Evaluation of surgical margins required for complete excision of cutaneous mast cell tumors in dogs

J Am Vet Med Assoc. 2004 Jan 15;224(2):236-40. doi: 10.2460/javma.2004.224.236.

Abstract

Objective: To determine whether neoplastic mast cells extended into tissue 1, 2, or 3 cm laterally or deeper than 1 fascial plane from the visible edge of cutaneous mast cell tumors (MCTs) in dogs.

Design: Prospective study.

Animals: 21 client-owned dogs with > or = 1 cutaneous MCT PROCEDURES: After preparation for surgery, each dog's skin was marked 1, 2, and 3 cm from the tumor edge at 0 degrees, 90 degrees, 180 degrees, and 270 degrees. At each 3-cm mark, deep fascia was exposed and sutured to the skin; the tumor was excised in routine fashion and fixed in formalin. Tumors were graded; margins were examined histologically for neoplastic mast cells.

Results: 23 cutaneous MCTs in 21 dogs were included in this study. Fifteen (65%) tumors were located on the trunk, 5 (22%) on the hind limbs, and 3 (13%) on the head and neck. There were 3 (13%) grade-I and 20 (87%) grade-II tumors. All grade-I tumors were completely excised at all margins. Seventy-five percent of the grade-II tumors were completely excised at the 1-cm margin, and 100% were completely excised at the 2-cm margin. Two grade-II MCTs located on the hind limbs of dogs were excised with a complete but close (within 1 mm) deep margin.

Conclusions and clinical relevance: Results suggest that a 2-cm lateral margin and a deep margin of 1 fascial plane appear to be adequate for complete excision of grade-I and -II MCTs in dogs.

MeSH terms

  • Animals
  • Dog Diseases / pathology
  • Dog Diseases / surgery*
  • Dogs
  • Female
  • Male
  • Mast-Cell Sarcoma / pathology
  • Mast-Cell Sarcoma / surgery
  • Mast-Cell Sarcoma / veterinary*
  • Neoplasm Recurrence, Local / pathology
  • Neoplasm Recurrence, Local / prevention & control
  • Neoplasm Recurrence, Local / veterinary
  • Neoplasm Staging / veterinary
  • Prospective Studies
  • Skin Neoplasms / pathology
  • Skin Neoplasms / surgery
  • Skin Neoplasms / veterinary*