{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T04:26:01Z","timestamp":1761279961209,"version":"build-2065373602"},"reference-count":70,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T00:00:00Z","timestamp":1761091200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Veterinary Sciences"],"abstract":"<jats:p>Skin tumors are among the most common neoplasms in dogs and cats, sharing biological and environmental risk factors with human cancers. Owners play a critical role in early detection, yet little is known about their knowledge and attitudes. This study aimed to assess the knowledge, perceptions, attitudes, and practices of Portuguese pet owners regarding skin tumors in companion animals. An online cross-sectional survey was completed by 420 respondents. Overall, awareness of risk factors such as sun exposure and age was relatively high, but most owners were unable to identify specific tumor types or locations. Only one-quarter believed skin tumors are curable, while the majority expressed uncertainty. Women, those with multiple or long-term pet ownership, and individuals with family or personal experience of cancer showed greater knowledge and more proactive behaviors. However, a gap between knowledge and practice still remains. These findings underscore the need for targeted educational strategies to enhance owners\u2019 health literacy, facilitate early detection, and promote timely veterinary care.<\/jats:p>","DOI":"10.3390\/vetsci12111020","type":"journal-article","created":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T01:14:02Z","timestamp":1761182042000},"page":"1020","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Knowledge, Perceptions, Attitudes, and Practices of Dog and Cat Owners Regarding Skin Tumors: A Cross-Sectional Study"],"prefix":"10.3390","volume":"12","author":[{"given":"Cl\u00e1udia","family":"Cardoso","sequence":"first","affiliation":[{"name":"Department of Veterinary Sciences, University of Tr\u00e1s-os-Montes and Alto Douro, 5000-801 Vila Real, Portugal"},{"name":"Associate Laboratory for Animal and Veterinary Sciences (AL4AnimalS), Animal and Veterinary Research Centre (CECAV), University of Tr\u00e1s-os-Montes and Alto Douro, 5000-801 Vila Real, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rita","family":"Files","sequence":"additional","affiliation":[{"name":"Department of Veterinary Sciences, University of Tr\u00e1s-os-Montes and Alto Douro, 5000-801 Vila Real, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6602-0926","authenticated-orcid":false,"given":"Filipe","family":"Silva","sequence":"additional","affiliation":[{"name":"Department of Veterinary Sciences, University of Tr\u00e1s-os-Montes and Alto Douro, 5000-801 Vila Real, Portugal"},{"name":"Associate Laboratory for Animal and Veterinary Sciences (AL4AnimalS), Animal and Veterinary Research Centre (CECAV), University of Tr\u00e1s-os-Montes and Alto Douro, 5000-801 Vila Real, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patricia","family":"Barbedo","sequence":"additional","affiliation":[{"name":"Department of Veterinary Sciences, University of Tr\u00e1s-os-Montes and Alto Douro, 5000-801 Vila Real, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3902-5374","authenticated-orcid":false,"given":"Justina","family":"Prada","sequence":"additional","affiliation":[{"name":"Department of Veterinary Sciences, University of Tr\u00e1s-os-Montes and Alto Douro, 5000-801 Vila Real, Portugal"},{"name":"Associate Laboratory for Animal and Veterinary Sciences (AL4AnimalS), Animal and Veterinary Research Centre (CECAV), University of Tr\u00e1s-os-Montes and Alto Douro, 5000-801 Vila Real, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6330-4560","authenticated-orcid":false,"given":"Isabel","family":"Pires","sequence":"additional","affiliation":[{"name":"Department of Veterinary Sciences, University of Tr\u00e1s-os-Montes and Alto Douro, 5000-801 Vila Real, Portugal"},{"name":"Associate Laboratory for Animal and Veterinary Sciences (AL4AnimalS), Animal and Veterinary Research Centre (CECAV), University of Tr\u00e1s-os-Montes and Alto Douro, 5000-801 Vila Real, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,10,22]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"438","DOI":"10.1111\/j.1532-950X.2008.00411.x","article-title":"Clinical Study of Cryosurgery Efficacy in the Treatment of Skin and Subcutaneous Tumors in Dogs and Cats","volume":"37","author":"Matera","year":"2008","journal-title":"Vet. Surg."