Hemangiosarcoma in dogs is a serious and often fatal disease. The average survival rate for dogs with hemangiosarcoma is 6-12 months, but with proper treatment, some dogs can live up to 2 years or more.
The prognosis for hemangiosarcoma is generally poor due to the aggressive nature of the disease. Unfortunately, many dogs are diagnosed at an advanced stage, which makes treatment more challenging.
The key to managing hemangiosarcoma is early detection and prompt treatment. If caught early, surgery and chemotherapy can be effective in extending a dog's life.
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Symptoms and Causes
Hemangiosarcoma in dogs can be a challenging diagnosis to navigate, but understanding the symptoms and causes can help pet parents take action.
The symptoms of hemangiosarcoma in dogs can vary depending on the location of the tumor. A lump or mass in the abdomen is often the first sign, which can be accompanied by weakness, heart arrhythmia, weight loss, and partial or complete loss of movement.
Dogs with hemangiosarcoma may also experience seizures, pale mucous membranes, and a general lack of energy.
The tumors are made from blood cells and vessels, which can lead to profuse bleeding. This is a hallmark of hemangiosarcoma, and it's often the cause of acute blood loss.
Here are some common symptoms associated with different types of hemangiosarcoma:
These symptoms can be a sign of a ruptured tumor, which is a life-threatening emergency that requires immediate veterinary attention.
Symptoms
Symptoms of hemangiosarcoma in dogs can be quite varied and may not always be immediately apparent. A lump or lumps can be detected in the abdomen, which may be a sign of this cancer.
Black or red masses can appear in the skin, which can be a visible indication of hemangiosarcoma. Weakness is another common symptom, which can be a result of the cancer's impact on the dog's overall health.
Heart arrhythmia is a potential symptom, as the cancer can affect the heart's ability to function properly. Weight loss is also a common symptom, which can be a sign that the dog's body is not functioning as it should.
Dogs with hemangiosarcoma may experience partial or complete loss of movement, which can be a result of the cancer's impact on the nervous system. Seizures and/or intermittent collapsing can also occur, which can be a sign of the cancer's progression.
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A general lack of energy, lameness, and/or lack of engagement can be symptoms of hemangiosarcoma. Pale mucous membranes can also be a sign of this cancer.
The type of hemangiosarcoma can affect the symptoms that a dog experiences. For example, splenic hemangiosarcoma can cause acute blood loss if the spleen ruptures.
Here are some common symptoms of hemangiosarcoma:
- Lump(s) detectable in the abdomen
- Black or red mass in the skin
- Weakness
- Heart arrhythmia
- Weight loss
- Partial or complete loss of movement
- Seizures and/or intermittent collapsing
- General lack of energy, lameness, and/or lack of engagement
- Pale mucous membranes
Hemangiosarcoma can also be categorized into different types, including dermal (skin), visceral (internal), splenic, cardiac, and cutaneous/subcutaneous.
Causes
Hemangiosarcoma is a serious condition that affects dogs, and understanding its causes can help us better prevent and manage it.
Genetic predisposition plays a significant role in the development of hemangiosarcoma in dogs.
Accumulated lifetime exposure to carcinogens is also a known cause of this condition.
Diagnosis
A veterinarian will make a physical inspection of a lump to diagnose dermal hemangiosarcoma, and may send a sample for analysis.
Dogs with short, white hair are at greatest risk for dermal hemangiosarcoma, which presents as a bluish, black or red lump in the skin.
A ruptured splenic hemangiosarcoma often causes internal bleeding in older dogs, and a splenectomy may be performed to stabilize the dog.
Visceral hemangiosarcoma is sometimes only diagnosed post-mortem due to the sudden onset of symptoms from a ruptured tumor.
A veterinarian will look for general swelling of the abdomen and pale gums to check for anemia.
Blood analysis, urine sample analysis, and medical imaging of the chest and abdomen may be requested to diagnose hemangiosarcoma.
A biopsy of the tumor may be taken, but this must be done carefully to avoid triggering an internal bleeding crisis.
Veterinarians may suspect hemangiosarcoma based on clinical signs and history, and staging will decide available treatment options for pets.
All forms of hemangiosarcoma involve staging, which is a determination of the severity and spread of the disease.
Bloodwork, chest x-rays, an abdominal ultrasound, and a cardiac echocardiogram are typically recommended to diagnose hemangiosarcoma.
A biopsy of the spleen must be performed to diagnose splenic hemangiosarcoma, and the samples must be evaluated by a pathologist.
A biopsy is not recommended for cardiac tumors due to the location of the tumor around the heart.
A fine needle aspirate (FNA) is typically used to diagnose skin tumors, but most FNAs performed on hemangiosarcomas are only blood-filled and do not readily offer a diagnosis.
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Treatment
Treatment is a crucial aspect of managing hemangiosarcoma in dogs. Surgical removal of the tumor is the treatment of choice for most hemangiosarcomas.
Surgical excision and chemotherapy combined can give an excellent prognosis for dermal hemangiosarcoma. Chemotherapy can include IV treatments of cyclophosphamide.
Chemotherapy can slow the growth of tumors, and dogs typically handle it very well. The doses of chemotherapy medications are different than those used in humans.
Visceral hemangiosarcoma treatment depends on the extent and size of the tumors. In cases where the cancer is localized to the spleen and has not ruptured, surgical removal along with chemotherapy can give a median survival time of around 4 months.
