Evaluation of surgical margins required for complete excision of cutaneous mast cell tumors in dogs

Amelia M. Simpson Department of Surgeryn, The Animal Medical Center, 510 E 62nd St, New York, NY 10021.
Present address is Veterinary Referral & Critical Care, 1596 Hockett Rd, Manakin-Sabot, VA 23103.

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Lori L. Ludwig Department of Surgeryn, The Animal Medical Center, 510 E 62nd St, New York, NY 10021.

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 VMD, MS, DACVS
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Shelley J. Newman Department Pathology, The Animal Medical Center, 510 E 62nd St, New York, NY 10021.

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Philip J. Bergman Department Donaldson-Atwood Cancer Clinic & Flaherty Comparative Oncology Laboratory, Department of Medicine, The Animal Medical Center, 510 E 62nd St, New York, NY 10021.

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Heidi A. Hottinger Gulf Coast Veterinary Specialists, 1111 West Loop South, Ste 160, Houston, TX 77027.

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Amiya K. Patnaik Department Pathology, The Animal Medical Center, 510 E 62nd St, New York, NY 10021.

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Abstract

Objective—To determine whether neoplastic mast cells extended into tissue 1, 2, or 3 cm laterally or deeper than 1 fascial plane from the visible edge of cutaneous mast cell tumors (MCTs) in dogs.

Design—Prospective study.

Animals—21 client-owned dogs with ≥ 1 cutaneous MCT.

Procedures—After preparation for surgery, each dog's skin was marked 1, 2, and 3 cm from the tumor edge at 0°, 90°, 180°, and 270°. At each 3-cm mark, deep fascia was exposed and sutured to the skin; the tumor was excised in routine fashion and fixed in formalin. Tumors were graded; margins were examined histologically for neoplastic mast cells.

Results—23 cutaneous MCTs in 21 dogs were included in this study. Fifteen (65%) tumors were located on the trunk, 5 (22%) on the hind limbs, and 3 (13%) on the head and neck. There were 3 (13%) grade-I and 20 (87%) grade-II tumors. All grade-I tumors were completely excised at all margins. Seventy-five percent of the grade-II tumors were completely excised at the 1- cm margin, and 100% were completely excised at the 2-cm margin. Two grade-II MCTs located on the hind limbs of dogs were excised with a complete but close (within 1 mm) deep margin.

Conclusions and Clinical Relevance—Results suggest that a 2-cm lateral margin and a deep margin of 1 fascial plane appear to be adequate for complete excision of grade-I and -II MCTs in dogs. (J Am Vet Med Assoc 2004;224:236–240)

Abstract

Objective—To determine whether neoplastic mast cells extended into tissue 1, 2, or 3 cm laterally or deeper than 1 fascial plane from the visible edge of cutaneous mast cell tumors (MCTs) in dogs.

Design—Prospective study.

Animals—21 client-owned dogs with ≥ 1 cutaneous MCT.

Procedures—After preparation for surgery, each dog's skin was marked 1, 2, and 3 cm from the tumor edge at 0°, 90°, 180°, and 270°. At each 3-cm mark, deep fascia was exposed and sutured to the skin; the tumor was excised in routine fashion and fixed in formalin. Tumors were graded; margins were examined histologically for neoplastic mast cells.

Results—23 cutaneous MCTs in 21 dogs were included in this study. Fifteen (65%) tumors were located on the trunk, 5 (22%) on the hind limbs, and 3 (13%) on the head and neck. There were 3 (13%) grade-I and 20 (87%) grade-II tumors. All grade-I tumors were completely excised at all margins. Seventy-five percent of the grade-II tumors were completely excised at the 1- cm margin, and 100% were completely excised at the 2-cm margin. Two grade-II MCTs located on the hind limbs of dogs were excised with a complete but close (within 1 mm) deep margin.

Conclusions and Clinical Relevance—Results suggest that a 2-cm lateral margin and a deep margin of 1 fascial plane appear to be adequate for complete excision of grade-I and -II MCTs in dogs. (J Am Vet Med Assoc 2004;224:236–240)

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