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| ===Hepatoid Gland Tumours (Perianal Adenomas)=== | | ===Hepatoid Gland Tumours (Perianal Adenomas)=== |
− | [[Image:normal perianal gland.jpg|thumb|right|100px|Perianal gland- normal (Courtesy of Bristol BioMed Image Archive)]] * Affect the dog. | + | [[Image:normal perianal gland.jpg|thumb|right|100px|Perianal gland- normal (Courtesy of Bristol BioMed Image Archive)]] |
− | * Arise from the solid, modified sebaceous circumanal glands.
| + | These tumours arise from the solid, '''modified sebaceous circumanal glands'''. They are the third most common tumour in '''intact male dogs''', and arise more frequently in '''older dogs'''. |
− | * Common in ageing entire males. [[Image:perianal gland adenoma histopath.jpg|thumb|100px|Perianal gland- adenoma (Courtesy of Bristol BioMed Image Archive)]]
| + | [[Image:perianal gland adenoma histopath.jpg|thumb|100px|Perianal gland- adenoma (Courtesy of Bristol BioMed Image Archive)]] |
− | | + | The tumour is '''under hormonal control'''. |
− | * Lesions range from hyperplasia to true adenomas (benign).
| + | Hepatoid glands are also found at the tail head, prepuce and other skin sites, and tumours can also arise from there. |
− | ** These low grade lesions are under hormonal control.
| + | ====Clinical features==== |
− | *** Castration/ administation of oestrogens or anti-androgens causes reduction in size.[[Image:perianal gland adenoma.jpg|thumb|right|100px|Perianal adenoma- gross appearance (Courtesy of Bristol BioMed Image Archive)]]
| + | Adenomas occur alone or in number, as round, well-differentiated, freely-movable masses. Tumours can become ulcerated and secondarily infected. There can be signs of perianal pain and tenesmus. |
− | * Occasionally hepatoid carcinomas (malignant) arise in affected males
| + | ====Diagnosis==== |
− | ** Outwith hormonal control.
| + | '''Cytology''' of the mass will reveal large hepatoid cells with a round, central nuclei, multiple nucleoli, and an abundant cytoplasm. There may be concurrent inflammation or haemorrhage. Cytology cannot distinguish adenomas from [[Adenocarcinoma|adenocarcinomas]], and further investigations should be carried out if malignancy is suspected. |
− | * Hepatoid gland tumours occur rarely in bitches.
| + | ====Treatment==== |
− | ** Are commonly malignant.
| + | '''Castration''' is the treatment of choice and 95% of tumours will regress. Administration of oestrogens or anti-androgens can also be considered, but side-effects of those hormones should not be forgotten. Surgical removal of the tumour may be necessary if it is large, or in females. |
− | * Hepatoid glands are also found at the tail head, prepuce and occasionally other skin sites.
| + | [[Image:perianal gland adenoma.jpg|thumb|right|100px|Perianal adenoma- gross appearance (Courtesy of Bristol BioMed Image Archive)]] |
− | ** Hepatoid tumours can also arise in these areas.
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| ==Hepatocytic== | | ==Hepatocytic== |