pet's overall health, not age. A 13-year-old dog with cancer can be treated, but it's essential to consider their overall health and discuss options with a veterinarian.
Sources
- https://www.rvc.ac.uk/clinical-connections/stomach-cancer-in-small-animals-the-importance-of-an-early-diagnosis
- https://www.vetmedutah.com/post/stomach-cancer-in-dogs
- https://wearethecure.org/learn-more-about-canine-cancer/canine-cancer-library/gastric-cancer/
- https://www.dvm360.com/view/gastric-neoplasms-dogs-and-cats-proceedings
- https://www.dogcancer.com/articles/types-of-dog-cancer/stomach-cancer-in-dogs/
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