},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Giugliano, R., Dell\u2019Anno, F., De Paolis, L., Crescio, M.I., Ciccotelli, V., Vivaldi, B., and Razzuoli, E. (2024). Mammary Gland, Skin and Soft Tissue Tumors in Pet Cats: Findings of the Feline Tumors Collected from 2002 to 2022. Front. Vet. Sci., 11.","DOI":"10.3389\/fvets.2024.1320696"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"308ps21","DOI":"10.1126\/scitranslmed.aaa9116","article-title":"Companion Animals: Translational Scientist\u2019s New Best Friends","volume":"7","author":"Kol","year":"2015","journal-title":"Sci. Transl. Med."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1016\/S0195-5616(97)50007-6","article-title":"Tumors of the Skin and Associated Structures","volume":"27","author":"Meleo","year":"1997","journal-title":"Vet. Clin. N. Am. Small Anim. Pract."},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Paynter, A.N., Dunbar, M.D., Creevy, K.E., and Ruple, A. (2021). Veterinary Big Data: When Data Goes to the Dogs. Animals, 11.","DOI":"10.3390\/ani11071872"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"481","DOI":"10.5455\/OVJ.2024.v14.i1.44","article-title":"Pathological, Histochemical, and Immune-Histochemical Studies on Some Canine-Skin Neoplasm at Sharkia Province, Egypt","volume":"14","author":"Zwai","year":"2024","journal-title":"Open Vet. J."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"170","DOI":"10.17582\/journal.aavs\/2022\/10.1.170.182","article-title":"Cutaneous Tumors in Dogs: A Retrospective Epidemiological and Histological Study of 112 Cases","volume":"10","author":"Hassan","year":"2021","journal-title":"AAVS"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"416435","DOI":"10.5402\/2011\/416435","article-title":"Neoplastic and Nonneoplastic Cutaneous Tumors of Dogs in Grenada, West Indies","volume":"2011","author":"Chikweto","year":"2011","journal-title":"ISRN Vet. Sci."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1007\/BF00046339","article-title":"Spontaneous Tumors in Dogs and Cats: Models for the Study of Cancer Biology and Treatment","volume":"9","author":"MacEwen","year":"1990","journal-title":"Cancer Metast Rev."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"100929","DOI":"10.1016\/j.tcam.2024.100929","article-title":"Evaluation of Canine and Feline Tumors in Morocco: Results of a Prospective Observational Study of 250 Cases (2020\u20132023)","volume":"63","author":"Laissaoui","year":"2024","journal-title":"Top. Companion Anim. Med."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"20140231","DOI":"10.1098\/rstb.2014.0231","article-title":"Comparative Oncology: What Dogs and Other Species Can Teach Us about Humans with Cancer","volume":"370","author":"Schiffman","year":"2015","journal-title":"Phil. Trans. R. Soc. B"},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Dobromylskyj, M. (2022). Feline Soft Tissue Sarcomas: A Review of the Classification and Histological Grading, with Comparison to Human and Canine. Animals, 12.","DOI":"10.3390\/ani12202736"},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Tamo\u0161i\u016bnas, M., \u010ci\u017eevskis, O., Vi\u0161kere, D., Melderis, M., Rubins, U., and Cugmas, B. (2022). Multimodal Approach of Optical Coherence Tomography and Raman Spectroscopy Can Improve Differentiating Benign and Malignant Skin Tumors in Animal Patients. Cancers, 14.","DOI":"10.3390\/cancers14122820"},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Dhein, E.S., Heikkil\u00e4, U., Oevermann, A., Blatter, S., Meier, D., Hartnack, S., and Guscetti, F. (2024). Incidence Rates of the Most Common Canine Tumors Based on Data from the Swiss Canine Cancer Registry (2008 to 2020). PLoS ONE, 19.","DOI":"10.1371\/journal.pone.0302231"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"e307","DOI":"10.7717\/peerj.307","article-title":"Evaluation of the Effect of Formalin Fixation on Skin Specimens in Dogs and Cats","volume":"2","author":"Miller","year":"2014","journal-title":"PeerJ"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1016\/B978-072160558-6.50021-6","article-title":"Tumors of the Skin and Subcutaneous Tissues","volume":"4","author":"Vail","year":"2007","journal-title":"Small Anim. Clin. Oncol."