Submucosal resection via a transanal approach for treatment of epithelial rectal tumors - a multicenter study

Recurrence and survival in dogs with excised colorectal polyps: A retrospective study of 58 cases

BACKGROUND

Compared to humans, colorectal polyps are relatively rare in dogs. Epidemiological and prognostic data remain accordingly sparse, although they could help veterinary clinicians in the management of these cases.

OBJECTIVES

To report the epidemiological data of dogs with colorectal polyps and identify factors associated with recurrence and survival.

ANIMALS

Fifty-eight client-owned dogs with colorectal polyps admitted to 7 veterinary hospitals (53 dogs from France, 5 dogs from Spain, and 4 dogs from Portugal) were included.

METHODS

Retrospective multicentric cohort study. Medical records and long-term outcome of the dogs were reviewed. When available, histological samples were reassessed by 2 board-certified pathologists according to the revised Vienna classification (RVC).

RESULTS

The West Highland White Terrier (WHWT) breed was significantly associated with the presence of colorectal polyps (OR: 20; 95% CI: 7.5-52; P < .001). The overall median time to recurrence was not reached after 2000 days. The overall estimated median survival time was 1640 days. WHWT breed and larger polyps were significantly associated with a shorter time of polyp recurrence after surgical removal (respectively, P = .05 and P = .01).

CONCLUSIONS AND CLINICAL IMPORTANCE

The probability of recurrence of colorectal polyps in dogs is low, but increased in WHWTs and larger polyps, which might benefit from routine screening after removal. No effective predictors of polyp recurrence and survival were identified using the RVC.

Molecular, Morphological and Clinical Characteristics of Spontaneous Canine Colorectal Cancer – A Review

Cross-species comparison analysis studies are of immense importance in veterinary and human oncological research. Of the various non-rodent species available, dogs have gained most attention as potential animal models for the study of colorectal cancer. Domestic dogs developed evolutionally through a mutually beneficial relationship with humans. Because dogs share the same environment as humans, they are exposed to the same potentially harmful substances which may act as carcinogens in both species. Intestinal adenocarcinomas in dogs are naturally occurring heterogeneous tumours, which have the characteristics of sporadic human malignancies and therefore are more suitable for detailed oncological study than most xenograft or genetically modified rodent models. Furthermore, the canine genome has been comprehensively analysed and sequenced to a 7.6-fold coverage, and a very accurate version of this sequencing is available for study. The purpose of this manuscript is to present a comprehensive review of published data related to colorectal cancer in dogs. In addition, data regarding interspecies comparison of molecular events driving canine and human intestinal carcinogenesis is presented.

Clinical and Pathological Diagnosis of Hereditary Gastrointestinal Polyposis in Jack Russell Terriers

Simple Summary

In dogs, hundreds of hereditary diseases are currently known, representing a major health problem in small animal clinical practice. Hereditary gastrointestinal (GI) polyposis in Jack Russell Terriers (JRTs) is a hereditary disease recently discovered in Japan. This is an autosomal dominant disease caused by a germline variant in the adenomatous polyposis coli (APC) gene. Dogs with hereditary GI polyposis develop solitary and multiple tumors predominantly in the stomach and/or colorectum but have a much better prognosis than sporadic cases of GI tumors. Since the discovery of this disease, the number of newly diagnosed cases in Japan has increased, allowing the update of the disease’s clinical and pathological features. In the present study, some patients exhibited more severe condition than previously reported, including cases harboring tumors in the small intestine besides the stomach and colorectum. In addition, the rare cases died from systemic metastasis of GI tumors. Our study would facilitate the accurate diagnosis of hereditary GI polyposis in JRTs and raise global awareness of this novel hereditary disease.

Abstract

Hereditary GI polyposis in JRTs is a novel hereditary disease characterized by the development of solitary and multiple polypoid tumors, predominantly in the stomach and/or colorectum. Our recent study indicated that JRTs with GI neoplastic polyps harbor an identical germline variant in the APC gene, c.[462_463delinsTT], in a heterozygous state. Unlike sporadic cases, dogs afflicted with hereditary GI polyposis can be expected to have a prolonged survival time, as hereditary tumors are noninvasive. Since the discovery of this disease, the number of newly diagnosed cases in Japan has increased, allowing us to update the clinical and pathological features and provide a large number of diagnostic images. The present clinical case series study employing various diagnostic imaging techniques revealed that some of the cases harbored tumors in the small intestine in addition to the stomach and colorectum. Moreover, although rare, hereditary GI cancers can progress to the advanced stage and develop systemic metastasis, similar to sporadic GI tumors. These findings indicate that there is a wider range of variation in disease severity than was initially recognized. Our results can contribute to the accurate diagnosis of hereditary GI polyposis in clinical practice, pathological examinations, and future research.