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ARE MAST CELL TUMORS IN THE GROIN OR PERINEAL REGION MORE AGGRESSIVE THAN ELSEWHERE?
Some studies indicate that canine mast cell tumors in the inguinal and perineal region have a worse prognosis than those in other cutaneous region - and nobody has an explanation for this. But is it really true? A very interesting study on more than 100 dogs has other results...

This retrospective study was done to compare clinical outcome of dogs with cutaneous mast cell tumors (MCTs) in the inguinal or perineal region with outcome for dogs with MCTs in other cutaneous locations. 37 dogs with MCTs in the inguinal or perineal region and 87 dogs with MCTs in other cutaneous locations were included.

Information obtained from the medical records included sex, breed, age, histologic grade of all tumors, number and location of all tumors, tumor size (ie, diameter of the tumor), completeness of surgical excision, treatments administered in addition to surgery, and outcome.

In all dogs, the primary treatment consisted of surgical excision.

RESULTS: Disease-free interval and survival time for dogs with MCTs in the inguinal or perineal region were not significantly different from values for dogs with MCTs in other cutaneous locations. Dogs with incompletely excised tumors, dogs with grade III tumors, and dogs that received systemic treatment were 2, 2.5, and 4 times as likely, respectively, to have a relapse.

Factors significantly associated with a shorter survival time were age > 8 years, metastatic disease at the time of initial diagnosis, and tumor relapse.

CONCLUSIONS AND CLINICAL RELEVANCE: Results of the present study suggest that dogs with MCTs in the inguinal or perineal region do not have a worse prognosis in regard to disease-free interval or survival time than do dogs with MCTs in other cutaneous locations.

Treatment recommendations for dogs with cutaneous MCTs should be based on confirmed predictors of biological behavior, such as histologic grade and clinical stage.

Source: Sfiligoi G, Rassnick KM, Scarlett JM, Northrup NC, Gieger TL. (2005): Outcome of dogs with mast cell tumors in the inguinal or perineal region versus other cutaneous locations: 124 cases (1990-2001). In: J Am Vet Med Assoc. 2005 Apr 15;226(8):1368-74.



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