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Peer-reviewed veterinary case report

Appendicular bone cancer in 56 cats and treatment outcomes

By L. Marconato et al.·Published in Veterinary and Comparative Oncology·2024·View original on Semantic Scholar

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Original publication title: A retrospective Italian Society of Veterinary Oncology (SIONCOV) study of 56 cats with appendicular osteosarcoma.

Species:
cat
Movement & jointsCats

Plain-English summary

A 7-year-old domestic shorthair cat was diagnosed with appendicular osteosarcoma, a type of bone cancer. The cat underwent surgery, which is the most common treatment for this condition, and had a good prognosis with a significant chance of survival. Among the cats that had surgery, about 66% survived for at least a year, while those that did not receive treatment had much lower survival rates. The study highlighted that younger cats might experience faster tumor progression, and having metastasis at diagnosis could lead to a higher risk of death. Overall, surgery greatly improved survival times for cats with this type of cancer.

People also search for: cat osteosarcoma treatment · cat bone cancer prognosis · feline appendicular osteosarcoma survival rates

Abstract

Osteosarcoma is the most common malignant primary bone cancer, but it is infrequently reported in cats. Feline appendicular osteosarcoma typically exhibits good prognosis when treated with surgery alone. A retrospective multi-institutional study was conducted to identify possible prognostic factors. Cats diagnosed with appendicular osteosarcoma were included if initial staging and follow-up information were available. Data including signalment, tumour characteristics, treatment modalities, and survival outcomes were collected and analysed. Fifty-six cats were included; the femur was the most frequently affected bone. Eight cats had distant metastasis at admission and an additional 9 developed metastatic disease during follow-up, resulting in an overall metastatic rate of 30%. Forty-nine (87.5%) cats underwent surgery, and 4 also received adjuvant chemotherapy. Among operated cats, median time to local progression (TTLP), time to distant progression and tumour-specific survival (TSS) were not reached. One- and 2-year survival rates were 66% and 55%, respectively. Seven (12.5%) cats received no treatment; 1- and 2-year survival rates were 25% and 0%, respectively. Operated cats had significantly longer TTLP (P < .001) and TSS (P = .001) compared with non-operated cats. Among operated cats, young age negatively impacted local tumour progression, while the presence of distant metastasis at diagnosis was associated with a higher risk of tumour-related death. This study reaffirms the good prognosis for cats with appendicular osteosarcoma undergoing surgery, but sheds light on some additional factors to consider. Accurate initial staging is recommended, as the metastatic rate may exceed many previous estimations. Surgery substantially extends survival time, whereas the role of chemotherapy remains uncertain.

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Original publication on Semantic Scholar: https://www.semanticscholar.org/paper/38327132