Stage migration in dogs with lymphoma
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Updated: Jul 10, 2026

Tumor Engraftment in a Xenograft Mouse Model of Human Mantle Cell Lymphoma
Published on: March 30, 2018
Andrea B Flory1, Kenneth M Rassnick, Tracy Stokol
1Departments of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY, USA.
Background:
Various diagnostic tests have been used to assign a clinical stage to dogs with lymphoma. As more sensitive staging methods are introduced, dogs are reclassified as having a higher disease stage, thereby affecting comparisons of dogs across differently staged clinical trials, and possibly, prognosis.
Hypothesis:
The addition of more sensitive staging tests causes stage migration in dogs with lymphoma.
Animals:
Fifty-nine client-owned dogs with previously untreated cytologically or histologically confirmed lymphoma
Methods:
For every dog, the World Health Organization stage classification (I-V) was based on 5 groupings of various diagnostic tests: A (physical examination [PE] and quantitative blood count [QBC]), B (PE, QBC, thoracic and abdominal radiographs), C (PE, complete blood count with blood-smear evaluation [CBC], thoracic and abdominal radiographs), D (PE, CBC, thoracic radiographs, abdominal ultrasound), and E (PE, CBC, thoracic radiographs, abdominal ultrasound, and bone-marrow cytology). Dogs were treated with doxorubicin-based protocols.
Results:
There was migration between all of the staging methods except D to E. However, the stage was not a predictor of remission rate, remission duration, or survival, regardless of staging method used.
Conclusions And Clinical Importance:
These data emphasized the need for standardized methods to determine the clinical stage in dogs with lymphoma.