Chemotherapy may be an option to slow the progression of metastatic disease and maintain a good quality of life for patients with evidence of metastasis at the time of diagnosis.
Other treatments may be used to help minimize side effects or complications of hemangiosarcoma. These include anti-bleeding medications, procedures to remove fluid from around the heart, and blood transfusions.
Here are some common treatments used in combination with surgery and chemotherapy:
- Surgical excision
- Chemotherapy (e.g. IV treatments of cyclophosphamide)
- Radiation therapy (for incompletely excised skin tumors)
- Anti-bleeding medications
- Procedures to remove fluid from around the heart
- Blood transfusions
Recovery and Management
Dogs with hemangiosarcoma can live longer if the tumor is caught and treated early, although the prognosis is generally poor.
Hemangiosarcoma is highly aggressive and locally invasive, with elevated metastasis rates, which makes treatment challenging.
Cases caught early can mean a longer life expectancy for your pet, but hemangiosarcoma mainly carries a poor prognosis.
Splenic hemangiosarcoma has a poor predicted outcome, especially without surgical intervention or only surgical removal of the spleen without chemotherapy.
Dogs with cardiac hemangiosarcoma are incurable and have a grave prognosis, but some may live up to 4 months with chemotherapy treatment.
Cutaneous/subcutaneous hemangiosarcoma carries a better prognosis, especially if the tumor is removed early and the dog is monitored closely for recurrence.
Dogs treated with surgery, chemotherapy, or radiation therapy require frequent follow-up exams, bloodwork, and diagnostic imaging to assess disease progression.
Recovery and Management
Hemangiosarcoma prognosis depends on tumor location, size, and spread to other organs (metastasis). This cancer is highly aggressive and locally invasive, which makes treatment challenging.
Early detection and treatment can significantly improve a dog's life expectancy, although hemangiosarcoma mainly carries a poor prognosis.
Splenic hemangiosarcoma has a poor predicted outcome, especially in cases with no surgical intervention or only surgical removal of the spleen without chemotherapy. These dogs typically live between 2 weeks and 3 months after diagnosis.
Dogs with splenic hemangiosarcoma that are candidates for surgical removal of the spleen and chemotherapy can live up to 9 months. However, fewer than 10% of dogs with this type of cancer are alive 1 year after diagnosis.
Cardiac hemangiosarcoma is incurable and comes with a grave prognosis, requiring palliative care to increase comfort and quality of life. Some dogs may live up to 4 months if treated with chemotherapy.
Follow-up exams, bloodwork, and diagnostic imaging are crucial for assessing disease progression in dogs treated with surgery, chemotherapy, or radiation therapy.
Preparation
Preparing for recovery and management is a crucial step in the process. Selecting a therapy is not binding and can be adjusted to you and your pet's needs.
It's essential to understand that your oncology team will be with you every step of the way. Your oncology team will provide updates and any recommendations depending on your pet's response during treatment sessions.
You'll have the opportunity to ask questions and address any concerns that may arise. Should any concerns arise, your oncology team will provide answers and help to guide you.
Veterinary Care
Early detection and treatment of hemangiosarcoma in dogs are key to improving survival rates.
Prompt veterinary care can significantly impact the outcome of this aggressive cancer.
According to studies, dogs that receive timely surgical intervention have a better prognosis than those that don't.
The American College of Veterinary Internal Medicine recommends a surgical approach to remove the primary tumor, which can improve survival rates.
Monitoring for signs of internal bleeding, such as pale gums, rapid heartbeat, and lethargy, is crucial in managing the disease.
Your veterinarian may also recommend chemotherapy to target any remaining cancer cells, which can increase survival time.
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Canine Biology
Dogs have a unique circulatory system that can make them more susceptible to hemangiosarcoma.
Their hearts are designed to pump blood efficiently, but this efficiency can also lead to the formation of abnormal blood vessels.
The average lifespan of a dog is around 10-13 years, which is a relatively short period of time for a species to develop such a complex disease.
Dogs have a high number of mast cells in their bodies, which can contribute to the development of hemangiosarcoma.
Their immune system is also not as developed as that of humans, making them more prone to cancer.
Dogs have a unique genetic makeup that can affect their susceptibility to hemangiosarcoma.
The breed of dog can also play a role in the development of the disease, with some breeds being more prone to it than others.
Hemangiosarcoma is most commonly found in dogs over the age of 10, with the average age of diagnosis being around 12 years old.
Frequently Asked Questions
When to euthanize a dog with hemangiosarcoma?
Euthanasia may be considered when a dog's hemangiosarcoma starts bleeding, significantly shortening their life expectancy. Humane euthanasia can be a compassionate option at any time to end suffering.
Can a dog beat hemangiosarcoma?
Unfortunately, the prognosis for dogs with hemangiosarcoma is generally poor without treatment, with most dying within 1-2 weeks. However, with prompt and proper treatment, some dogs can survive for several months.
Sources
- Hemangiosarcoma in Dogs - Symptoms, Causes ... (wagwalking.com)
- Hemangiosarcoma in Dogs | AVIM&O (avim.us)
- Canine Hemangiosarcoma - The Road from Despair to Hope (akcchf.org)
- Medical Oncology: Hemangiosarcoma | Veterinary Hospital (ncsu.edu)
- Hemangiosarcoma in Dogs (petmd.com)
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