What is Thymoma?
Thymomas are tumors or masses which can be either benign (non-invasive) or malignant (invasive) and are found in older dogs, with the mean age being approximately 9 years old. While there has been no particular breed predisposition for thymoma development, it seems that medium and large sized dogs are afflicted more often than smaller breeds.
The thymus gland, in which the tumor develops, is located in the chest cavity, just in front of the heart. The close proximity of the thymus gland to the heart and lungs makes a malignancy especially serious.
Thymomas are defined as rare tumors which grow in the lining (epithelium) of the thymus gland of both dogs and cats, usually being found in older animals.
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Symptoms of Thymoma in Dogs
The symptoms of thymoma in dogs will depend upon the size of the tumor. Here are some of the symptoms you might notice in your pet:
- Signs of respiratory distress - coughing or breathing difficulties
- Difficulty swallowing
- Exercise intolerance
- Swelling of the face, neck or front limbs
- Frequent regurgitation or vomiting
- Muscle weakness
- Increased thirst
- Increased urination
- Weight loss
There are two types of thymoma in dogs:
- Benign - This is a non-cancerous mass which is non-invasive, meaning that it doesn’t invade surrounding tissues and organs
- Malignant - This is an invasive cancerous mass which does invade surrounding tissues and organs
Depending on the size of the tumor, its presence can cause problems like esophageal malfunction, certain types of anemia, neurological issues which can include myasthenia gravis and paralysis of the voice box.
Causes of Thymoma in Dogs
The thymus gland is part of the body’s immune system, reaching its maximum development during puberty and then continuing throughout the life of the host in a diminishing immunologic role. Here is a simple description of how the tumor is created:
- The gland develops neoplastic cells for which the etiology is unknown
- This leads to the creation of nonfunctional tumor cells which eventually begin to develop immunodeficiencies
- Or, it can lead to the development of functional tumor cells
- Either type of these cells can proliferate through a complicated process involving suppression of the immune system to become the aforementioned tumor
- The tumor begins small and, over time, grows large enough to begin to interfere with the normal functioning of the surrounding tissues and organs
As noted above, the reason why the neoplastic cells are created remains unknown as does the reason why some develop as benign while other develop as malignancies.
Diagnosis of Thymoma in Dogs
Your veterinary professional will need a good, thorough history from you that includes the symptoms you have noted, their duration and severity. He’ll also need a physical health history about your pet which includes vaccinations, unless he already has that information. Your veterinary professional will do a physical examination of your family pet and will likely need some additional testing to get to the root of the problem. This testing could include:
- CBC - complete blood count
- Various chemistries
- Radiography (x-rays) of the chest
- Ultrasound of the chest
- CT scanning of the chest is also a possibility to further differentiate any masses found in the radiography and/or ultrasound
- Cytology (aspiration) of the mass or of fluid to look for epithelial cells of the tumor but this doesn’t generally provide a sample of the tumor cells suitable for identification of the mass
- Eventual biopsy of the mass - typically done through the surgical removal of the mass
Once the results of the above testing, and any other testing which your vet feels is necessary, an appropriate treatment plan will be developed and initiated.
Treatment of Thymoma in Dogs
Treatment of your pet for thymoma in dogs will be dependent upon the type of mass suspected, the size of the mass and its location.
