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1338  Section 11  Oncologic Disease

              Vaccine‐associated sarcomas are graded from I (least)   metastasis. In cats, it appears that completeness of exci-
  VetBooks.ir  to III (most aggressive) depending on mitotic index, dif-  sion  is one  of  the most important prognostic  factors.
                                                              Hence, it is very important that everything is done to
            ferentiation, and necrosis. Approximately 15–24% of
            vaccine‐associated sarcomas will metastasize to the
                                                              margins when recommending treatment for these
            lungs or other sites, and evidence has suggested that a   ensure the greatest possibility of obtaining complete
            higher grade is associated with an increased risk of   tumors in cats.


              Further Reading

            Dennis M, McSporran K, Bacon N, Schulman F, Foster R,   soft tissue sarcomas. J Vet Intern Med 2008; 22(6):
              Powers B. Prognostic factors for cutaneous and    1373–9.
              subcutaneous soft tissue sarcomas in dogs. Vet Pathol   Kobayashi T, Hauck M, Dodge R, et al. Preoperative
              2011; 48(1): 73–84.                               radiotherapy for vaccine associated sarcoma in 92 cats.
            Ehrhart N. Soft‐tissue sarcomas in dogs: a review. J Am   Vet Radiol Ultrasound 2002; 43(5): 473–9.
              Anim Hosp Assoc 2005; 41(4): 241–6.             Mayer M, Treuil P, LaRue S. Radiotherapy and surgery for
            Elmslie R, Glawe P, Dow S. Metronomic therapy with   feline soft tissue sarcoma. Vet Radiol Ultrasound 2009;
              cyclophosphamide and piroxicam effectively delays   50(6): 669–72.
              tumor recurrence in dogs with incompletely resected
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