Page 2757 - Cote clinical veterinary advisor dogs and cats 4th

Mammary Gland Tumors, Dog 1435

Carcinoma
VetBooks.ir

Tumor 3 cm
Tumor any size
T1, N0, M0 Tumor 3-5 cm, 5 cm regional lymph node metastasis
T2-3, N0, M0
(stage I) (stages II-III) T1-3, N1, M0
(stage IV)
Histology: Histology: Histology: Histology:
• Well differentiated • Anaplastic tumor • Well differentiated • Anaplastic tumor Incomplete
• No lymphatic/ • Lymphatic/vascular • No lymphatic/ • Lymphatic/vascular excision
vascular invasion invasion vascular invasion invasion

2nd (radical)
Incomplete Incomplete surgery
excision excision

2nd (radical) surgery 2nd (radical) surgery
Complete
excision
(with lymph node)
Complete Complete Complete Complete
excision excision excision excision

Consider
ovariohysterectomy
(OHE)
Consider Consider Consider
Consider chemotherapy chemotherapy OHE
chemo- Consider
• No further adjuvant treatment therapy OHE
• Regular recheck examinations

Dashed lines represent possible but nonessential courses of action.
EDITED BY: Leah A. Cohn, DVM, PhD, DACVIM

Clinical Algorithms

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