Managing Hemangiosarcoma in Dogs: Prognosis and Care Strategies

Hemangiosarcoma is a serious and aggressive cancer that affects dogs, with a high tendency to spread to other organs. This article outlines the prognosis for different types of hemangiosarcoma and offers insights into care strategies that may improve a dog’s quality of life.

Hemangiosarcoma Types and Their Prognosis

1. Milthemangiosarcoom
   Splenic hemangiosarcoma is one of the most common and aggressive types, occurring in the spleen. Without treatment, life expectancy is often limited to just a few weeks. Surgical removal of the spleen can extend survival to about 2–3 months. When combined with chemotherapy, some dogs may live up to 9 months. However, long-term survival is rare, with fewer than 10% surviving beyond one year.
2. Cardiac Hemangiosarcoma
   This type of hemangiosarcoma affects the heart, making it difficult to treat and typically resulting in a grave prognosis. Most dogs live only days to weeks without treatment. With palliative care and chemotherapy, survival may extend to around 4 months. However, cardiac hemangiosarcoma is generally incurable, and supportive care focuses on the dog’s comfort.
3. Cutaneous Hemangiosarcoma
   Cutaneous hemangiosarcoma, which affects the skin, has a relatively better prognosis. Tumors caused by UV exposure are less likely to metastasize, and dogs may live years if these tumors are removed promptly. Close monitoring of UV-exposed areas is essential, as recurrence can happen, and timely removal of new tumors is recommended.
4. Subcutaneous Hemangiosarcoma
   Located just below the skin, subcutaneous hemangiosarcoma has a poorer prognosis than cutaneous types because it can spread into deeper tissues. Even with treatment, survival may only be extended by a few months, depending on the tumor’s extent and response to treatment.

Treatment Options and Care Plans

For hemangiosarcoma, treatment can include surgery, chemotherapy, or a combination of approaches. Each has specific benefits and is chosen based on the tumor’s type, location, and progression.

• Chirurgisch verwijderen
  Surgery may be an option for splenic and skin tumors. For splenic hemangiosarcoma, removal of the spleen is a common approach, often followed by chemotherapy to reduce the risk of recurrence.
• Chemotherapie
  Chemotherapy can help slow down the tumor’s spread and improve survival times, especially for aggressive types like splenic and cardiac hemangiosarcoma. However, it’s crucial to weigh chemotherapy’s benefits and potential side effects with your veterinarian.
• Palliatieve zorg
  Palliative care aims to enhance comfort and manage symptoms in dogs with advanced hemangiosarcoma. This may involve pain management, supportive therapies, and lifestyle adjustments to help the dog enjoy a better quality of life.

Monitoring en follow-up

Regular follow-up visits with the veterinarian are vital for tracking the progression of hemangiosarcoma. These visits may include bloodwork and diagnostic imaging to detect any changes or potential metastasis. Keeping a close watch on your dog’s health and communicating with your veterinarian will help tailor care to the dog’s needs.

Verbetering van de kwaliteit van leven

While the prognosis for hemangiosarcoma remains challenging, pet owners can take proactive steps to enhance their dog’s quality of life. Balanced nutrition, gentle exercise, and creating a calm environment can positively impact a dog’s well-being. Working closely with the veterinarian to adapt the treatment plan as the disease progresses is key to ensuring that the dog remains as comfortable as possible.