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Mammary Gland Tumors, Cat   1433



            Mammary Gland Tumors, Cat
  VetBooks.ir                                          Feline mammary tumor




                                                         Clinical staging

                            No overt distant                                 Distant metastasis
                         metastasis (stages I-III)                           detected (stage IV)  Incisional biopsy to
                                                                                               establish diagnosis
                                                        Tumor unresectable
                                                                          Incisional biopsy to
                      Tumor resectable                                                      Palliative measures:
                                                                          establish diagnosis
                                                                                            • Pain medication
                                                      Inflammatory carcinoma                • Palliative surgery
                                                                                            • Palliative radiation
                                                                                            • Palliative chemotherapy
                          Surgical excision



                                       Histologic
                                      examination
                                                                Malignant tumor




                Benign tumor:       Inflammatory           Carcinoma                       Carcinoma
               complete excision     carcinoma        (sarcoma, carcinosarcoma)      (sarcoma, carcinosarcoma)
                                                   Stage I-II: tumor   1 cm or 1-3 cm  Stage III: tumor   3 cm (T3, N0, N1, M0) or
                                                          (T1-2, N0, M0)      regional lymph node metastasis (T1-3, N1, M0)

                                                        Radical mastectomy     Radical mastectomy, including lymph nodes
                                                    Incomplete                                       Incomplete
                                                     excision                                         excision


                                                    2nd surgery      Complete                        2nd surgery
                                                                     excision   Complete excision
                                                                                                       and/or
                                                                                                     Radiation
                                                     Well-differentiated                              therapy
                                                         tumor
              • No further adjuvant
                treatment                                                  Adjuvant
              • Regular recheck                     Yes        No        chemotherapy
                examinations
                                              Close monitoring +/-                                                    Clinical   Algorithms
                                             adjuvant chemotherapy



           EDITED BY: Leah A. Cohn, DVM, PhD, DACVIM













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