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ULTRASONOGRAPHY OF CANINE GASTRIC EPITHELIAL NEOPLASIA
Authors:Dominique G.  Penninck  DVM   Antony S.  Moore  BVSc  MVSc   John  Gliatto  VMD
Affiliation:Department of Surgery, Section of Radiology, Tufts University, School of Veterinary Medicine, North Grafton, MA 01536.;Department of Medicine, Tufts University, School of Veterinary Medicine, North Grafton, MA 01536.;Department of Pathology, Tufts University, School of Veterinary Medicine, North Grafton, MA 01536.
Abstract:Signalment, clinical and ultrasonographic findings from 16 dogs with histologically confirmed gastric epithelial neoplasia were reviewed. The most common clinical findings were vomiting, anorexia and weight loss. Hematemesis and melena were uncommon findings. Ten (10/16) dogs were female and there were four Chows. The most common ultrasonographic findings were transmural thickening of the gastric wall associated with altered wall layering. A poorly echogenic lining often was noted on the innermost and/or the outermost portions of the gastric wall, separated by a more echogenic central zone. The distribution of these changes was variable. This ultrasonographic feature, called pseudolayering, was present in 14 dogs. It was believed to most likely correlate to the unevenly layered tumor distribution noted histopathologically. The maximum wall thickening ranged from 1 cm to 2.7 cm. Regional lymphadenopathy was identified ultrasonographically in 15 dogs. Ultrasound-guided fineneedle aspiration biopsy or automated microcore biopsy, endoscopic biopsy, surgical biopsy or necropsy resulted in the diagnosis of carcinoma in 15 dogs and of carcinoid tumor in one dog. The results of this study suggested that ultrasonography was a useful tool for the detection and diagnosis of canine gastric epithelial neoplasia. Furthermore, ultrasonography can assist in obtaining diagnostic samples and in clinical staging of the tumor.
Keywords:caninc    gastric epithelial neoplasia    carcinoid tumor    gastric carcinoma    ultrasonography
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