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          CANINE LYMPHOMA           

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Canine lymphoma (lymphosarcoma) is the most common type of cancer to affect dogs, seen as malignant tumors in a dogs organs, usually in the lymph nodes, liver or spleen.  Lymphoma can also present in the digestive tract as well as in the eyes and skin.  In some dogs, this may occur at only one or two sites in the body but, more commonly, it is widespread involving all the lymph glands and internal organs.

There are four different types of canine lymphoma, categorized by the area of growth as well as the organs that are affected.

1. Multicentric Lymphoma
Multicentric lymphoma is the most common type of lymphoma to affect dogs, accounting for about 85% of all documented cases.  This type of lymphoma shows effects in the lymph nodes, and may or may not involve other organs. Multicentric lymphoma typically does eventually infiltrate the organs, and the tumor may begin to replace healthy organ tissue. This causes death by organ failure, as the organ is eventually unable to function.

2. Gastrointestinal Lymphoma
Gastrointestinal lymphoma involves cancerous growth around the digestive tract, most commonly being present near the stomach.  This type of lymphoma can cause lack of appetite, malnutrition, and fatigue.  A gastrointestinal tumor can become especially dangerous if located near the small or large intestine, since it can inhibit the proper passage of waste from your dog's gastrointestinal tract.

3. Mediastinal Lymphoma
This type of lymphoma is typically present in the chest area, involving the thorax and possibly affecting the lungs. Dogs with mediastinal lymphoma often experience difficulty breathing, in addition to a visible shortness of breath. If left untreated, mediastinal lymphoma can cause death by suffocation, as the tumor's growth progresses to eventually completely restrict the function of the lungs.  This type of lymphoma also will put your dog in a significant amount of pain, usually centralized around the chest area. Surgery to remove mediastinal lymphoma tumors is usually not recommended, and chemotherapy is the best option.

4. Extranodal Lymphoma
Extranodal lymphoma is different from multicentric lymphoma because it first appears outside of the lymphatic system, and then can spread to become multicentric lymphoma.  This type of lymphoma has such a broad classification, because it can appear in so many different areas of your dog's body. The type of symptoms present in your dog can vary from each area affected, and will usually be visible in degenerative effects on the specific system.  This is the rarest type of lymphoma, and refers to lymphoma that is specifically affecting one of six different areas of your dog's body. These types include:

- Breast tissue
- Cutaneous tissue (skin)
- Hepatic tissue (liver)
- Ocular or Orbital tissue (eyes)
- Osteo tissue (bone)
- Oral tissue (mouth)

Lymphoma is a progressive and ultimately fatal disease unless treated. In the early stages, the patient may be well but the cancer can have a profound effect on the dog causing weakness, poor appetite, loss of weight and general poor health. Currently, the cause of canine lymphoma is not known. However, it is not a contagious disease and there is no chance of spread to other pets or to humans. Without treatment, the average survival time is about 4-6 weeks. In some rare cases it may take several months to progress. With treatment, the majority of patients will go into remission (i.e. the tumour is reduced to such a small size that it is no longer apparent). This remission can be long lasting but unfortunately, lymphoma is rarely cured outright.


The Symptoms Of Lymphoma
Lumps
This is one of the more obvious signs of possible lymphoma, though may be harder to detect in dogs with thick fur. Abnormal lumps may appear in the abdomen, back, armpits, or neck. These lumps will be characteristically round and hard (not soft, like the fat deposits that develop in some older dogs).
Lack Of Appetite, Vomiting
Your dog will be feeling unwell, and may begin to show a lack of enthusiasm for mealtime. More food will remain in the dish after eating, or your dog may lose interest in food altogether. In addition to this, your dog may constantly be “hacking”, or vomit on a regular basis. All of these are signs that your dog is suffering from a serious health problem, and should be taken to a veterinarian immediately.
Fever
Detecting a fever in your dog as a stand-alone symptom can be difficult, though usually in cases of Lymphoma, a fever will be accompanied by several other symptoms. A fever that is steady, reoccurring, or lasts for longer than 3 days is a cause for concern.
Weight Loss
May dogs suffering from Lymphoma will appear to be depressed, and may cease to be excited about daily activities. Rapid weight loss in your dog is always a good reason to worry, as is one of the key symptoms of lymphoma (as well as several other serious health conditions).

Diagnosis
1. Visual examination by your vet
2. Urinalysis as well as a blood panel tests are used to asses your dog's state of health.
3. Biopsy of one of the enlarged lymph nodes to confirm diagnosis and to determine the approximate progression of the cancerous tissue.

Treatment
Treatment possibilities vary from basic drugs to complicated protocols using a variety of drugs. The principal and most important goal of any treatment is to regain and maintain a good quality of life. For the majority of dogs the drugs that are used have minimal to no side effects. Steroids alone will achieve a partial response in many dogs but they will relapse within 2 - 3 months due to drug resistance.

Chemotherapy
The most common and effective treatment is chemotherapy.  Chemotherapy drugs are used to kill the cancer cells, but may harm healthy cells.  Combination  chemotherapy involves the use of radiation treatment as well as the chemotherapy drugs and is considered the most effective protocol against canine lymphoma.

Immune System Booster
In addition to chemotherapy treating  your dog with an immune booster will increase his survival rate.  Most boosters include glyconutrients which are needed to maintain a healthy, functioning immune system.

Proper Nutrition
Proper nutrition is extremely important in increasing survival chances.  According to research dog foods that are high in carbohydrates "feed" the cancer, causing visible acceleration of the tumors progression.  Dog foods that are high in protein are believed to "starve" the cancer and foods that are high in Omega 3 fatty acids have been proven especially effective against canine lymphoma.

Surgery
Some cases will need surgery to remove the malignant lymphoma tumor.  Surgery is usually used in combination with chemotherapy, and is generally only suggested if the tumor is extremely large or is endangering vital organs. Fatal complications can arise with a surgical removal of a tumor, especially if a portion of the endangered organ is also removed.

Side effects from the chemotherapy drugs are not common; in general, the quality of life for most dogs receiving cancer treatment is good and often normal. Many dogs that were ill because of the lymphoma will actually improve dramatically as their tumour comes under control.  However there is an increased risk of infections as chemotherapy has been shown to supress the bone marrow which is responsible for creating new white blood cells therefore lowering the white blood count in dogs which in turn lowers the dogs immune response.  Your dog may also develop anaemia as chemotherapy drugs are toxic to red blood cells, so the red blood cell count of your dog may drop dramatically.  This triggers an anaemic condition requiring treatment.  This may include a transfusion and more drugs to enable red blood cell production.  Dogs that suffer from anaemia are more likely to experience weight loss as well as a disinterest in food. Weight can be induced by treating with hormones or steroids which may increase the dogs appetitie. The most common side effect associated with chemotherapy is hair loss around the face, paws and in the area around the tumor.  Chemotherapy drugs are targeted to be the most toxic to fast-growing cells, such as cancer cells. However, the cells in your dog's hair follicle are also fast-growing, and are particularly susceptible to damage by cytotoxic drugs. 



http://www.caninelymphoma.net
Animal Cancer Trust







Buddy's Story
Living With Canine Lymphoma
Lymphoma in the Dog
Canine Lymphoma
Lymphosarcoma in Dogs
Advances in Treatment for Canine Lymphoma
Canine Lymphosarcoma
Lymphoma Quick Facts


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The above information is simply informational. It's intent is not to replace the advice of a veterinarian nor to assist you in making a diagnosis of your pet. Please consult with your own veterinarian for confirmation of any diagnosis. Your pets life may depend on it.