Spleen tumor – regular screening can save lives

This tumor, which originates in the spleen, is one of the most malignant cancers in dogs. The spleen tumor grows very quickly and spreads metastases to all other organs, often before the actual primary tumor is discovered. Older dogs between the ages of eight and ten are most commonly affected.

INHALT
Origin Symptoms Diagnosis Treatment Forecast Prophylaxis
Origin

The spleen is part of the immune system and is located in the dog's abdomen near the stomach. Its functions include producing and storing various types of white blood cells, which defend the body against foreign substances, and removing old red blood cells. In young dogs, the spleen is also involved in the production of red blood cells.

In principle, any type of tumor can develop in the spleen due to its structure, but hemangiosarcoma, a connective tissue tumor originating from the inner lining of the vessel walls, is the most common type, accounting for almost 85% of cases.

Although the tumor cells spread throughout the body via the blood, metastases (secondary tumors) are rarely found in the spleen despite its good blood supply. However, tumors originating in the spleen very often metastasize to other organs. The liver, lungs, and heart are most commonly affected, but bones and skin can also be affected by secondary tumors.

Diagram of a dog's abdominal organs
1 Mouth cavity | 2 Esophagus | 3 Liver | 4 Stomach | 5 Spleen | 6 Pancreas | 7 Small intestine | 8 Large intestine
Symptoms

The signs of hemangiosarcoma are rather nonspecific. Due to the size of the tumor, it can put pressure on other organs, which can lead to loss of appetite, weight loss, difficulty breathing, or vomiting. In many cases, however, the disease progresses without any noticeable symptoms until the tumor grows and causes bleeding into the spleen tissue and abdominal cavity. Even simple activities such as walking, jumping out of a car, or jumping onto a tree trunk can trigger such bleeding. Affected animals show acute symptoms of shock, collapse or become suddenly apathetic (= listless), pant and have gray-white instead of pink mucous membranes. This situation is always a life-threatening emergency and the sick dog must be taken to a veterinary clinic immediately.

Diagnosis

In cases of acute internal bleeding, the diagnosis is usually not very difficult for the veterinarian due to the characteristic shock symptoms. In many cases, the preliminary report also provides important information, as owners often remember that their dog had been a little lethargic for a few weeks or even months. In older dogs, such non-specific symptoms are often attributed to the advanced age of the animal and are not associated with a disease.

Ultrasound examination can be used to detect an increase in the size of the spleen, but the type of tumor can only be confirmed by a tissue sample (after surgical removal).

If the tumor has already reached a certain size and there has been no bleeding, it can also be felt from the outside. Here too, ultrasound examination is a gentle and effective method for confirming the diagnosis. A blood test can provide further clues and help to distinguish the disease from lymphosarcoma or leukemia. However, X-rays of the chest and abdomen should always be taken to detect any metastases.

Treatment

Surgical removal of the spleen is the only way to treat the tumor. If metastases are already present in the lungs or liver, treatment is limited to pain management and preserving the dog's remaining life, as surgery will no longer help.

Forecast

The chances of recovery depend greatly on the type of tumor and whether or not it has already spread to other organs. If the tumor has ruptured and there is bleeding in the abdominal cavity, every minute counts, but many dogs do not survive this shock. Even after successful removal of the spleen and tumor, the prognosis is poor, as the bleeding has caused a massive spread of tumor cells in the abdominal cavity and metastases are likely to form in other organs shortly after surgery. However, since benign tumors or simple bruises in the spleen can also lead to internal bleeding, it is still recommended to perform surgical removal of the spleen.

Prophylaxis

It is not possible to prevent a spleen tumor from developing. However, as a pet owner, you can take your dog to the vet for regular check-ups and, once they reach a certain age, have an ultrasound scan of their abdomen at least once a year. This will allow any tumors to be detected at an early stage, when they may still be possible to remove before they metastasize.