Clinical utility of liver biopsies in dogs undergoing splenectomy.

J Small Anim Pract

The Animal Medical Center, 510 E 62nd St. New York, NY, 10065, USA.

Published: November 2020

AI Article Synopsis

  • The study aimed to assess the occurrence of liver neoplasia in dogs with splenic masses by analyzing liver biopsies taken during splenectomy.
  • Malignant splenic neoplasia was found in 44.2% of dogs, with a significantly higher incidence of liver neoplasia in those with grossly abnormal livers (28.9%) compared to those with grossly normal livers (2.5%).
  • The findings suggest that while liver biopsies from normal-looking livers yield low results, biopsying abnormal livers is advisable post-splenectomy due to the higher likelihood of neoplasia.

Article Abstract

Objective: To determine the prevalence of neoplasia detected on liver biopsy obtained at the time of splenectomy in dogs with splenic masses.

Materials And Methods: Retrospective study of medical records of dogs with splenic masses from which liver biopsies were taken following splenectomy.

Results: Malignant splenic neoplasia was detected in 50 of 113 (44.2%) of the dogs undergoing splenectomy. Neoplastic liver disease was detected on biopsy from 1 of 40 (2.5%) dogs with a grossly normal liver and from 20 of 69 (28.9%) dogs with a grossly abnormal liver. Dogs with a grossly abnormal liver had a ~ 16 times (95% CI: 2.5-170) higher chance of being diagnosed with liver neoplasia on biopsy. Haemoabdomen was also associated with an increased likelihood of liver neoplasia on biopsy at the time of splenectomy.

Clinical Significance: A liver biopsy taken from grossly normal liver is a low-yield diagnostic test but liver biopsy is recommended following splenectomy if the liver appears abnormal at surgery.

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Source
http://dx.doi.org/10.1111/jsap.13202DOI Listing

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