• DVM360_Conference_Charlotte,NC_banner
  • ACVCACVC
  • DVM 360
  • Fetch DVM 360Fetch DVM 360
DVM 360
dvm360 | Veterinary News, Veterinarian Insights, Medicine, Pet Care
dvm360 | Veterinary News, Veterinarian Insights, Medicine, Pet Care
By Role
AssociatesOwnersPractice ManagerStudentsTechnicians
Subscriptions
dvm360 Newsletterdvm360 Magazine
News
All News
Association
Breaking News
Conference Coverage
Education
Equine
FDA
Law & Ethics
Market Trends
Medical
Politics
Products
Recalls
Regulatory
Digital Media
dvm360 LIVE!™
Expert Interviews
The Vet Blast Podcast
Medical World News
Pet Connections
The Dilemma Live
Vet Perspectives™
Weekly Newscast
dvm360 Insights™
Publications
All Publications
dvm360
Firstline
Supplements
Vetted
Clinical
All Clinical
Anesthesia
Animal Welfare
Behavior
Cardiology
CBD in Pets
Dentistry
Dermatology
Diabetes
Emergency & Critical Care
Endocrinology
Equine Medicine
Exotic Animal Medicine
Feline Medicine
Gastroenterology
Imaging
Infectious Diseases
Integrative Medicine
Nutrition
Oncology
Ophthalmology
Orthopedics
Pain Management
Parasitology
Pharmacy
Surgery
Toxicology
Urology & Nephrology
Virtual Care
Business
All Business
Business & Personal Finance
Hospital Design
Personnel Management
Practice Finances
Practice Operations
Wellbeing & Lifestyle
Continuing Education
Conferences
Conference Listing
Conference Proceedings
Resources
CBD in Pets
CE Requirements by State
Contests
Veterinary Heroes
Partners
Spotlight Series
Team Meeting in a Box
Toolkit
Top Recommended Veterinary Products
Vet to Vet
  • Contact Us
  • Fetch DVM360 Conference
  • Terms and Conditions
  • Privacy
  • Do Not Sell My Information
  • About Us

© 2023 MJH Life Sciences and dvm360 | Veterinary News, Veterinarian Insights, Medicine, Pet Care. All rights reserved.

Advertisement
By Role
  • Associates
  • Owners
  • Practice Manager
  • Students
  • Technicians
Subscriptions
  • dvm360 Newsletter
  • dvm360 Magazine
  • Contact Us
  • Fetch DVM360 Conference
  • Terms and Conditions
  • Privacy
  • Do Not Sell My Information
  • About Us
  • MJHLS Brand Logo

© 2023 MJH Life Sciences™ and dvm360 | Veterinary News, Veterinarian Insights, Medicine, Pet Care. All rights reserved.

Practical Matters: Helpful hints for treating soft tissue sarcomas in dogs and cats

January 1, 2011
Kim A. Selting, DVM, MS, DACVIM (oncology)

Veterinary oncologist Dr. Kim Selting provides her advice on achieving the best outcomes in these cases.

Treating soft tissue sarcomas can be frustrating because of the high rate of local recurrence despite what appears to have been an aggressive resection. Medical oncologists often mediate cancer therapy between the surgeon and the radiation oncologist and must determine what has been done with surgery in order to determine what must be done with radiation to achieve local control of the tumor. Here are a few tips to help prevent seeding of soft tissue sarcomas and enhance the chances of successful follow-up radiation therapy.

Kim A. Selting, DVM, MS, DACVIM (oncology)

DON'T PLACE DRAINS AFTER TUMOR EXCISION

To achieve a wide resection, many practitioners create a large amount of dead space and will then use drains to help the area heal or will place a drain if a seroma develops postoperatively. The problem with this approach is that the drain tract is then subject to tumor cell spread, and it can be extremely difficult to trace the drain tract when a decision is made to follow with radiation therapy. Even if the drain tract can be identified, the radiation field is generally substantially larger. Additionally, seromas can separate fascial planes and also create paths for tumor cell migration and recurrence.

