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Apocrine Gland Tumors

4/24/2018

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Apocrine glands are the major type of sweat glands in dogs. These glands are made up of a mass of secretory tubules and an excretory duct that opens into a hair follicle. The glands are located in the subcutaneous fat deep in the dermis.
 
Apocrine glands are a source of common tumors in many breeds of dogs. The majority of these tumors are benign, but there are some that are malignant and can be very aggressive. Along with the presence of the malignancy lies the potential of metastasis to the lungs and regional lymph nodes. Depending on their location, they are classified as glandular (arising from the gland) and ductular (arising from the ducts). Malignant tumors are generally seen in older dogs.
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Types

Apocrine adenomas – These lumps or soft bulges above the skins mostly arise on the head and neck which a higher incidence between 8-11 years. They grow slowly and there is no chance or recurrence following surgical extirpation.
 
Apocrine ductal adenoma – These tumors develop on the head, thorax, abdomen and back and occur in the age group of 6-11 years. These tumors are slow growing.
 
Ceruminous adenomas – These tumors around found within the ear canal and also the vertical ear canal and occur in the age group of 4-13 years. They tend to grow outward and ulceration and secondary infection are common. They are non-malignant and are slow growing, but they cannot be surgically excised.
 
Anal sac gland carcinoma – This is a malignant tumor found in the wall of the anal sac and is quite common in dogs, common in the age group 5-15 years.

Diagnosis

Diagnostic techniques consist of a fine needle aspiration for microscopic examination of cell samples (cytology). The examination of a biopsy (histopathology) offers a better diagnosis. This information helps in determining the prognosis and a course of action for treatment. A biopsy also rules out the presence of other cancers.

Treatment

The treatment of choice for sweat gland and ceruminous gland adenocarcinomas is complete surgical excision. If it a tumor of the ear canal, complete ear removal may be necessary. If the tissue around the incision is free of tumor cells, no additional treatment is required. If surgical removal is not possible, your veterinarian may opt for curative-intent radiation therapy since most of these tumors respond well to radiotherapy.
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Bartonella Infection in Dogs

4/23/2018

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Canine Bartonellosis

Bartonellosis is an emerging infectious bacterial disease in dogs.  It is caused by the gram-negative bacteria Bartonella, which may also affect cats and humans. In humans, infection of the Bartonella bacterium is also known as cat scratch disease or more commonly as cat scratch fever, though it may not have been transmitted through a cat’s scratch or bite.
 
The Bartonella spp. bacterium is transmitted to dogs via fleas, sand flies, lice, and ticks. Herding and hunting dogs are at a higher risk due to increased exposure to disease vectors like fleas, sands flies, lice, and ticks.
 
Bartonella is a zoonotic disease, meaning that it can be transmitted between animals and humans.  The disease is not fatal for humans, but it still poses great risks to immune-compromised patients, such as those undergoing chemotherapy treatments or those with the AIDS virus.
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Bartonella

Symptoms

The majority of human patients are less than 21 years old. The following are symptoms commonly seen in humans:
 
  • Red papule (small sized solid bump) at bite or scratched site
  • Painful lymph nodes of involved area
  • Shivering and chills
  • Malaise
  • Lack of appetite
  • Pain in muscles
  • Nausea
  • Altered brain functions
  • Pink eye
  • Hepatitis
 
Symptoms in dogs:
 
  • Fever
  • Enlargement of spleen and liver
  • Lameness
  • Swelling and inflammation of lymph nodes
  • Inflammation of heart muscles
  • Inflammation and irritation of the nose
  • Inflammation of the eyes
  • Vomiting
  • Diarrhea
  • Cough
  • Seizures
  • Arthritis
  • Nasal discharge and/or nose bleed
  • Inflammation of the brain
  • Many other symptoms similar to those in humans

Causes

  • Bacterium Bartonella infection
  • History of flea or tick infestation
  • Transmission in dogs is through sand flies, lice, ticks and flea exposure
  • Dogs living in rural environments are at an increased risk
  • Transmission of the disease from dogs to humans in suspected to be through dog bites

Diagnosis

If your veterinarian suspected your dog is infected with Bartonella spp., he/she will conduct a complete examination, including blood tests, a biochemistry profile and urinalyses.
 
Abnormalities such as a decreased number of platelets or anemia may be present. An increased number of white blood cells or leukocytosis may also be evident in blood testing.  Biochemistry profiling may reveal abnormal liver enzymes and a decreased concentration of albumin or protein in the blood in affected dogs. Confirmation of Bartonella spp. will also involve a positive result from culturing the organisms from a sample of blood. A polymerase chain reaction (PCR) test is a more advanced method for detecting bacterial DNA using a sample of tissue taken from a papule.

Treatment

No established antibiotic protocol exists for the treatment of Bartonellosis in dogs. Depending on symptoms, a selection of antibiotics will be made by your veterinarian on an individual basis.

Management

The overall prognosis in dogs is highly unpredictable and dependent on the clinical presentation of the disease. After the initial treatment, you should monitor your dog for any recurrence of clinical signs and notify your veterinarian if you notice any symptoms. Note that this disease has not yet been fully understood in dogs and a full resolution of the disease after treatment may be achieved.

Prevention

The best way to prevent your dog from contracting Bartonellosis is to protect them from the exposure to fleas, sand flies, lice and ticks.
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