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Canine Skin Cancer
Canine skin cancer is the most common form of cancer in dogs. However, not all types of skin tumors in dogs are malignant.
This page looks at different types of skin tumors in dogs, and the symptoms, causes, and treatment of dog skin cancer.
Skin tumors are very common in dogs, accounting for approximately one third of all tumors.
Skin tumors may occur on or near the surface of the skin (superficial), or they may occur under the skin (subcutaneous).
Fortunately, not all lumps and bumps are cancerous. In dogs, approximately 20-30% of skin tumors are malignant.
However, it is difficult for dog parents to distinguish between benign and malignant skin tumors in dogs. Therefore, if you find any lumps or bumps on your dog's skin,
be sure to have them checked by a veterinarian without delay.
Generally speaking, benign tumors are smaller than malignant tumors. They are slow growing and usually change very little over a long period of time (months and even
years). Very often, they have distinctive margins, are deeply pigmented, freely movable and do not cause any pain. On the other hand, malignant tumors tend to grow
rapidly, and have ill-defined margins. They are infiltrative, and may be ulcerated.
Let's first take a look at some common benign and malignant skin tumors in dogs.
Common Canine Skin Tumors
There are quite a few skin tumors - benign and malignant - that can occur in dogs.
Common benign skin tumors in dogs include:
- Lipomas: These are fatty tumors and are the most common soft skin tumors in dogs. They are soft since they are basically fat. However,
some malignant tumors such as mast cell tumors resemble fatty tumors so even if you suspect a lipoma on your dog, it is important to have your vet confirm it by
fine needle aspiration. Usually, lipomas can be left alone and need only be removed surgically if the location and size of the tumor is causing a problem to the
comfort or mobility of the dog.
- Melanomas: Melanomas are also common skin tumors in dogs and account
for about 5 to 7% of all canine skin tumors. Many melanomas that occur on the skin of dogs are benign. The tumors are usually darkly pigmented and appear as black
tumors on the skin, from one-quarter to 2 inches in diameter. They occur most often on the head, digits or back. Melanomas are more common in older dogs (the average age
is nine years).
- Papillomas: Papillomas are commonly known as warts. They are firm and smaller
than lipomas and are cauliflower-like growths. A dog can have one or multiple papillomas. (Puppies usually have multiple growths whereas older dogs commonly have a
single growth). In puppies (not older dogs), these tumors are mostly viral in nature and usually disappear in a few months as the puppy's immune system strengthens.
They can occur on the head, eyelids, feet, and in and around the mouth. Papillomas can be confirmed by fine-needle aspiration, and can be removed either by surgery,
electrocautery (using electric current to remove the tissue), or cryosurgery (freezing the tissue).
- Sebaceous Adenoma/Hyperplasia: Sebaceous hyperplasia is rather common in dogs. This type of tumor may be solitary or multiple wart-like
growths that are pinkish in color and are small (less than 1 cm in diameter). These tumors occur more commonly in older dogs and often appear on the eyelids, other
areas of the head, trunk and feet. Breed-wise, Miniature Schnauzers, Beagles, Poodles and Cocker Spaniels are more susceptible. Sebaceous hyperplasia can be confirmed by
fine-needle aspiration and removed by surgery.
- Histiocytomas: Histiocytomas are common benign skin tumors in dogs as well. They commonly occur in younger dogs (under 3 years of age).
Certain breeds are predisposed, such as Cocker Spaniels, Doberman Pinschers, Boxers, Labrador Retrievers and Scottish Terriers. These tumors are usually solitary but
fast growing. They are dome-shaped with a hairless or ulcerated surface. Solitary histiocytomas may spontaneously regress (disappear) in approximately 3 months.
They can be treated by surgical removal.
- Basal Cell Tumors: Basal cell tumors are benign tumors that occur in the deepest layers of the skin. They are usually solitary, well-defined,
firm, and freely movable. These tumors are usually found on the head, neck, and shoulders. Older dogs and Poodles are more susceptible to this tumor. Surgical removal is
the conventional treatment.
Common malignant skin tumors in dogs include:
- Mast Cell Tumors: Mast cell tumors are the most common
fatal canine skin cancer, accounting for 16 to 21% of all skin tumors in dogs. These tumors arise from tissue mast cells. The average age at diagnosis is 8 years. Mast
cell tumors are commonly known as the "Great Imitators" because they resemble fatty tumors (lipomas) and other benign lesions. As such, these dangerous tumors are often
not diagnosed until later in the disease, making treatment more difficult and prognosis less favorable.
- Squamous Cell Carcinoma: Squamous cell carcinoma (SCC) is the most frequently diagnosed carcinomas arising in the skin in dogs.
