1. Clinicopathologic Characterization of Prostatic Cancer in Dogs.
- Author
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Vasilatis, Demitria M. and Ghosh, Paramita M.
- Subjects
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PROSTATE cancer , *ANDROGEN receptors , *TRANSITIONAL cell carcinoma , *CLINICAL pathology , *ERYTHROCYTES , *NEEDLE biopsy , *BEAGLE (Dog breed) , *DOGS - Abstract
Simple Summary: Prostatic adenocarcinoma (PRAD) and prostatic transitional cell carcinoma (P-TCC) are the most common subtypes of prostate cancer (PCa) in dogs, and differentiating them often requires an invasive tissue biopsy with histopathology. Routine laboratory data from blood work and minimally invasive tests, such as fine-needle aspiration cytology, have been overlooked as a tool for discerning between these tumors. This is the first study to utilize clinicopathologic and cytologic data to differentiate PRAD and P-TCC in dogs. Clinicopathologic data in dogs with prostate cancer (PCa) may aid in the differentiation between tumor types and subsequent treatment decisions; however, these data are often unreported. Demographic, clinicopathologic, cytologic, histologic and survival data from dogs with primary prostatic adenocarcinoma (PRAD) (n = 56) and primary prostatic transitional cell carcinoma (P-TCC) (n = 74) were acquired from a tertiary veterinary teaching hospital from 1992 to 2022. Red blood cell distribution width (RDW) to albumin ratio (RAR) was evaluated for diagnostic utility in differentiating between PRAD and P-TCC. Sections from PRAD tumors (n = 50) were stained for androgen receptor (AR) expression, and laboratory data were compared between AR positive (AR+) and AR negative (AR−) groups. RDW was increased in PRAD, while albumin was decreased (p < 0.05). P-TCC was associated with Melamed-Wolinska bodies (MWB) and necrosis on cytology (p < 0.05). RAR had acceptable diagnostic utility in the differentiation of PCa tumors (AUC = 0.7; p < 0.05). Survival rates and metastases were equivocal. AR+ and AR− PRAD tumors did not differ in clinicopathologic data or survival (p > 0.05). In conclusion, hypoalbuminemia was significantly associated with PRAD and decreased survival, while MWB and necrosis were significantly associated with P-TCC on cytology. These clinicopathologic data may help clinicians differentiate between these tumors ante mortem to guide appropriate treatment and intervention. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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