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"588","DOI":"10.1038\/s41597-022-01692-w","article-title":"Pan-Tumor CAnine cuTaneous Cancer Histology (CATCH) Dataset","volume":"9","author":"Wilm","year":"2022","journal-title":"Sci. Data"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1177\/1098612X17699477","article-title":"Retrospective Study of More than 9000 Feline Cutaneous Tumours in the UK: 2006\u20132013","volume":"20","author":"Ho","year":"2018","journal-title":"J. Feline Med. Surg."},{"key":"ref_19","unstructured":"Meuten, D.J. (2020). Tumors in Domestic Animals, John Wiley & Sons."},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Gray, C., and Fordyce, P. (2020). Legal and Ethical Aspects of \u2018Best Interests\u2019 Decision-Making for Medical Treatment of Companion Animals in the UK. Animals, 10.","DOI":"10.3390\/ani10061009"},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Janke, N., Coe, J.B., Bernardo, T.M., Dewey, C.E., and Stone, E.A. (2021). Pet Owners\u2019 and Veterinarians\u2019 Perceptions of Information Exchange and Clinical Decision-Making in Companion Animal Practice. PLoS ONE, 16.","DOI":"10.1371\/journal.pone.0245632"},{"key":"ref_22","unstructured":"(2025, July 24). Veterinary Epidemiology | Wiley Online Books. Available online: https:\/\/onlinelibrary.wiley.com\/doi\/book\/10.1002\/9781118280249#aboutBook-pane."},{"key":"ref_23","unstructured":"(2025, July 24). 3.1 Million Registered Pets in Portugal. Available online: http:\/\/www.theportugalnews.com\/news\/2022-11-19\/31-million-registered-pets-in-portugal\/72206."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"809","DOI":"10.1177\/0300985818789466","article-title":"Cutaneous Tumors in Swiss Dogs: Retrospective Data From the Swiss Canine Cancer Registry, 2008\u20132013","volume":"55","author":"Graf","year":"2018","journal-title":"Vet. Pathol."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1002\/aac2.12046","article-title":"Increased Risk of Cancer in Dogs and Humans: A Consequence of Recent Extension of Lifespan beyond Evolutionarily-Determined Limitations?","volume":"3","author":"Sarver","year":"2022","journal-title":"Aging Cancer"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"427","DOI":"10.2478\/jvetres-2022-0036","article-title":"Prevalence of Tumours and Tumour-like Lesions in Domestic and Exotic Animals from Lower Silesia and Its Surrounds in Poland in 2014\u20132017","volume":"66","author":"Ciaputa","year":"2022","journal-title":"J. Vet. Res."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"976","DOI":"10.1111\/j.1939-1676.2008.0133.x","article-title":"Cancer Incidence in Pet Dogs: Findings of the Animal Tumor Registry of Genoa, Italy","volume":"22","author":"Merlo","year":"2008","journal-title":"J. Vet. Intern. Med."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"437","DOI":"10.2478\/jvetres-2023-0048","article-title":"Incidence and the Risk of Occurrence of Benign and Malignant Canine Skin Tumours in Poland\u2014A Five-Year Retrospective Study","volume":"67","author":"Bulak","year":"2023","journal-title":"J. Vet. Res."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1111\/j.1365-3164.2009.00781.x","article-title":"International Task Force on Canine Atopic Dermatitis Development of a Questionnaire to Assess the Impact of Atopic Dermatitis on Health-Related Quality of Life of Affected Dogs and Their Owners","volume":"21","author":"Favrot","year":"2010","journal-title":"Vet. Dermatol."