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The presence of lymph node metastasis appeared not to affect the prognosis. Surgical resection is indicated in ulcerated or bleeding tumors, in cases with recurrence and in bitches. Most small dogs and many large ones too will need their anal sacs expressed at some stage of their lives. Carcinomas affect predominately male uncastrated or late castrated males. When the dog's stools are soft they may not exert enough pressure on the glands, which then may fail to empty. Canine anal sac adenocarcinomas: Polton G. Radiation therapy is usually administered hypofractionated 3—5 x 6 Gy, weekly or twice weekly.
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