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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.
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[[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.  
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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)]]
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[[Image:perianal gland adenoma histopath.jpg|thumb|100px|Perianal gland- adenoma (Courtesy of Bristol BioMed Image Archive)]]
 
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The tumour is '''under hormonal control'''.
* Lesions range from hyperplasia to true adenomas (benign).
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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.
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====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)]]
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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
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====Diagnosis====
** Outwith hormonal control.
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'''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.
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====Treatment====
** Are commonly malignant.
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'''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.
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[[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.
      
==Hepatocytic==
 
==Hepatocytic==
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