Clinical outcomes of dogs with high-grade cutaneous mast cell tumors

Objectives: To evaluate the prognostic factors and treatment outcomes in dogs with high-grade cutaneous mast cell tumors (HGMCTs).Methods: Medical records of dogs with a histopathologic diagnosis of HGMCTs were reviewed from a single institution. Clinical factors, treatment-related variables, and ad...

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Main Authors: Ong, Siew Mei, McKenna, Charly, Pinard, Christopher, Richardson, Danielle, Oblak, Michelle L.
Format: Article
Language:English
Published: Frontiers Media SA 2025
Online Access:http://psasir.upm.edu.my/id/eprint/116247/
http://psasir.upm.edu.my/id/eprint/116247/1/116247.pdf
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author Ong, Siew Mei
McKenna, Charly
Pinard, Christopher
Richardson, Danielle
Oblak, Michelle L.
author_facet Ong, Siew Mei
McKenna, Charly
Pinard, Christopher
Richardson, Danielle
Oblak, Michelle L.
author_sort Ong, Siew Mei
building UPM Institutional Repository
collection Online Access
description Objectives: To evaluate the prognostic factors and treatment outcomes in dogs with high-grade cutaneous mast cell tumors (HGMCTs).Methods: Medical records of dogs with a histopathologic diagnosis of HGMCTs were reviewed from a single institution. Clinical factors, treatment-related variables, and adjuvant therapies were documented to evaluate their association with clinical outcomes. Comparative and survival analyses were conducted using Kaplan-Meier survival analysis, log-rank, and Fisher's exact tests.The overall median survival time for the 77 dogs was 317 days (range 20-3041 days) with 6-month, 1-year, and 2-year survival rates of 69%, 50%, and 30%, respectively. Surgically treated dogs had significantly prolonged survival and were 6.88 times more likely to survive beyond 5.5 months. The presence of metastasis at initial staging was strongly associated with poorer outcomes, as dogs without metastasis at initial staging had 6.94 times higher odds of surviving beyond 2 years. Surgical sites with incomplete margins had a higher local recurrence rate (58%) compared to those with clean margins (26%). Despite aggressive treatment, 75% of the dogs that received concurrent surgical and adjuvant therapy experienced disease progression. Lymph node extirpation, tumor localization, number of tumors, and local recurrence were not associated with the overall outcome.The combination of aggressive local therapy and adjuvant systemic chemotherapy provides a notable survival benefit in dogs with HGMCTs. The limited therapeutic benefit of locoregional lymph node extirpation, combined with a persistently high metastatic rate despite systemic chemotherapy, highlights the critical need for more effective regional and systemic treatment approaches for HGMCT patients.
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spelling upm-1162472025-03-24T01:26:33Z http://psasir.upm.edu.my/id/eprint/116247/ Clinical outcomes of dogs with high-grade cutaneous mast cell tumors Ong, Siew Mei McKenna, Charly Pinard, Christopher Richardson, Danielle Oblak, Michelle L. Objectives: To evaluate the prognostic factors and treatment outcomes in dogs with high-grade cutaneous mast cell tumors (HGMCTs).Methods: Medical records of dogs with a histopathologic diagnosis of HGMCTs were reviewed from a single institution. Clinical factors, treatment-related variables, and adjuvant therapies were documented to evaluate their association with clinical outcomes. Comparative and survival analyses were conducted using Kaplan-Meier survival analysis, log-rank, and Fisher's exact tests.The overall median survival time for the 77 dogs was 317 days (range 20-3041 days) with 6-month, 1-year, and 2-year survival rates of 69%, 50%, and 30%, respectively. Surgically treated dogs had significantly prolonged survival and were 6.88 times more likely to survive beyond 5.5 months. The presence of metastasis at initial staging was strongly associated with poorer outcomes, as dogs without metastasis at initial staging had 6.94 times higher odds of surviving beyond 2 years. Surgical sites with incomplete margins had a higher local recurrence rate (58%) compared to those with clean margins (26%). Despite aggressive treatment, 75% of the dogs that received concurrent surgical and adjuvant therapy experienced disease progression. Lymph node extirpation, tumor localization, number of tumors, and local recurrence were not associated with the overall outcome.The combination of aggressive local therapy and adjuvant systemic chemotherapy provides a notable survival benefit in dogs with HGMCTs. The limited therapeutic benefit of locoregional lymph node extirpation, combined with a persistently high metastatic rate despite systemic chemotherapy, highlights the critical need for more effective regional and systemic treatment approaches for HGMCT patients. Frontiers Media SA 2025-01-21 Article PeerReviewed text en cc_by_4 http://psasir.upm.edu.my/id/eprint/116247/1/116247.pdf Ong, Siew Mei and McKenna, Charly and Pinard, Christopher and Richardson, Danielle and Oblak, Michelle L. (2025) Clinical outcomes of dogs with high-grade cutaneous mast cell tumors. Frontiers in Veterinary Science, 11. art. no. 1519636. pp. 1-8. ISSN 2297-1769 https://www.frontiersin.org/journals/veterinary-science/articles/10.3389/fvets.2024.1519636/full 10.3389/fvets.2024.1519636
spellingShingle Ong, Siew Mei
McKenna, Charly
Pinard, Christopher
Richardson, Danielle
Oblak, Michelle L.
Clinical outcomes of dogs with high-grade cutaneous mast cell tumors
title Clinical outcomes of dogs with high-grade cutaneous mast cell tumors
title_full Clinical outcomes of dogs with high-grade cutaneous mast cell tumors
title_fullStr Clinical outcomes of dogs with high-grade cutaneous mast cell tumors
title_full_unstemmed Clinical outcomes of dogs with high-grade cutaneous mast cell tumors
title_short Clinical outcomes of dogs with high-grade cutaneous mast cell tumors
title_sort clinical outcomes of dogs with high-grade cutaneous mast cell tumors
url http://psasir.upm.edu.my/id/eprint/116247/
http://psasir.upm.edu.my/id/eprint/116247/
http://psasir.upm.edu.my/id/eprint/116247/
http://psasir.upm.edu.my/id/eprint/116247/1/116247.pdf