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1016\/j.cvsm.2018.08.008","article-title":"Assessing Quality of Life for Pets with Dermatologic Disease and Their Owners","volume":"49","author":"Noli","year":"2019","journal-title":"Vet. Clin. N. Am. Small Anim. Pract."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1111\/j.1365-3164.2010.00954.x","article-title":"Quality of Life of Dogs with Skin Diseases and Their Owners. Part 1: Development and Validation of a Questionnaire","volume":"22","author":"Noli","year":"2011","journal-title":"Vet. Dermatol."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"1354","DOI":"10.2460\/javma.2005.226.1354","article-title":"Validity of a Health-Related Quality-of-Life Scale for Dogs with Signs of Pain Secondary to Cancer","volume":"226","author":"Yazbek","year":"2005","journal-title":"J. Am. Vet. Med. Assoc."},{"key":"ref_33","doi-asserted-by":"crossref","unstructured":"De La Mora Valle, A., G\u00f3mez G\u00f3mez, D., Trasvi\u00f1a Mu\u00f1oz, E., Haro, P., Macias Rioseco, M., Medina Basulto, G., Moreno, A.S., and L\u00f3pez Valencia, G. (2025). Retrospective Study of Malignant Cutaneous Tumors in Dog Populations in Northwest Mexico from 2019 to 2021. Animals, 15.","DOI":"10.3390\/ani15131979"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"555","DOI":"10.1590\/S0103-84782006000200030","article-title":"Estudo retrospectivo de 761 tumores cut\u00e2neos em c\u00e3es","volume":"36","author":"Souza","year":"2006","journal-title":"Cienc. Rural"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1111\/vco.12461","article-title":"Clinical Features and Outcome of Dermal Squamous Cell Carcinoma in 193 Dogs (1987\u20132017)","volume":"17","author":"Willcox","year":"2019","journal-title":"Vet. Comp. Oncol."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"895","DOI":"10.1007\/s40477-022-00672-5","article-title":"Treatment of Canine and Feline Sarcoma Using MR-Guided Focused Ultrasound System","volume":"25","author":"Antoniou","year":"2022","journal-title":"J. Ultrasound"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"960","DOI":"10.2460\/javma.239.7.960","article-title":"Identification of the Most Common Cutaneous Neoplasms in Dogs and Evaluation of Breed and Age Distributions for Selected Neoplasms","volume":"239","author":"Villamil","year":"2011","journal-title":"J. Am. Vet. Med. Assoc."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1136\/jcp.55.6.429","article-title":"Cyclo-Oxygenase 2 Expression Is Associated with Angiogenesis and Lymph Node Metastasis in Human Breast Cancer","volume":"55","author":"Costa","year":"2002","journal-title":"J. Clin. Pathol."},{"key":"ref_39","first-page":"2713","article-title":"Decrease of E-Cadherin Expression in Canine Cutaneous Histiocytoma Appears to Be Related to Its Spontaneous Regression","volume":"29","author":"Pires","year":"2009","journal-title":"Anticancer Res."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"1163","DOI":"10.1016\/S0195-5616(90)50090-X","article-title":"Clinical Approach to Tumors of the Skin and Subcutaneous Tissues","volume":"20","author":"Moriello","year":"1990","journal-title":"Vet. Clin. N. Am. Small Anim. Pract."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"210","DOI":"10.5326\/JAAHA-MS-5621","article-title":"Cutaneous MCTs: Associations with Spay\/Neuter Status, Breed, Body Size, and Phylogenetic Cluster","volume":"47","author":"White","year":"2011","journal-title":"J. Am. Anim. Hosp. Assoc."},{"key":"ref_42","doi-asserted-by":"crossref","unstructured":"Chang, C.-Y., Chen, W.-T., Haga, T., Yamashita, N., Lee, C.-F., Tsuzuki, M., and Chang, H.-W. (2020). The Detection and Association of Canine Papillomavirus with Benign and Malignant Skin Lesions in Dogs. Viruses, 12.","DOI":"10.3390\/v12020170"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1186\/s12985-025-02753-3","article-title":"Canine Papillomavirus: Status of Diagnostic Methods and Vaccine Innovations","volume":"22","author":"Feng","year":"2025","journal-title":"Virol. J."