Effects of gonadectomy on health
Neoplasia
Neoplasia, or cancer, is abnormal growth of tissue. Benign tumors tend to stay in one location and cause disease by altering the single tissue involved and compressing tissue around it. Malignant tumors tend to spread in the area from which they arise and to spread to distant tissues, causing widespread disease. Virtually all tumors are more common in aged than in young animals, with average reported age at time of diagnosis of about 10 years. For the tumor types described below, exact cause-and-effect relationship between gonadectomy and development of tumors is unknown.
Mammary neoplasia, or breast cancer, is a very common disorder of female dogs, with a reported incidence of 3.4%; this is most common tumor type in female dogs. Of female dogs with mammary tumors, 50.9% have malignant tumors. Risk factors for mammary neoplasia in female dogs include age, breed (Table 1), and sexually intact status. Multiple studies have documented that spaying bitches when young greatly decreases their risk of developing mammary neoplasia when aged. Compared with bitches left intact, those spayed before puberty have a 0.5% risk, those spayed after one estrous cycle have an 8.0% risk, and dogs spayed after two estrous cycles have a 26.0% risk of developing mammary neoplasia later in life.
Overall, unspayed bitches have a seven times greater risk of developing mammary neoplasia than do those that are spayed. While the benefit of spaying decreases with each estrous cycle, some benefit has been demonstrated in bitches even up to 9 years of age. The exact cause-and-effect relationship between intact status and development of mammary neoplasia in female dogs has not been identified. The genetic and hormonal causes of breast cancer identified in women have not been consistently identified in female dogs despite extensive research.
Prostatic cancer in dogs is uncommon, with a reported incidence of 0.2 to 0.6%. Prostatic adenocarcinoma is a highly malignant tumor that cannot be cured medically or surgically. A 2.4 to 4.3 times increase in incidence in prostatic neoplasia with castration has been demonstrated, with that information verified in multiple studies.
Testicular neoplasia is a very common tumor in dogs, with a reported incidence of 0.9%. Unlike in humans, testicular tumors occur late in life in dogs, are readily diagnosed, and are rarely malignant. Ovarian and uterine tumors are very uncommon in bitches.
Several tumors of non-reproductive tissues have been reported to be increased in incidence after gonadectomy. Transitional cell carcinoma, a malignant tumor of the urinary tract, was reported in two studies to occur 2 to 4 times more frequently in spayed or castrated dogs than in intact female or male dogs. Exact incidence is not reported; estimated incidence is less than 1.0%. A breed predisposition exists (Table 1). Surgical removal of transitional cell carcinoma may or may not be possible, depending on site of the primary tumor.
Osteosarcoma is a low incidence (0.2%), highly malignant tumor of bone. It is reported to be more common in large breed dogs with some specific breeds predisposed (Table 1). Two studies have documented a 1.3 to 2.0 times increased incidence of osteosarcoma with gonadectomy. However, one study evaluated solely Rottweilers, a breed with a reported genetic predisposition. Treatment often includes limb amputation and radiation or chemotherapy.
Hemangiosarcoma is a malignant tumor of vascular tissue, including the heart, major blood vessels, and spleen. Large breeds in general are at increased risk with some breeds specifically predisposed (Table 1). Two studies have documented increased incidence, from 2.2 to 5 times, in gonadectomized males and females compared to intact animals. Overall incidence of hemangiosarcoma is low, at 0.2%. Surgical removal is the treatment of choice, if possible.
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Determining The Best Age At Which To Spay Or Neuter | AKC Canine Health Foundation 3