Partial Gastrectomy at the Time of Splenectomy in Two Dogs With Splenic Neoplasia and Gastric Involvement

• Published in: Topics in companion animal medicine Vol. 42; p. 100487
• Main Authors: Montinaro, Vincenzo, Chiti, Lavinia Elena, Rossi, Nicola, Massari, Federico, Romanelli, Giorgio
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.03.2021; Elsevier Limited
• Subjects: Abdomen; Adenocarcinoma; Cancer; Chemotherapy; dog; Dogs; Gastrectomy; Gastrointestinal surgery; Histiocytoma; Intensive care; Laparotomy; Liver; Lymph nodes; Lymphatic system; Medical prognosis; Metastases; Metastasis; Omentum; Prognosis; Sarcoma; Spleen; Splenectomy; splenic tumor; stage III; Stomach; Surgery; Sutures; Tumors; Ultrasonic imaging; Veterinarians; splenic tumor; stage III; gastrectomy; dog; splenectomy
• ISSN: 1938-9736; 1946-9837; 1876-7613
• DOI: 10.1016/j.tcam.2020.100487

Splenic malignancies are reported in 30%-76% of dogs presenting with splenic masses, and splenectomy is the cornerstone in their management. However, long term prognosis is guarded due to the high rates of distant metastases reported both for HSA and nonangiogenic nonlymphomatous sarcomas. Metastases from splenic tumors usually occur to regional lymph nodes, liver, omentum, and lungs. These case series aim to describe 2 cases of splenic neoplasia with gastric involvement and report the surgical technique and outcomes associated with the condition. Two mixed-breed dogs were referred for a splenic mass and underwent explorative celiotomy. In both cases, the splenic mass was firmly attached to the gastric wall, and splenectomy with concurrent partial gastrectomy was thus performed. In case 1, liver lobectomy due to a hepatic mass was also performed. In case 2, the regional nodes were also excised due to lymphoadenomegaly. Both dogs recovered uneventfully from surgery and were discharged from the hospital at 72 and 96 hours. Histopathological examination was costent with splenic undifferentiated sarcoma and hepatic adenocarcinoma in one dog. The other dog had a diagnosis of malignant fibrous histiocytoma with nodal metastases. Neoplastic invasion of the stomach was histologically confirmed in both dogs. Adjuvant chemotherapy was refused, and both dogs were euthanized due to tumor progression at 71 and 58 days, respectively. According to our results, splenectomy with concurrent gastrectomy is feasible in dogs with splenic tumours involving the gastric wall. However, long term prognosis is poor, as previously reported for metastatic splenic sarcomas.