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"1160","DOI":"10.1177\/0300985816630795","article-title":"Two Canine Papillomaviruses Associated With Metastatic Squamous Cell Carcinoma in Two Related Basenji Dogs","volume":"53","author":"Luff","year":"2016","journal-title":"Vet. Pathol."},{"key":"ref_45","doi-asserted-by":"crossref","unstructured":"Hasche, D., Vinz\u00f3n, S.E., and R\u00f6sl, F. (2018). Cutaneous Papillomaviruses and Non-Melanoma Skin Cancer: Causal Agents or Innocent Bystanders?. Front. Microbiol., 9.","DOI":"10.3389\/fmicb.2018.00874"},{"key":"ref_46","first-page":"39","article-title":"Viral Carcinogenesis in Skin Cancer","volume":"35","author":"Lotem","year":"2007","journal-title":"Curr. Probl. Dermatol."},{"key":"ref_47","first-page":"790","article-title":"Skin cancer and human papillomavirus","volume":"31","author":"Abubakar","year":"2024","journal-title":"J. Popul. Ther. Clin. Pharmacol."},{"key":"ref_48","doi-asserted-by":"crossref","unstructured":"Dos Anjos, D., Bueno, C., Mattos-Junior, E., De Nardi, A.B., and Fonseca-Alves, C.E. (2021). VEGF Expression, Cellular Infiltration, and Intratumoral Collagen Levels after Electroporation-Based Treatment of Dogs with Cutaneous Squamous Cell Carcinoma. Life, 11.","DOI":"10.3390\/life11121321"},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"481","DOI":"10.1111\/j.1545-5300.2009.01297.x","article-title":"Human-Animal Bonds II: The Role of Pets in Family Systems and Family Therapy","volume":"48","author":"Walsh","year":"2009","journal-title":"Fam. Process"},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"459","DOI":"10.1080\/08927936.2019.1621516","article-title":"We Are Family: Viewing Pets as Family Members Improves Wellbeing","volume":"32","author":"McConnell","year":"2019","journal-title":"Anthrozo\u00f6s"},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"1238","DOI":"10.2460\/javma.23.01.0016","article-title":"Family Quality of Life: Pet Owners and Veterinarians Working Together to Reach the Best Outcomes","volume":"261","author":"Brown","year":"2023","journal-title":"J. Am. Vet. Med. Assoc."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1016\/S0091-7435(03)00120-8","article-title":"Family and Friends with Disease:: Their Impact on Perceived Risk","volume":"37","author":"Montgomery","year":"2003","journal-title":"Prev. Med."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"756","DOI":"10.1002\/pon.1370","article-title":"Risk Perception and Cancer Worries in Families at Increased Risk of Familial Breast\/Ovarian Cancer","volume":"17","author":"Mellon","year":"2008","journal-title":"Psychooncology"},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"101905","DOI":"10.1016\/j.ejon.2021.101905","article-title":"\u201cThe Effects of Cancer on a Family Are Way beyond the Person Who\u2019s Had It\u201d: The Experience and Effect of a Familial Cancer Diagnosis on the Health Behaviours of Family Members","volume":"51","author":"McKeague","year":"2021","journal-title":"Eur. J. Oncol. Nurs."},{"key":"ref_55","unstructured":"(2025, July 24). Perceptions and Needs of Pet Owners with Cancer: Results from a National Survey from the CancerCare Pet Assistance and Wellness (PAW) Program\u2014ASCO. Available online: https:\/\/www.asco.org\/abstracts-presentations\/ABSTRACT387310."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"834","DOI":"10.1080\/07347332.2021.1936337","article-title":"Examining the Role of Pets in Cancer Survivors\u2019 Physical and Mental Wellbeing","volume":"40","author":"Trigg","year":"2022","journal-title":"J. Psychosoc. Oncol."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"e024512","DOI":"10.1136\/bmjopen-2018-024512","article-title":"Depression and Anxiety in Pet Owners after a Diagnosis of Cancer in Their Pets: A Cross-Sectional Study in Japan","volume":"9","author":"Nakano","year":"2019","journal-title":"BMJ Open"},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"5565837","DOI":"10.1155\/2024\/5565837","article-title":"Practical Principles of Palliative Care in Veterinary Oncology: Alleviating the Suffering of the Animal, Owner, and Veterinarian","volume":"2024","author":"Paz","year":"2024","journal-title":"Vet. Med. Int."