Evidence map›Paper›PMID 42164772›Full record

ArticleFrontiers in veterinary science2026

Multiple malignant primary tumors in dogs: an Italian registry-based epidemiological study.

Maria Ines Crescio, Cristiano Cocumelli, Azzurra Carnio, Andrea Carvelli, Niccolò Fonti, Aitor Garcia-Vozmediano, Valentina Galietta, Claudia Eleni, Francesco Ingravalle, Elisabetta Manuali and 8 more

Abstract read
In one paragraph

Article in Frontiers in veterinary science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Maria Ines CrescioBeAR- Biostatistics and Risk Analysis-Istituto Zooprofilattico Sperimentale del Piemonte, Liguria e Valle d'Aosta, Torino, Italy.
Cristiano CocumelliIstituto Zooprofilattico Sperimentale del Lazio e Toscana, M. Aleandri, Roma, Italy.
Azzurra CarnioIstituto Zooprofilattico Sperimentale del Lazio e Toscana, M. Aleandri, Roma, Italy.
Andrea CarvelliIstituto Zooprofilattico Sperimentale del Lazio e Toscana, M. Aleandri, Roma, Italy.
Niccolò FontiDepartment of Comparative Biomedicine and Food Science, University of Padova, Legnaro, Italy.
Aitor Garcia-VozmedianoBeAR- Biostatistics and Risk Analysis-Istituto Zooprofilattico Sperimentale del Piemonte, Liguria e Valle d'Aosta, Torino, Italy.
Valentina GaliettaIstituto Zooprofilattico Sperimentale del Lazio e Toscana, M. Aleandri, Roma, Italy.
Claudia EleniIstituto Zooprofilattico Sperimentale del Lazio e Toscana, M. Aleandri, Roma, Italy.
Francesco IngravalleBeAR- Biostatistics and Risk Analysis-Istituto Zooprofilattico Sperimentale del Piemonte, Liguria e Valle d'Aosta, Torino, Italy.
Elisabetta ManualiIstituto Zooprofilattico Sperimentale dell'Umbria e delle Marche, Togo Rosati, Perugia, Italy.
Carmen MarescaIstituto Zooprofilattico Sperimentale dell'Umbria e delle Marche, Togo Rosati, Perugia, Italy.
Francesca MillantaDepartment of Veterinary Sciences, University of Pisa, Pisa, Italy.
Elisabetta RazzuoliCEROVEC-National Reference Center for Veterinary Oncology-Istituto Zooprofilattico Sperimentale del Piemonte, Liguria e Valle d'Aosta, Genova, Italy.
Paola ScaramozzinoIstituto Zooprofilattico Sperimentale del Lazio e Toscana, M. Aleandri, Roma, Italy.
Sara SimeoniIstituto Zooprofilattico Sperimentale del Lazio e Toscana, M. Aleandri, Roma, Italy.
Marta VascellariIstituto Zooprofilattico Sperimentale delle Venezie, Legnaro, Italy.
Claudia ZanardelloIstituto Zooprofilattico Sperimentale delle Venezie, Legnaro, Italy.
Giuseppe RuBeAR- Biostatistics and Risk Analysis-Istituto Zooprofilattico Sperimentale del Piemonte, Liguria e Valle d'Aosta, Torino, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In human oncology, patients diagnosed with a primary malignant tumor are known to have an increased risk of developing subsequent malignancies. In veterinary medicine, however, registry-based studies investigating multiple malignant primary tumors (mMPTs) in dogs remain scarce. The increasing longevity of companion dogs, along with advances in diagnostics and therapies, underscores the importance of understanding the epidemiology and biological determinants of mMPTs. Objectives: This study aimed to assess the proportional occurrence and patterns of mMPTs in dogs diagnosed with malignant tumors, from four Regional Italian cancer registries integrated within the NILOV (Italian Network of Laboratories for Veterinary Oncology) between 2013 and 2024. Methods: A total of 16,618 canine cancer records were analyzed. Tumors were classified according to the Vet-ICD-O-Canine-1 system. Proportional morbidity ratios (PMRs) were estimated using multilevel mixed-effects Poisson regression models (random effects: subject and registry), stratified by sex, age, breed, and time, both including and excluding mammary gland tumors. Associations between tumor histotypes were evaluated using Results: mMPTs were identified in 11.3% of oncologic dogs, with age and sex emerging as the associated factors. The risk increased progressively with age, peaking in dogs aged ≥12 years (PMR ≈ 7.3, 95% CI: 3.7-14.6). Females showed a modestly higher probability than males (PMR ≈ 1.3, 95% CI: 1.2-1.5). Breed had only a marginal effect, while the later registry period (2019-2024) showed a slight, likely artefactual decrease. Network analyses demonstrated that tumor co-occurrence is not random but organized in biologically meaningful clusters. Conclusion: This first large-scale, registry-based analysis of mMPTs in Italian dogs demonstrates that multiple malignancies are relatively common and influenced primarily by age and sex. The findings highlight the value of integrated cancer registries in veterinary oncology and support comparative studies aimed at uncovering shared mechanisms of oncogenesis across species.

Indexed as

cancerco-occurrencedogmultiple tumorsrisk

Identifiers

PMID42164772
PMCPMC13185691

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.