- A smaller benign mass which is not interfering with the normal function of the surrounding tissues and organs might not need to be removed until it gets larger but your vet will want to monitor it for any growth and metastatic changes
- If a surgical option is recommended, and this is considered the best therapy for thymoma, the previously taken CT scan will be helpful to determine if it has invaded surrounding tissues and organs; ultimately, the tumor will need to be visualized during the surgical removal to ensure that it can be removed without unnecessary damage to surrounding tissue and organs
- If removal of the tumor is not possible, or if it cannot be removed entirely, then radiation treatments will likely follow the surgery to treat the remaining portion(s) of the tumor - this treatment is likely to recommended whenever all of the tumor is not removed
- Chemotherapy is an option but it is not the most widely utilized one
- If myasthenia gravis is found secondary to the tumor, treatments will need to be initiated at some point for that disease
Recovery of Thymoma in Dogs
For dogs having a benign surgically resected thymoma who do not also suffer from megaesophagus (loss of tone and motility of the esophagus which allows regurgitation), the prognosis is good with long term remissions and cures being reported. Research has reported that dogs having thymoma resected who are not suffering from myasthenia gravis have a greater than 80 percent survival rate at the one year mark. As you would expect, for those dogs who have thymomas which are not resectable are reported to have a poorer prognosis as well as variable responses to the radiation and chemotherapy options.
While the above reported outcomes don’t paint a pretty picture, they do emphasize the importance of getting your canine family member to your veterinary professional sooner rather than later if you note any of the above symptoms in any degree of severity, or if you notice any unusual behaviors or habits in your pet. It would be far better to over-protect your family pet than to deal with the results of waiting too long to seek medical care. Treating your family pet as you would treat your children or anyone you love when something unusual is going on with them will go a long way toward ensuring a long and happy life with your doggy family member.
Thymoma Questions and Advice from Veterinary Professionals
My dog Easter had shown no major signs except sometimes so didn't eat for a day. We always attributed to her bad hip, thinking she was in pain and gave her a baby aspirin. 2 days after her 12th birthday I work to her panting heavily,shaking like she had been running and her eyes were red. She wouldn't eat and was moving slowly. Rushed her to the vet and he diagnosed her with a Thymoma the size of a grapefruit pushing on her lungs and heart 😭. She came home and rested ( still not eating) and I noticed her inner ears were bright red.She was up all night and threw up 9 time's between 5am and 11am. T took her back to the vet for an allergic reaction to the antibiotics he gave her when he did the biopsy and pepcid to help her stomach. After 3 days of not eating I took her to a specialty hospital and they perform the surgery to remove it. The doctor called about an hour in and said that the ultrasound and x-ray did not show that it was actually hooked to her lungs and that they would need to remove a lobe and a half in order to remove the tumor. The surgery went well, but when she came out she was having an extremely hard time breathing. We had to put her down the next day. It had only been 5 days since her birthday and she was so happy. Did I do the right thing? No one gave me any other options than surgery and I wonder if I went too far.
Im so very sorry about Easter, You did every thing for her . We trust our vets to guide and advise us during those emotional times. I went thru the same thing with my shih tzu Simba who was 12. It happened so fast, i thought it was age and hot weather because he was panting and breathing hard. I was told the surgery woukd be risky at his age and he had not eaten on 3 days so he got week quickly, I chose not to have the surgery and loved on him the next couple days. It was heartbreaking. You did every thing you could, and its clear your baby was loved. So sad when we have to say good by..
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My 9 yr old border collie was diagnosed with thymoma on April 1 (not a joke in any lifetime). Vet with cancer experience has been treating her with prednisone, rimadyl, and cerenia (for her stomach). I recently stopped giving her everything but the prednisone as her panting and gagging/cough seems worse. Xray shows the tumor pressing on her esophagus. Vet didn't think the tumor was removable, and we are only buying her time (for me I guess), but is there anything else that might help reduce the size without surgery? Any help is greatly appreciated.
Yes!! Arteminisin for dogs. Holley Pharmaceuticals in CA. My vet didnt think my shih tzu bandit would live 1 month after diagnosed with mass in his little chest. 1and1/2 YEARS later hes still with me!
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Our dog had a thymoma removed couole weeks ago. The way the surgeon told is that he was able to remove it all but duel its size it was stuck to other tissues in which they had to peel it away in order to remove the thymoma. My only question is given this is there still a very good chance this could grow back again? She had no symptoms before diagnosis, it was actually found by accident during a visit to her cardiologist.
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