Differentiating Small Intestinal Tumors in Dogs

VRU 2023 64(2): 233-242

Background: The paper aims to improve understanding of CT characteristics for histologically confirmed primary intestinal tumors in dogs to guide prognosis and treatment plans.

Study: This is a retrospective, multi-center, analytical study.

Methods: The study evaluated CT characteristics for differentiation of adenocarcinoma, lymphoma, and spindle cell sarcoma (SCS) in 37 dogs who underwent contrast CT and histopathological examinations. Quantitative and qualitative CT parameters were evaluated for each included small intestine tumor CT case.

Results: Adenocarcinomas tended to show endophytic growth, intestinal obstruction, and a heterogeneous enhancement pattern. Lymphomas tended to show exophytic growth, contrast enhancement of the intestinal tumor mucosal layer, a homogeneous enhancement pattern, and the presence of lymphadenopathies in the abdominal cavity. SCSs tended to show lobulated growth, a large cystic portion within the tumor, a heterogeneous enhancement pattern, a large size with fat stranding sign, and lower HU values in postcontrast images. Cut-off values were derived to discriminate SCS from the two other tumor types.

Limitations: The study has several limitations, including a small sample size, not considering the effects of dog breed, age, and sex, and not classifying spindle cell sarcomas into specific subtypes. Interpretation of CT parameters might vary and discrepancies in the CT protocol may affect evaluations. Despite these limitations, the CT interpretation results were similar to those reported in a human study.

Conclusions: Contrast CT characteristics may be useful in differentiating small intestinal adenocarcinomas, lymphomas, and SCSs in dogs.

Postcontrast dorsal planar (A) and transverse (B–D) CT images representing the type of tumor growth in small intestinal tumors. A, Endophytic growth with tumoral changes toward the lumen of the small intestine (arrow) and with small intestinal dilation (asterisks). B, Exophytic growth with tumoral changes toward the outer wall of the small intestine (arrow). C,D, Lobulated growth without intestinal morphology (arrows)

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