General Considerations
•histologic types: leiomyosarcoma, FSA, undifferentiated sarcoma, liposarcoma, OSA, CSA, myxosarcoma, rhabdomyosarcoma, and fibrous histiocytoma
•clinical signs: inappetence, abdominal distension, polydipsia, lethargy, vomiting, weight loss, and weakness
•abdominal mass frequently detected with abdominal palpation and survey abdominal radiographs
•treatment: splenectomy
•prognosis is guarded to poor with overall MST 10 weeks
•MST 1 month for dogs with evidence of metastatic disease at surgery
•MST 9 months for dogs with no evidence of metastatic disease at surgery
Splenic Nodular Hyperplasia
General Considerations
•splenic nodular hyperplasia can be classified according to type and proportion of cellular components:
•lymphoid
•hematopoietic
•plasmocytic
•fibrohistiocytic
•mixed
Nodular Fibrohistiocytic Hyperplasia
•nodular fibrohistiocytic hyperplasia may represent a transitional form between nodule and malignant neoplasia (i.e., malignant fibrous histiocytoma or generalized histiocytic sarcoma)
•nodular fibrohistiocytic proliferation in canine spleen characterized by a mixed population of spindle cells in varying proportions with hematopoietic elements, plasma cells, and lymphocytes
•MST 5.0-5.5 months, with 12-month survival rate 48%
•44% of deaths directly attributable to splenic disease
•poor prognostic factors include low lymphoid-to-fibrohistiocytic ratio and high mitotic index
SURGICAL ONCOLOGY
SOCIETY
RESEARCH
EDUCATION
LINKS
EMPLOYMENT
SPLENIC SARCOMA
Mitotic Index
Survival
0-9 cells per 10 high power fields
12-month survival rate 40%
> 9 cells per 10 high power fields
MST 1 month