Mast Cell Tumours

Todayโ€™s path rounds are on ๐ฆ๐š๐ฌ๐ญ ๐œ๐ž๐ฅ๐ฅ ๐ญ๐ฎ๐ฆ๐จ๐ฎ๐ซ๐ฌ!

๐–๐ก๐š๐ญ ๐ข๐ฌ ๐ข๐ญ?
๐Œ๐š๐ฌ๐ญ ๐œ๐ž๐ฅ๐ฅ ๐ญ๐ฎ๐ฆ๐จ๐ฎ๐ซ๐ฌ are a ๐ง๐ž๐จ๐ฉ๐ฅ๐š๐ฌ๐ญ๐ข๐œ (cancer forming) proliferation of ๐ฆ๐š๐ฌ๐ญ ๐œ๐ž๐ฅ๐ฅ๐ฌ, which are a type of white blood cell. Specifically, mast cells are most commonly associated with allergic reactions.

๐–๐ก๐จ ๐ ๐ž๐ญ๐ฌ ๐ข๐ญ?
Many species can get these tumours, however they are most common in dogs.

๐–๐ก๐š๐ญ ๐œ๐š๐ฎ๐ฌ๐ž๐ฌ ๐ข๐ญ?
The underlying or inciting cause of these tumours is unknown! However, in dogs we most commonly see these tumours in the skin.

๐–๐ก๐ฒ ๐ข๐ฌ ๐ญ๐ก๐ข๐ฌ ๐š ๐ฉ๐ซ๐จ๐›๐ฅ๐ž๐ฆ?
Mast cell tumours are actually the most common malignant tumour in dogs, meaning that they are prone to ๐ฆ๐ž๐ญ๐š๐ฌ๐ญ๐š๐ฌ๐ข๐ฌ (spreading to other sites) which can have some significant consequences.

However, one of the bigger problems with these tumours is the fact that they are made up of mast cells! Mast cells contain ๐ก๐ข๐ฌ๐ญ๐š๐ฆ๐ข๐ง๐ž, the main chemical that induces an allergic response. In some cases, disturbance of the mast cells in these tumours can lead to ๐๐ž๐ ๐ซ๐š๐ง๐ฎ๐ฅ๐š๐ญ๐ข๐จ๐ง, where massive amounts of histamine are released. Sudden release of all that histamine can rarely trigger anaphylactic shock! So veterinarians have to be very careful when surgically removing these tumours.

๐‡๐จ๐ฐ ๐ข๐ฌ ๐ข๐ญ ๐๐ข๐š๐ ๐ง๐จ๐ฌ๐ž๐?
These tumours are easily diagnosed on a ๐๐ž๐ ๐ซ๐š๐ง๐ฎ๐ฅ๐š๐ญ๐ข๐จ๐ง (poking with a needle to get a sample of cells), since mast cells have a very characteristic appearance. Under the microscope, the veterinarian will be able to see lovely granules within the tumour cells. These granules are what contain the histamine!

๐‡๐จ๐ฐ ๐ข๐ฌ ๐ข๐ญ ๐ญ๐ซ๐ž๐š๐ญ๐ž๐?
Surgical excision, sometimes with additional radiation treatment, are the most common methods of treatment. However, there are many different treatment types that can be used. For very aggressive tumours, consultation with a veterinary ๐จ๐ง๐œ๐จ๐ฅ๐จ๐ ๐ข๐ฌ๐ญ (someone who specializes in tumours) is recommended, in order to develop an effective treatment plan.

๐๐ก๐จ๐ญ๐จ๐ฌ
1-4) Examples of skin lumps that turned out to be mast cell tumours. They can range from small little lumps to large, nasty looking things!
5-7) Examples of mast cells under the microscope! So pretty ๐Ÿ˜

๐’๐จ๐ฎ๐ซ๐œ๐ž๐ฌ
Maxie, G. Jubb, Kennedy and Palmerโ€™s Pathology of Domestic Animals, Volume 1. Sixth Edition.

Photos 1-7 ยฉ Noahโ€™s Arkive contributor French, Harrington, Dhein, Eastep, Medleau, Young, Latimer licensed under CC BY-SA 4.0.

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