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Cats + Tumors

  • Lymphoma is a cancer of the lymphocytes. Lymphocytes are cells that are involved in the immune system. Lymphoma is connected with feline leukemia, a viral infection. Feline lymphoma most commonly affects the intestines. Therefore, clinical signs of lymphoma are often similar to other intestinal diseases. Diagnosing lymphoma requires finding cancerous cells on microscopic examination. Lymphoma cannot be prevented, but the likelihood of a cat developing lymphoma can be decreased by preventing feline leukemia virus infection.

  • The most common forms of cutaneous lymphoma are epitheliotropic lymphoma and dermal lymphoma. No specific risk factors or causes have been identified in the development of cutaneous lymphoma. Generally, cutaneous lymphoma can appear as various-sized irritated, ulcerated, or infected patches anywhere on the skin, including the gums, nose, or lip margins. These areas may become ulcerated and bleed, or become crusted. Secondary infections are possible. By far, the most common treatment for cutaneous lymphoma is chemotherapy. Unfortunately, the response to treatment, although initially encouraging, is typically short-lived, with gradual return of the tumors.

  • Mammary tumors in cats are not very common in North America due to routine spay procedures. Hormones play a role in tumor development in cats. Cats spayed prior to 6 months of age have a reduced risk of developing mammary tumors. Siamese Cats appear to be predisposed to developing mammary tumors. Mammary tumors are typically not painful and are usually discovered during a routine physical examination. Staging is recommended in all cases due to the tendency for these tumors to metastasize. Surgery is typically the treatment of choice and chemotherapy may be recommended after surgery.

  • Mast cells are a type of white blood cell that plays a large role in allergic response through degranulation. Mast cell tumors (MCT) can occur in the skin, spleen, or gastrointestinal tract of cats. Their cause is unknown; however, many affected cats show a genetic mutation in the KIT protein involved in replication and cell division. Cutaneous MCTs most often appear as hard pale/white plaques or nodules, often around the head and they may be itchy. Splenic MCTs cause decreased appetite, weight loss, and vomiting. Intestinal MCTs may cause GI upset and bloody stools, and a mass may be palpable. Diagnosis is typically achieved via fine needle aspirate although histopathology can be used. Treatment usually requires surgical removal of the masses or the spleen. Sometimes, chemotherapy or radiation is needed.

  • Melanocytes are cells that produce a pigment called melanin. A melanoma is an abnormal production of these cells in a dysregulated manner that forms a nodule, mass, or other form of lesion. Melanomas of the skin may develop anywhere on the body and are not typically bothersome. Toe melanomas, however, can be much more painful and concerning for your pet's health. Melanomas are often black in color but some do not produce pigment (amelanotic melanoma). Fine needle aspiration or biopsy may be used for diagnosis. Melanomas of the skin and toes are treated surgically and radiation therapy may be discussed.

  • The two most common nasal tumors are nasal adenocarcinoma and nasal lymphoma. Clinical signs range from mild to severe, and may include respiratory distress, hemorrhage, and neurological problems. Staging is always recommended before primary therapy is pursued. Radiation therapy is usually pursued for localized disease. Chemotherapy is usually pursued for systemic disease.

  • Neuroendocrine tumors are a group of tumors that develop from the cells of the neuroendocrine system, and include insulinomas, gastrinomas, glucagonomas, carcinoids, medullary thyroid carcinomas, small-cell lung carcinomas, pheochromocytomas, chemodectomas, and Merkel cell carcinomas. Some of these tumors are functional, while others are non-functional. The signs of disease in dogs and cats depend on the type of growth, location of the tumor, its size, the degree of infiltration in the surrounding tissues, whether it has metastasized, and whether it is functional. A definitive diagnosis requires tissue biopsy and histopathology, often with histochemical staining and electron microscopy. Staging is highly recommended for these tumors. Treatment may involve surgery, chemotherapy, radiation therapy, and medical and dietary management.

  • Peripheral odontogenic fibroma (formerly known as fibromatous and ossifying epulis) is a benign, often slow-growing tumor that arises from periodontal structures. They can be further sub-classified as peripheral odontogenic fibromas and acanthomatus ameloblastomas. These tumors do not spread to other organs; however, extension to surrounding tissues is common. Treatment is dependent on size and location of the tumor. If surgery cannot be performed, radiation therapy is an excellent alternative for ameloblastomas given their high degree of response to radiation therapy.

  • Oral squamous cell carcinomas (SCC) are the most common oral tumor in cats, and second most common in dogs. These tumors are locally aggressive, with a possibility to metastasize. Regardless of the location of SCC, surgery is the typically the standard treatment. Radiation therapy may be recommended following surgery or as a primary treatment for palliative care. Staging is recommended for all cases. If metastasis is present chemotherapy is often pursued.

  • This handout discusses some of the more common forms of oral tumors in pets. Highlighted are Papillomas (“Warts”) and Fibropapillomas, both of wish are caused by viral infection. Clinical signs, diagnostic methods, and treatment options are highlighted.