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Atlas of tumours. Oncology in daily clinical practice

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This book describes a practical, simple work protocol which may be useful to most of those first-opinion veterinary practitioners who have to deal with cases of neoplasia in their practices. It combines the experience in clinical oncology of a first-opinion veterinary surgeon and the knowledge of a veterinary practitioner specialised in this field, and includes a wide variety of images of the most common tumours in small animals as well as in exotic species. Some key aspects such as how to collect and send samples to the laboratory, and basic surgical techniques in oncology are also addressed.

Adrián Duarte Romairone

Pegar aDegree in Veterinary Medicine from the Faculty of Veterinary Sciences, General Pico, La Pampa, part of the National University of La Pampa (Argentina). Currently in the final stage of his PhD.
Veterinary clinician since 1987. Owner of Centro de Diagnóstico Veterinario, which specialises in diagnosing diseases in companion animals and birds of prey. Owner and editor of the website www.diagnosticoveterinario.com.
His areas of interest include clinical oncology, diagnostic cytology, soft tissue surgery, oncology and traumatology, with a particular focus on osteosynthesis by internal and external fixation, and medical and surgical pathology of birds of prey.

Juan Carlos Cartagena Albertus

Degree in Veterinary Medicine, Zaragoza, 1987. Member of the Royal College of Veterinary Surgeons (RCVS), Master of Science (MSc), accredited by AVEPA in the fields of oncology and soft tissue surgery and university specialist in endoscopy and minimally invasive surgery (EAMIS). He is also a member of the European Society of Veterinary Oncology (ESVONC) and of the endoscopy, oncology and soft-tissue surgery working groups of AVEPA.
He currently works at Night Vets Limited in Upminster, UK.

General aspects of clinical oncology
1. Basic principles of the diagnostic approach

Paraneoplastic syndromes
Clinical signs of suspected cancer

Abdominal enlargement
Alopecia
Nail disorders
Cutaneous calcinosis (calcinosis cutis)
Faecal alterations
Vomiting
Oestrogen-secreting tumours
Haematuria
Horner syndrome
Jaundice
Limb swelling

2. Sample collection and transport to the laboratory

Sample collection

Biopsies and punctures
Biopsy material
Endoscopic biopsy
Fixation and storage of the sample

3. Principles of surgical oncology Safety margins

Surgical manipulation of the tumour

Preplanning
Proper handling
Use of antibiotics
Estimation of caloric and electrolyte requirements
Cancer types by system

4. Tumours of the reproductive system in males and females
Female reproductive system:

mammary tumours
Introduction
Histological classification
Prognostic factors
Treatment

Male reproductive system: testicular neoplasms

Introduction
Tumour characteristics
Diagnosis
Treatment
Prognosis

Male reproductive system: prostatic

neoplasms
Introduction
Clinical signs
Diagnosis
Treatment

5. Skin tumours
Aetiology
Classification
Diagnostic approach in the clinic

The importance of cytology

Common skin tumours

Papillomas
Squamous cell carcinoma
Neoplasms of the sebaceous glands
Adenoma of the perianal glands or hepatoid cells
Lipomas
Schwannoma
Melanoma/melanosarcoma
Histiocytoma
Epitheliotropic lymphoma
Mastocytoma
Trichoepithelioma
Fibrosarcoma

6. Tumours of the digestive system
Oral malignancies

Overview
Canine oral tumours
Feline oral tumours

Gastric neoplasms

Overview
Canine gastric adenocarcinoma
Canine gastric leiomyoma or leiomyosarcoma
Alimentary lymphoma
Canine gastric plasmacytoma

Intestinal neoplasms

Overview
Rectoanal polyps and papillary adenoma
of the rectum
Intestinal adenomas and adenocarcinomas
Intestinal carcinoid tumours
Alimentary lymphoma

7. Neoplasms of the eye and orbit
Neoplasms of the eyelids

Neoplasms of the eyelids in dogs
Neoplasms of the eyelids in cats

Other neoplasms
Intraocular neoplasms
Orbital neoplasms
Mesenchymal tumours
Secondary intraocular tumours
Diagnostic investigation
Treatment
8. Neoplasms of the limbs. Osteosarcoma
Aetiology

Physical factors
Genetic factors

Clinical signs

In the limbs
In the axial skeleton
General clinical signs of systemic disturbance

Diagnosis

Diagnostic radiology
Cytological and histopathological diagnosis

9. Neoplasms in non-traditional species
Common tumours in non-traditional species

Renal adenocarcinoma in a parakeet
Osteosarcoma in a ferret
Feather cysts
Melanocytic tumour and squamous cell carcinoma
Uterine tumour in a rabbit
Abdominal tumour (ovarian) in a squirrel
Mastocytoma in a goshawk
Thymoma in a Bonelli’s eagle
Bile duct carcinoma
Cutaneous xanthomas
Papilloma in the external ear canal of a Russian hamster

10. Practical chemotherapy
Treatments

Adjuvant chemotherapy
Metronomic chemotherapy
Small molecule inhibitors (SMI)

Side effects of chemotherapy

Neutropenia and sepsis
Gastrointestinal disorders

Annexes
Annex 1. Most commonly used drugs in veterinary oncology
Annex 2. Weight to body surface area conversion table
References

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