Kedi ve köpeklerde üriner sistem tümörlerinin tanı ve sağaltımı

Köpeklerde karsinom, kedilerde lenfom sık görülen böbrek tümörleridir. Hematüri, en belirgin klinik bulguyu oluşturur. Tek taraflı ve metastaz yapmamış böbrek tümörlerinin sağaltımında, nefrektomi uygulanır. İdrar kesesi ve üretra'da en çok, tranzisyonel hücre karsinomu görülür. Bu tümörler; hematüri ve disüri gibi klinik belirtilerle ortaya çıkarlar. İdrar kesesi tümörleri, kesenin kısmi rezeksiyonuyla, üretral tümörler, Uretral rezeksiyon ve ardından yapılan anastomozla sağaltılırlar. Bu derlemeyle; kedi ve köpeklerde görülen üriner sistem tümörlerinin erken tanısı ve sağaltım seçenekleri ele alınarak bunun, meslek pratiğine katkı sağlaması düşünülmüştür.

Diagnosis and treatment of urinary system tumours in cats and dogs

Frequently encountered kidney tumours are; carcinomas in dogs and lymphomas in cats. Haematuria presents the most prominent clinical finding. Nephrectomy is performed in the treatment of unilateral kidney tumours where metastasis has not yet occurred. Transitional cell carcinoma is the most frequently observed tumour of the urinary bladder and urethra. These tumours appear together with clinical findings such as; haematuria and dysuria. Tumours of the urinary bladder are treated with partial resection of the bladder, whereas urethral tumours are treated via urethral resection followed by anastomosis. This article reviews the early diagnosis and treatment options of urinary system tumours in cats and dogs in veterinary practice.

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  • 1. Bennett, F.: Unilateral renal cell carcinoma in a Labrador retriever. Can Vet J, 2004; 45 (10): 860-862.
  • 2. Eberhard, R.: Kidney. In: Current Techniques in Small Animal Surgery. Ed. Bojrab, M.J., Williams&Wilkins, Baltimore, 1998; 429-443.
  • 3. Eddlestone, S., Taboada, J., Senior, D., Paulsen, D.B.: Renal haemangioma in a dog. J Small Anim Prac, 1999; 40: 132-135.
  • 4. Fossum, T.W.: Surgery of bladder and urethra. In: Small Animal Surgery. Mosby, St. Louis, 2002; 572-610.
  • 5)Fossum, T.W.: Surgery of kidney and ureter. In: Small Animal Surgery. Mosby, St. Louis, 2002;549-572.
  • 6)Kaya, M., Seyrek-İntaş, D., Kahraman, M.M., Aytuğ, N., Çelimli, N.: Veteriner cerrahide girişimci ultrasonografı. Veteriner Cerrahi Dergisi, 2002; 8 (3-4): 11-19.
  • 7)Kaya, M.: Ürogenital sistem hastalıkları, in: Kedi ve Köpek Hastalıkları. Ed. İmren, H.Y., Medisan, Ankara, 1998; 621-655.
  • 8)Kealy, K.K.: The abdomen. In: Diagnostic Radiology of the Dog and Cat. WB Saunder Co., Philadelphia, 1987; 11-159.
  • 9)Kuwamura, M., Yoshida, H., Yamate, J., Kotani, T., Ohashi, F., Sakuma, S.: Urinary bladder rhabdomyosarcoma (sarcama botryoides) in a young Newfoundland dog. J Vet Med Sci, 1998; 60(5): 619-621.
  • 10. Kyles, A.E., Stone. E.A.: Urinary Bladder. In: Current Techniques in Small Animal Surgery. Ed. Bojrab, M.J., Williams&Wilkins, Baltimore, 1998; 451-459.
  • 11)Lappin, M.R., Latimer, K.S.: Hematuria and extreme neutrophilic leukocytosis in a dog with renal tubular carcinoma. JAVMA, 1988; 192 (1): 1289-1292.
  • 12)Liptak, J.M., Dernell, W.S., Withrow, S.J.: Haemangiosarcoma f the urinary bladder in a dog. Aust Vet J, 2004; 82 (4): 215-217.
  • 13)Norris, A.M., Laing, E.J., Vali, V.E., Withrow, S.J., Macy, D.W., Ogilvie, G.K., Tomlinson, J., McCaw, D., Pidgeon, G., Jacobs, R.M.: Canine bladder and urethral tumors: a retrospective study of 115 cases (1980-1985). J Vet Intern Med, 1992; 6 (3): 145-153.
  • 14)Martinez, S.A., Schulman, J.S.: Hemangiosarcoma of the urinary bladder in a dog. JAVMA,1988; 192(5): 655-656.
  • 15)Mellanby, R.J., Chantrey, J.C., Baines, E.A., Ailsby, R.L., Herrtage, M.E.: Urethral haemangiosarcoma in a boxer. J Small Anim Pract, 2004; 45 (3): 154-156.
  • 16)Montgomery, R.D., Hankes, G.H.: Ureterokolonic anastomosis in a dog with transitional cell carcinoma of the urinary bladder. JAVMA, 1987; 190 (11): 1427-1429.
  • 17)Mott, J.C.P., McAnulty, J.F., Darirn, D.L., Steinberg, H.: Nephron sparing by partial median nephrectomy for treatment of renal hemangioma in a dog. JAVMA, 1996; 208 (8): 1274-1276.
  • 18)Olausson, A., Stieger, S.M., Loefgren, S., Gillingstam, M.: A urinary bladder fibrosarcoma in a young dog. Vet Radiol Ultrasoun, 2005; 46 (2): 135-138.
  • 19)Özer, K., Uğurlu, K., Şaroğlu, M., Altunatmaz, K., Düzgün, O.: Kedi ve köpeklerde idrar kesesi tümörlerinin ileal neobladder ile sağaltımı: 2 olgu. II. Ulusal Küçük Hayvan Hekimliği Kongresi, 2003; Bursa, Türkiye.
  • 20)Raghavan, M., Knapp, D.W., Bonney, P.L., Dawson, M.H., Glickman, L.T.: Evaluation of the effect of dietary vegetable consumption on reducing risk of transitional cell carcinoma of the urinary bladder in Scottish Terriers. JAVMA, 2005; 227 (1): 94-100.
  • 21)Schwarz, P.D., Wilier, R.L.: Urinary bladder neoplasis in the dog and cat. Probl Vet Med, 1989; 1(1): 128-140.
  • 22)Seaman, R.L., Patton, CIS.: Treatment of renal nephroblastoma in an adult dog. J Am Anim Hosp Assoc, 2003; 39 (1): 76-79.
  • 23)Stone, E.A., George, T.F., Gilson, S.D., Page, R.L.: Partial cystectomy for urinary bladder neoplasia: surgical technique and outcome in 11 dogs. J Small Anim Pract, 1996; 37 (10): 480-485.
  • 24)Takiguchi, M., Inaba, M.: Diagnostic ultrasound of polypoid cystitis in dogs. J Vet Med Sci, 2005; 67(1): 57-61.
  • 25)Valdez, J.C., Perdigon, G.: Piroxicam, indomethacin and aspirin action on a murine fibrosarcoma. Effects on tumour-associated and peritoneal macrophages. Clin Exp Immunol, 1991; 86 (2): 315-321.
  • 26)Wang, F.I., Su, H.L.: A renal hemangiosarcoma causing hematuria in a dog. Proc Natl Sci Counc China B, 2001; 25 (3): 187-192.