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Oncology

Contact Information

Phone:
919.513.6690 Oncology
919.513.6272 Bone Marrow Transplant
Fax:  919.513.6669
Email:
vhconcology@ncsu.edu
vhcbonemarrow@ncsu.edu
Hours: Monday-Friday, 8AM-5PM
Regular appointments: 
9:30AM-1:00PM
Drop-offs:     7:30AM-8:30AM
Discharges:   4PM-6PM

The Oncology service is a referral-only service. Once the primary veterinarian calls and sets up the referral, the owner may call and arrange an appointment. If the patient has been seen by our service recently, owners may call Oncology directly to set up an appointment.

General Information

The Terry Center

red Cross Cadeceus

Emergency Service

Main Number: 919.513.6500
Small Animal Emergency: 919.513.6911
Large Animal Emergency: 919.513.6630
Hours:
Monday-Thursday 5PM-8AM
Friday 5PM-Monday 8AM

Open 24 hours on legal holidays.
No appointment needed.

Oncology

Oral Squamous Cell Carcinoma in Cats

What is Oral Squamous Cell Carcinoma?

Oral squamous cell carcinoma is locally invasive, but it does not readily spread to other places in the body (called metastasis).

Diagnostic Testing

Diagnostic tests are recommended to determine which sites in the body are involved. These tests include:

Treatment

The treatment of choice for a locally invasive oral tumor would ideally be complete surgical resection. Unfortunately, this is a difficult decision because of the often extensive nature of these tumors coupled with the relatively small jaw size of cats and their poorer tolerance to maxillectomy/mandibulectomy as compared to dogs. The use of radiation therapy could therefore be considered - ideally in conjunction with surgery or if that is not possible, then as single modality therapy. Again, results have been discouraging. In reports of cats treated with aggressive surgery or the combination of surgery and radiation therapy, median survival times are only approximately 2-4 months, although many of these cats may have had larger tumors in more difficult locations (such as sublingual). Even the addition of chemotherapy has failed to lead to significant improvements. In one group of cats treated with definitive radiation therapy and mitoxantrone chemotherapy, median survival time was 6 months with only 30% of cats surviving to one year.

Because of the lack of long-term tumor control in spite of aggressive therapy, another reasonable option to consider is palliative radiation therapy. Palliative radiation therapy consists of two consecutive days of twice-daily radiation treatments and is aimed at alleviating pain, inflammation, and swelling associated with the tumor. This treatment course is repeated in one month if no disease or symptom progression is noted.

We also recommend piroxicam, an oral Non-Steroidal Anti-Inflammatory Drug (NSAID) which has anti-inflammatory and analgesic properties as well as possible anti-tumor activity against carcinomas. This medication should be given with food and the pet owner instructed to watch for signs of gastrointestinal upset (vomiting, change in stool, etc.). If such signs develop, piroxicam should be discontinued for 3-5 days. Restarting of therapy can then be considered in conjunction with the stomach-protectant misoprostil.

Selected References

  1. Reeves NCP, Turrel JM, Withrow SJ. Oral squamous cell carcinoma in the cat. J Am Anim Hosp Assoc 1993;29:438-441.
  2. Hutson CA , Willauer CC, Walder EJ, et al. Treatment of mandibular squamous cell carcinoma in cats by use of mandibulectomy and radiotherapy: seven cases (1987-1989). J Am Vet Med Assoc 1992;201:777-781.