Profile of Mammary Tumors in Dogs and Cost-Benefit Ratio of ROSE Before Puncture With and Without Aspiration

Veterinary Cytology Outpatient Clinic—FMVZ—Botucatu, Brazil

Animal:..................................................................................................................RG:......................................................................

Age (weeks):.................................... Species: ................................................... Breed:....................................................................

Owner:...............................................................................................................................................................................................

Address:..............................................................................................................................................................................................

City:.............................................................................. Phone:.........................................................................................................

General Condition: ( ) Good ( ) Regular ( ) Weak____________________________________________________________

Estrus Cycle: ( ) Regular ( ) Irregular Tipe:_________________________________________________________________

Number of Births: ( ) None ( ) One ( ) Two ( ) > 3 ___________________________________________________________

Pseudopregnancy: ( ) Yes ( ) No

Abortion: ( ) Yes ( ) No

Uterine Alterations (Secretions) ( ) Yes ___/___/_____ _________________________________________________( ) No

Hormones: ( ) Contraceptive ( ) Abortive ( ) None ( ) Does not know

Type: _________________________________________________ Date: ___/___/_____ How many times:___________

Evolution of Injuries: ___/___/____ ( ) Fast ( ) Slow

Prior Injuries: ( ) Yes ( ) No Location: _____________________________________________________________________

Action: ( ) Surgery ( ) Other _____________________________________________________________________________

Mammary Glands:

Macroscopy:

Size and Location of Injuries: ( )_____×_____×_____ cm. ( )_____ ×_____×_____ cm.

( )_____ ×_____×_____ cm. ( )_____ ×_____×_____ cm. ( )_____ ×_____×_____ cm. ____________________________

Consistence: ( ) Firm ( ) Soft ( ) Mixed ( ) Cystic ____________________________________________________________

Tumor: ( ) Mobile ( ) Immobile __________________________________________________

Mammary Glands (Which ones? ___________________________________________________________ ( ) No alteration ( ) Ulcers ( ) Edema ( ) Reddish Aspect ( ) Absent ( ) Others

____________________________________________________________________________________________________

Secretions: ( ) Yes ( ) No ______________________________________________________________________________

Involved Lymph Nodes/Which ones: ( ) Yes ( ) No___________________________________________________________

Cytopathological:

Clinical TNM: ______:______:______ Imaging Diagnosis: _____________________________________________________

Number of Sample Collections/Identification: ______________________________________________________________

Viability: ( ) Adequate ( ) Inadequate

Directions to the Doctor: ( ) Inflammation ( ) Benignant Neoplasm ( ) Malignant Neoplasm ( ) Others _____________________________________________________________________________________________________

Preliminary Result: C1-C5:_______________________________________________________________________________

(C1, inadequate sample; C2, benignant cytology; C3, atypical cytology, probably benignant; C4, suspect, but not of malignancy; or C5, malignant)

Surgical Indication: ( ) Yes ( ) No Date of Surgery: ___/___/____

Histopathological ( ) Yes ( ) No ___/___/____ Complementary Examination: ___________________________________

Pathological TNM ( ) Yes ( ) No ______:______:______ Notes_____:____________________________________________

_____________________________________________________________________________________________________

Final Diagnosis B1-B5: ___________________________________

B1, normal tissue; B2, benignant; B3, atypical; B4, suspect, but not of malignancy; or B5, Malignant

Pathological Classification: _____________________________________________________________________________

Person in Charge: Date ___/___/____