Malignant oral tumors

 

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Small Animal Section: No. 2

NON-ODONTOGENIC MALIGNANT ORAL TUMOURS IN DOGS AND CATS : BIOLOGICAL BEHAVIOUR, TREATMENT & PROGNOSIS

Aim of this communication

bullet To summarise the biological behaviour of the most common malignant oral tumours in dogs and cats
bullet Provide general guidelines on treatment and prognosis

Key facts

bullet Tumours of the oral cavity constitute the 4th most common neoplasms in dogs
bullet Oral neoplasia represents 10% of all tumours in the cat, and approximately 90% of these are malignant
bullet Some oral lesions and growths that are not neoplastic can mimic tumours; e.g. feline eos granuloma
bullet Lesional biopsies are essential to diagnose primary oral disease; deep biopsies are necessary because superficial biopsies may reveal only superficial inflammation or gingival hyperplasia

Behaviour, treatment and prognosis of some non-odontogenic malignant oral tumours

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Below we tabulate the prevalence, biological behaviour and prognosis of the more common malignant tumours and summarise approaches to treatment

Tumour Prevalence Biological behaviour Treatment Prognosis
Malignant melanoma Most common oral tumour in dogs Grows rapidly; necrosis and ulceration are common; and 70-90% metastasise  Radical surgery; chemotherapy for metastatic disease Small tumour rostral & low mitotic index better prognosis.
High metastatic rate
Squamous cell carcinoma DOG:
Non-tonsillar or glossal
2nd most common oral tumour in dogs Locally invasive, metastasis uncommon Radical surgery; orthovoltage radiation; or combination Rostral positioning associated with better prognosis
Squamous cell carcinoma CAT:
Non-tonsillar or glossal
Most frequent oral malignancy in cats Locally invasive and may invade bone; metastasis rare Radical surgery; combined with orthovoltage radiation Apart from rostral mandible, guarded-poor
Fibrosarcoma Frequently in young dogs Infiltrative tumour, grows rapidly, frequently recurs after surgery, may infiltrate bone, and has a 35% change of metastasis Radical surgery; radiation 1 yr. survival good
Recurrence affected by surgical technique

Other tumours of the oral cavity include
bullet Epulides and odontogenic oral tumours - refer to leaflet no. 1 of our series in the small animal section
bullet Papilloma; haemangioma and haemangiosarcoma; osteosarcoma
bullet Round cells tumours : lymphoma, mast cell tumour, TVT, extramedullary plasmacytoma

Recent publications on oral tumours

bullet The Compendium Vol 20 (9): 1011-1020 & Vol 20 (10): 1109-1115 (1998).
bullet Canine and feline oropharyngeal neoplasms; Current Veterinary Therapy XII, 691-695 (1995)

For further information contact:

VetPath Veterinary Pathologists
P.O. Box 8464
Pretoria 0001
Tel: (012) 529 8345/6
e-mail: info@vetpath.co.za
Dr Gerard Steenkamp
Dental Clinic (Cape AMC, Joh Animal Eye Hosp, OP)
P.O. Box 610
Magaliesig 2067
Tel: (011) 465 1237; Cell: 082 8093845

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Copyright © 2004 Bill Robb & Associates
Last modified: Friday June 25, 2004