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1016\/j.ejcsup.2013.07.009","article-title":"Anxiety and Sleep Disorders in Cancer Patients","volume":"11","year":"2013","journal-title":"EJC Suppl."},{"key":"ref_60","doi-asserted-by":"crossref","unstructured":"Aragunde-Kohl, U., G\u00f3mez-Gal\u00e1n, J., L\u00e1zaro-P\u00e9rez, C., and Mart\u00ednez-L\u00f3pez, J.\u00c1. (2020). Interaction and Emotional Connection with Pets: A Descriptive Analysis from Puerto Rico. Animals, 10.","DOI":"10.3390\/ani10112136"},{"key":"ref_61","doi-asserted-by":"crossref","unstructured":"Prato-Previde, E., Basso Ricci, E., and Colombo, E.S. (2022). The Complexity of the Human\u2013Animal Bond: Empathy, Attachment and Anthropomorphism in Human\u2013Animal Relationships and Animal Hoarding. Animals, 12.","DOI":"10.3390\/ani12202835"},{"key":"ref_62","doi-asserted-by":"crossref","unstructured":"Azkona, G. (2025). The Impact of Psychosocial Factors on the Human\u2014Pet Bond: Insights from Cat and Dog Owners. Animals, 15.","DOI":"10.3390\/ani15131895"},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"1072","DOI":"10.2460\/javma.233.7.1072","article-title":"A Focus Group Study of Veterinarians\u2019 and Pet Owners\u2019 Perceptions of Veterinarian-Client Communication in Companion Animal Practice","volume":"233","author":"Coe","year":"2008","journal-title":"J. Am. Vet. Med. Assoc."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"446","DOI":"10.1136\/vr.105910","article-title":"Measuring Satisfaction in the Small Animal Consultation and Its Relationship to Consult Length","volume":"187","author":"Corah","year":"2020","journal-title":"Vet. Rec."},{"key":"ref_65","doi-asserted-by":"crossref","unstructured":"Pinello, K., Pires, I., Castro, A.F., Carvalho, P.T., Santos, A., De Matos, A., Queiroga, F., Canadas-Sousa, A., Dias-Pereira, P., and Catarino, J. (2022). Cross Species Analysis and Comparison of Tumors in Dogs and Cats, by Age, Sex, Topography and Main Morphologies. Data from Vet-OncoNet. Vet. Sci., 9.","DOI":"10.3390\/vetsci9040167"},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"1418","DOI":"10.2460\/javma.234.11.1418","article-title":"Prevalence and Nature of Cost Discussions during Clinical Appointments in Companion Animal Practice","volume":"234","author":"Coe","year":"2009","journal-title":"J. Am. Vet. Med. Assoc."},{"key":"ref_67","doi-asserted-by":"crossref","unstructured":"Di Teodoro, G., Cito, F., Salini, R., Baffoni, M., Defourny, S.V.P., Cocco, A., D\u2019Alterio, N., Palmieri, C., and Petrini, A. (2024). Pathology-Based Animal Cancer Registry of Abruzzo and Molise Regions (Central Italy): A Ten-Year Retrospective Study (2014\u20132023). Vet. Sci., 11.","DOI":"10.3390\/vetsci11110521"},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"941275","DOI":"10.1155\/2013\/941275","article-title":"Breed-Predispositions to Cancer in Pedigree Dogs","volume":"2013","author":"Dobson","year":"2013","journal-title":"ISRN Vet. Sci."},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"1133","DOI":"10.1292\/jvms.19-0248","article-title":"Retrospective Study of Canine Cutaneous Tumors in Japan, 2008\u20132017","volume":"81","author":"Kok","year":"2019","journal-title":"J Vet Med Sci"},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/2052-6687-2-1","article-title":"Prevalence and Risk Factors for Mast Cell Tumours in Dogs in England","volume":"2","author":"Shoop","year":"2015","journal-title":"Canine Genet. Epidemiol."}],"container-title":["Veterinary Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2306-7381\/12\/11\/1020\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T04:22:33Z","timestamp":1761279753000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2306-7381\/12\/11\/1020"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,22]]},"references-count":70,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2025,11]]}},"alternative-id":["vetsci12111020"],"URL":"https:\/\/doi.org\/10.3390\/vetsci12111020","relation":{},"ISSN":["2306-7381"],"issn-type":[{"type":"electronic","value":"2306-7381"}],"subject":[],"published":{"date-parts":[[2025,10,22]]}}}