Adenoma / adenocarcinoma
Introduction
- Common tumor type arising from glandular epithelial tissue.
- Prognosis: depends on site.
- Treatment: variable response to chemotherapy, surgery and/or radiation therapy which are the mainstays of treatment.
- In general malignant tumors/adenocarcinomas are much more common than benign adenomas/adenomas.
- Adenocarcinomas occur in the skin (sweat gland and ceruminous gland), oropharynx, nasal chamber, salivary gland, stomach, intestine, bile duct, gall bladder, mammary gland, larynx, trachea and lung.
- Adenomas occur in the skin (sweat gland), oropharynx, intestine, bile duct, mammary gland, kidney and thyroid gland.
- Adenocarcinomas are locally invasive and depending on site metastasize to local and distant sites
- Adenomas are non-invasive and do not metastasize.
Presenting signs
- Depends on site.
- Adenocarcinomas are often locally invasive and may be ulcerated.
- Adenomas are small, well defined and non-ulcerated.
- Sweat gland adenocarcinomas often occur on head and neck.
- Ceruminous gland adenocarcinoma in external and middle ear canal.
- In the gastrointestinal tract adenomas are rare, adenocarcinomas common, majority occur in small intestine (ileum or jejunum), causing diarrhea and/or vomiting, rarely in the stomach.
- Bile duct adenomas and adenocarcinomas occur with similar frequency and present with cranial abdominal mass/hepatomegaly and signs of vague malaise Liver: primary hepatic neoplasia and jaundice.
- Mammary adenocarcinomas often originate from the caudal two mammary glands. The mass may be ulcerated. There may be signs of tumor metastasis, eg dyspnea due to pulmonary metastasis.
- Nasal adenocarcinomas → nasal discharge, obstruction, sneezing.
- Oropharyngeal adenocarcinoma → dysphagia, salivation.
Age predisposition
- Generally older cats.
Breed/Species predisposition
- Siamese - small intestine adenocarcinoma.
Pathogenesis
Predisposing factors
General
- FeLV Feline leukemia virus unlikely to be associated with intestinal adenocarcinoma.
Pathophysiology
- Malignant adenocarcinomas/adenocarcinomas much more common.
- Adenocarcinomas are generally locally invasive and often metastasize to local and distant sites.
- Gastrointestinal metastatic disease is usually abdominal.
Tumor behavior
- Sweat gland and ceruminous gland adenocarcinomas - locally invasive, metastasis not common, to lungs, lymph nodes, liver, digits.
- Salivary gland adenocarcinoma Salivary gland: neoplasia - limited studies suggest cure with excision followed by radiation therapy.
- Mammary tumors - 90% are adenocarcinoma and are aggressive. Systemic metastasis can occur - to lymph node, pleura, lung, liver, spleen, kidneys. Metastatic potential depends on size and histology.
- Pulmonary adenocarcinoma - aggressive tumor.
- Nasal adenocarcinoma - usually locally invasive but with low metastatic potential.
- Intestinal adenocarcinomas often extend into mesentery. Distant metastasis to lymph nodes, spleen, lungs or kidney common in small intestinal adenocarcinomas, less common in large intestine.
Timecourse
- Weeks/months.
Diagnosis
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Treatment
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Prevention
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Outcomes
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Further Reading
Publications
Refereed papers
- Recent references from PubMed and VetMedResource.
- Mellanby R J, Foale R, Friend E et al (2002) Anal sac adenocarcinoma in a Siamese cat. J Feline Med Surg 4 (4), 205-207 PubMed.
- Tanabe S, Nakadai T, Furuoka H et al (2002) Expression of mRNA of chemokine receptor CXCR4 in feline mammary adenocarcinoma. Vet Rec 151 (24), 729-733 PubMed.
- Anderson T E, Legendre A M, McEntee M M (2000) Probable hypercalcemia of malignancy in a cat with bronchogenic adenocarcinoma. JAAHA 36 (1), 52-5 PubMed.
- Kosovsky J E, Matthiesen D T & Patnaik A K (1988) Small intestinal adenocarcinoma in cats - 32 cases (1978-1985). JAVMA 192 (2), 233-5 PubMed.