They usually occur on non-pigmented and hairless sections of the skin and is commonly seen as a result of sun damage. This canine skin cancer is locally aggressive but
rarely metastasize until later in the course of the disease.
There are two forms of SCC - cutaneous SCC and subungual SCC.
Most cutaneous SCCs are firm, raised ulcerated nodules. Older dogs are more susceptible. Breed-wise, Bloodhounds, Basset Hounds, and Standard Poodles are predisposed.
Subungual SCCs occur in dogs with a dark haircoat, and are most commonly found in Schnauzers, Briards, Kerry Blue Terriers, and Standard Poodles.
Females have a slightly higher rate of occurrence than males.
Surgical removal is the treatment of choice. Where surgery is incomplete or not possible, radiation can be used. Limiting exposure to the sun may help prevent sun-induced
squamous cell carcinomas.
- Hemangiosarcoma: Hemangiosarcoma is a soft tissue tumor (sarcoma)
that arises out of blood vessels. It commonly arises from the spleen, the liver, and the skin.
There are two forms of hemangiosarcoma of the skin - dermal or subcutaneous.
The dermal form is associated with sun exposure and tends to occur on hairless or sparsely-haired skin (e.g. inner thigh, abdomen). Dermal hemangiosarcoma looks like a
red or black growth on the skin.
Dogs with short white haired fur (such as dalmatians, whippets, and pit bull terriers) are predisposed.
Subcutaneous (under the skin) hemangiosarcoma can occur anywhere on the body. The tumors can be soft and movable, or they can be firm and infiltrative. Surgical removal
is the treatment of choice but sometimes complete surgical removal can be difficult, in which case radiation and/or chemotherapy can be used.
- Fibrosarcoma: Firbosarcoma is a type of soft tissue tumor that arises from fibrous connective tissues. These tumors are often
subcutaneous (under the skin) but can grow and extend through the skin resulting in ulceration of the overlying skin. They are locally invasive but less likely to
metastasize to other parts of the body. Tumors can be solitary or multi-nodular and often will have obvious attachments to the surrounding normal tissues.
In dogs, fibrosarcomas are most common on the trunk and extremities.
This canine skin cancer occurs more frequently in older male dogs.
Treatment options include aggressive surgical removal, or a combination of surgery and radiation, and with or without chemotherapy.
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Causes of Canine Skin Cancer
As in other forms of cancer, the exact cause of most forms of canine skin cancer is unknown.
However, it has been found that sun exposure is associated with three types of skin cancer - squamous cell carcinoma, basal cell carcinoma and hemangioma.
Dogs with thin haircoats or light hair color and those that spend a lot of time in the sun tend to have a higher risk of developing certain forms of skin cancer.
As well, since certain breeds of dogs are more prone to development of skin cancer, genetic predisposition may also be another cause. Some breeds that are
predisposed include the Boxers, Scottish Terriers, Bull Mastiffs, Basset Hounds, Weimaraners, Kerry Blue Terriers and Norwegian Elkhounds.
Finally, skin cancer in dogs occurs more commonly in older dogs; thus age may also be a factor of canine skin cancer.
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Symptoms of Canine Skin Cancer
Skin tumors in dogs are usually discovered by the pet parents as abnormal lumps or bumps on the skin. Depending on the type of the tumor, the abnormal growth may or may
not be ulcerated, can be red or black, and the skin may be red or has a flaky appearance.
Some skin tumors can cause itching, so the affected dog will lick, chew, and scratch the affected area incessantly.
As the cancer progresses, systemic (whole body) symptoms arise. These symptoms depend on the type and the location of the tumor, the seriousness of the cancer and whether
it has metastasized.
Some common systemic symptoms may include:
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Diagnosis of Canine Skin Cancer
To make an initial diagnosis of canine skin cancer, a fine-needle aspirate from the growth is first done. This involves using a needle to collect some cells from the
suspected growth and examining the cells under the microscope.
When it has been determined that the growth is cancerous, the entire tumor will then need to be fully removed, if possible, and submitted for biopsy.
Other tests will need to be done to see if the cancer has metastasized to other sites in the body. These tests include:
- Blood tests
- Biochemistry profile
- Urinalysis
- Chest and abdominal X-rays
- Ultrasound
- Lymph node aspirate
- Bone marrow aspirate
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Conventional Treatment of Canine Skin Cancer
Treatment of canine skin cancer depends on the type, location, and size of the tumor, as well as the anticipated level of aggressiveness and whether the cancer has
spread to other sites in the dog's body.
Surgical removal is the conventional treatment of choice of skin cancer in dogs. Usually, aggressive excision is necessary to ensure that all of the cancer cells that
might have spread to tissues in the neighborhood are removed.
If a tumor is located on the limbs, amputation of the affected limb may be necessary.
Chemotherapy, and/or radiation may be used in combination with surgery for better results.
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