Instead of using drains in sites of tumor resection, and if seromas develop, tell the radiation therapist, and note the extent of the seroma. Allow seromas to resolve with time and warm compresses rather than drains. It is also essential for the medical oncologist and radiation oncologist to fully understand the extent of the original surgery to properly plan radiation. If possible, it is helpful to use hemoclips at the greatest extent of the pocket created by tumor resection so that the radiation oncologist can later retrace the surgeon's steps in order to include all tissues exposed to tumor cells in the radiation field.

Advertisement

WHEN EXCISING MULTIPLE TUMORS, CHANGE INSTRUMENTS

If multiple mass removals or surgical procedures are to be done on a patient, it is important to first know what the masses are and use only one set of instruments on the malignant tumor, as tumor cells can be transplanted to other sites. Changing instruments, including gloves, between procedures is wise if the tumor type is unknown.

PLAN BEFORE YOU CUT AND CLOSE

Remember that tumor excision can sometimes create tension when reapposing normal tissues. Tension will lead to slow healing, and these suture lines are more likely to dehisce when radiation is initiated. Tension should be avoided if at all possible.

However, never use releasing incisions to close a site of sarcoma removal if the owner is considering radiation therapy, for example, on an extremity. Each releasing incision must be considered a possible site of tumor seeding, especially if the same instruments are used.

When faced with a challenging soft tissue sarcoma removal and to minimize side effects to normal tissue, it may be helpful to consult with an oncologist or oncologic surgeon to plan an incision that can later be treated with radiation, if needed. Choosing horizontal vs. vertical incisions can be a critical decision depending on the area of the body affected. Surgical planning can markedly increase the chances of success with subsequent therapy. Always thoroughly describe the surgical procedure that was performed when referring a patient for adjuvant radiation therapy.

SEND THE ENTIRE EXCISED MASS

Once the tumor has been removed, en bloc margins must be preserved so the pathologist may accurately determine the completeness of excision. Many tumors with complete histologic margins do not recur, and incomplete excisions warrant radiation therapy. Ideally, surgical or India ink can be used to mark where the surgeon's blade cut. Do not remove a small portion of a large tumor and submit only that portion for a diagnosis. If you cannot send the entire tissue en bloc, submit the tumor and sections of the most concerning margins where the surgery was closest to normal tissue.

Kim A. Selting, DVM, MS, DACVIM (oncology)

Department of Veterinary Medicine and Surgery

College of Veterinary Medicine

University of Missouri Columbia,

MO 65211

SUGGESTED READING

1. Eckstein C, Guscetti F, Roos M, et al. A retrospective analysis of radiation therapy for the treatment of feline vaccine-associated sarcoma. Vet Comp Oncol 2009;7(1):54-68.

2. Kuntz CA, Dernell WS, Powers BE, et al. Prognostic factors for surgical treatment of soft-tissue sarcomas in dogs: 75 cases (1986-1996). J Am Vet Med Assoc 1997;211(9):1147-1151.

3. McKnight JA, Mauldin GN, McEntee MC, et al. Radiation treatment for incompletely resected soft-tissue sarcomas in dogs. J Am Vet Med Assoc 2000;217(2):205-210.

Related Content:

Oncology
Feline oral cancer is the focus of a new study
Feline oral cancer is the focus of a new study
Advances in the detection, characterization, and monitoring of cancer in pets
Advances in the detection, characterization, and monitoring of cancer in pets
Volition's Nu.Q Vet Cancer Test now available for preorder at point-of-care via Heska Corporation
Volition's Nu.Q Vet Cancer Test now available for preorder at point-of-care via Heska Corporation

Advertisement

Latest News

An update on copper concerns in pet foods

Dental hacks to make every case more manageable

Q&A with a keynote: Walter Brown, RVTg, VTS, ECC

News wrap-up: This week’s headlines, plus dvm360® launches its first CE podcast

View More Latest News
Advertisement