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Your dog was diagnosed with Histiocytic Sarcoma — Localised. Uncommon but breed-associated. Bernese Mountain Dogs have ~25% lifetime prevalence. Arises from dendritic cells. Periarticular location is classic in Bernese Mountain Dogs. Compare 3 treatment options for dogs including Surgery + Adjuvant CCNU (Lomustine), Surgery Alone, CCNU (Lomustine) Monotherapy — with survival times, costs, and what to expect during treatment.

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Histiocytic Sarcoma — Localised

localised

BreedsBernese Mountain DogFlat-Coated RetrieverRottweilerGolden Retriever
canine

Round Cell

About This Cancer

Histiocytic sarcoma arises from dendritic cells, which are specialised immune cells that normally help the body recognise and respond to threats. In the localised form, the cancer develops as a single mass, most commonly in or around joints (periarticular), the spleen, lungs, or under the skin. The Bernese Mountain Dog is dramatically predisposed, with roughly one in four developing this disease during their lifetime — a hereditary susceptibility that remains an active focus of breed health research. Flat-Coated Retrievers, Rottweilers, and Golden Retrievers are also at increased risk. While the localised form has a better outlook than the disseminated form, it remains an aggressive cancer that frequently spreads if not treated promptly, and surgery combined with chemotherapy offers the best chance of meaningful disease control.

Localised vs Disseminated Classification

Histiocytic sarcoma is classified as localised (single site) or disseminated (multiple organs). Localised disease has significantly better prognosis.

Stage LocalisedSingle site involvement — periarticular, splenic, pulmonary, subcutaneous, or other single organ
Stage DisseminatedMultiple organ involvement — lungs, liver, spleen, bone marrow, lymph nodes
Prognostic Factors(2)
Anatomical locationSplenic localised HS may have better prognosis than periarticular. Pulmonary localised: MST 374 days with surgery+CCNU.(PMID 34878710)
Complete surgical excisionClean surgical margins improve DFI and OS. Surgery + adjuvant CCNU > surgery alone.(PMID 19453368)
Minimum Workup(5 steps)
1Histopathology (essential — cytology alone may be insufficient)
2Immunohistochemistry (CD18+, CD11d+ for dendritic cell lineage)
3Complete staging: thoracic radiographs, abdominal ultrasound
4CBC, biochemistry
5Joint imaging if periarticular (radiographs, CT)

Median Survival Time Comparison

How long the average patient survives with each treatment

Bar opacity reflects evidence strength
Surgery + Adjuvant CCNU (Lomustine)
~19 mo (12–36)
Surgery Alone
See notes
CCNU (Lomustine) Monotherapy
See notes
Reading this page: MST (Median Survival Time) is how long the average patient survives with a given treatment. ORR (Overall Response Rate) is the percentage of patients whose tumour shrank or disappeared. CR = Complete Response (tumour gone); PR = Partial Response (tumour shrank). Hover over any abbreviation for a quick explanation.
Strength of Evidence

Each treatment is rated by how much published research supports its use. Solid bars indicate stronger evidence; dashed bars mean less certainty.

StrongLarge published studies with strong agreement among veterinary oncologists.
ModerateWidely used in clinical practice, but supported by smaller or retrospective studies.
IndirectEvidence comes from a different tumour type or species and has been applied here.
LimitedVery little published data is available for this specific treatment.

Please note: All treatment data is sourced from published peer-reviewed literature. Survival times and cost figures are approximate guides. Your pet's individual factors — including tumour grade, stage, and overall health — will influence outcomes and should guide all treatment decisions. The strength-of-evidence rating reflects how much research exists, not how strongly a treatment is recommended. This tool is designed to help you have informed conversations with your veterinary oncologist, not to replace them. Costs shown are US referral centre estimates and may vary significantly by region.