1. Survival analysis in dogs with urinary transitional cell carcinoma that underwent whole‐body computed tomography at diagnosis
- Author
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Takashi Mori, Kyoko Yoshida, Hiroki Sakai, Sho Goto, Ryota Iwasaki, Mami Murakami, Yuka Shimosato, Mifumi Kawabe, and Ryutaro Yoshikawa
- Subjects
Male ,Urologic Neoplasms ,medicine.medical_specialty ,040301 veterinary sciences ,Urinary system ,Urology ,urologic and male genital diseases ,Metastasis ,0403 veterinary science ,03 medical and health sciences ,Dogs ,0302 clinical medicine ,Prostate ,medicine ,Animals ,Whole Body Imaging ,Dog Diseases ,Survival analysis ,Retrospective Studies ,Carcinoma, Transitional Cell ,General Veterinary ,business.industry ,Hazard ratio ,Bone metastasis ,04 agricultural and veterinary sciences ,medicine.disease ,female genital diseases and pregnancy complications ,Urethra ,medicine.anatomical_structure ,Transitional cell carcinoma ,030220 oncology & carcinogenesis ,Female ,Tomography, X-Ray Computed ,business - Abstract
This retrospective study aimed to evaluate factors associated with survival and to compare characteristics between tumour localizations in dogs with urinary transitional cell carcinoma (TCC) that underwent whole-body computed tomography (CT) at diagnosis. Dogs with histologically confirmed TCC that received medical therapy between 2010 and 2017 were included; dogs that underwent surgery or radiotherapy for the primary tumour were excluded. According to the CT findings, primary tumour localization (classified into the Bladder, Urethra and Bladder and Urethra groups), prostate involvement, iliosacral lymphadenomegaly, sternal lymphadenomegaly and metastasis to the bone and lung were evaluated for survival analysis. CT at diagnosis revealed iliosacral lymphadenomegaly, sternal lymphadenomegaly, bone metastasis and lung metastasis in 47.7%, 18.5%, 24.6% and 35.4% of the 65 included dogs, respectively. The overall median survival time was 196 days. On multivariable analysis, TCC localization (hazard ratio [HR], 1.90; P = .037), bone metastasis (HR, 2.76; P = .013) and sternal lymphadenomegaly (HR, 3.56; P = .004) were significantly associated with survival. Compared to the Bladder group (n = 16), the Urethra group (n = 26) had higher metastasis rates to the bone (6.3% vs 42.3%; P = .045) and lung (6.3% vs 46.2%; P = .022). The survival time was shorter in the Urethra group than in the Bladder group (121.5 vs 420 days; P < .001), and it was similar only in female dogs (247 vs 420 days; P = .031). These findings suggest that whole-body CT could be valuable for predicting the prognosis in urinary TCC.
- Published
- 2019
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