Clinical features, diagnosis, and survival analysis of dogs with glioma.

Abstract

BACKGROUND: Gliomas in dogs remain poorly understood. OBJECTIVES: To characterize the clinicopathologic findings, diagnostic imaging features and survival of a large sample of dogs with glioma using the Comparative Brain Tumor Consortium diagnostic classification. ANIMALS: Ninety-one dogs with histopathological diagnosis of glioma. METHODS: Multicentric retrospective case series. Signalment, clinicopathologic findings, diagnostic imaging characteristics, treatment, and outcome were used. Tumors were reclassified according to the new canine glioma diagnostic scheme. RESULTS: No associations were found between clinicopathologic findings or survival and tumor type or grade. However, definitive treatments provided significantly (P&#xa0;=&#xa0;.03) improved median survival time (84&#x2009;days; 95% confidence interval [CI], 45-190) compared to palliative treatment (26&#x2009;days; 95% CI, 11-54). On magnetic resonance imaging (MRI), oligodendrogliomas were associated with smooth margins and T1-weighted hypointensity compared to astrocytomas (odds ratio [OR], 42.5; 95% CI, 2.42-744.97; P&#xa0;=&#xa0;.04; OR, 45.5; 95% CI, 5.78-333.33; P&#x2009;<&#x2009;.001, respectively) and undefined gliomas (OR, 84; 95% CI, 3.43-999.99; P&#xa0;=&#xa0;.02; OR, 32.3; 95% CI, 2.51-500.00; P&#xa0;=&#xa0;.008, respectively) and were more commonly in contact with the ventricles than astrocytomas (OR, 7.47; 95% CI, 1.03-53.95; P&#xa0;=&#xa0;.049). Tumor spread to neighboring brain structures was associated with high-grade glioma (OR, 6.02; 95% CI, 1.06-34.48; P&#xa0;=&#xa0;.04). CONCLUSIONS AND CLINICAL IMPORTANCE: Dogs with gliomas have poor outcomes, but risk factors identified in survival analysis inform prognosis and the newly identified MRI characteristics could refine diagnosis of tumor type and grade.