Kim L. Cronin, DVM, Dipl. ACVIM

Articles by Kim L. Cronin, DVM, Dipl. ACVIM

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Many clinicians cringe when they see the word histiocytic on a diagnostic report. The nomenclature of histiocytic diseases can be difficult to understand, leading to confusion in regards to diagnostic and therapeutic options. To further compound the confusion, it can be easy to misdiagnose these diseases with only routine histopathology. This article is designed to provide a better understanding of the histiocytic diseases, as well as to provide information regarding the diagnosis and clinical presentation of these diseases and available treatment options.

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Oral tumors are the fourth most common cancer in dogs and represent 6 percent of all canine cancers. The most common malignant tumors in dogs are melanoma, fibrosarcoma, SCC and osteosarcoma. Benign tumors include the epulides (ossifying, fibromatous and acanthomatous) and other odontogenic tumors. In cats, oral tumors make up 3 percent of all feline cancers. SCC is the most common malignant tumor followed by fibrosarcoma. Benign oral tumors are much less common in cats.

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Soft-tissue sarcomas (STS) are common for a practitioner to see as they compromise up to 15 percent of all skin tumors in dogs. The terms spindle-cell tumors and mesenchymal tumors have also been used to describe these tumors. STS are considered to be a family of tumors given that they are all derived from connective tissues and have a similar biologic behavior regardless of the histologic type (see Table 1). Histiocytic sarcomas, oral sarcomas, hemangiosarcoma and synovial cell sarcoma are generally not included given that these tumors have a different biologic behavior.

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