Mammary tumors in cats often appear as firm nodules that are moveable or firmly attached to the skin and/or underlying muscle. The tumors may become ulcerated and painful. It is not unusual for tumors to be present in more than one gland. Swelling, pain, infection, and fever may also be present.
Mammary cancer is diagnosed by palpation of a mammary mass on physical examination and either sampling the mass by performing a fine needle aspirate or removing the affected tissue for histopathologic examination. A fine needle aspirate or incisional biopsy may be used initially to determine the type of tumor present. The veterinarian may also recommend x-rays and/or an abdominal ultrasound looking for spread of the cancer to the lungs or other organs. Other laboratory tests include routine blood testing and a urinalysis to assess the cat’s general health, especially if surgery is going to be performed.
Although mammary cancer occurs much less frequently in cats than dogs, when it does occur, it is often malignant and difficult to treat. Mammary cancer is the third most common cancer in cats . When cats develop mammary cancer it is often fatal. Siamese cats appear to have a genetic predisposition for developing mammary cancer and see higher incidents of the mammary cancer then other breeds and are typically diagnosed younger then other breeds.
There is a strong correlation between early spaying and a reduced incidence of the disease. Unspayed females are at a much greater risk of developing mammary cancer. Female cats that were spayed after having one to several heat cycles, with or without having kittens, are also at a greater risk than a cat that was spayed before her first heat cycle. Although rare, mammary cancer can occur in male cats.
Studies reveal that approximately eighty-five percent of mammary tumors in cats are malignant adenocarcinomas. The tumors that make up the other fifteen percent include duct papillomas, sarcomas, and adenomas. Adenocarcinomas are very aggressive tumors and often metastasize to the surrounding lymph nodes and lungs.
The cost of diagnosis and treatment of mammary cancer in cats can range from $1500 to $5000 or more. This may include a combination of surgery, chemotherapy and supportive care.
While the initial treatment for cats with mammary cancer may be successful, the long-term outcome is usually guarded. It is not unusual for tumors to reoccur, so veterinarians may often recommend a single or double chain masectomy. Unfortunately, most cats survive less than a year after initial diagnosis, however, cats who receive aggressive treatment on small tumors that are caught early may receive a better prognosis.
Cats recovering from surgery will need to be closely monitored as their incision site is healing. Your veterinarian may recommend a surgical cone and restricted exercise for the first few weeks post-operation. Immediately consult with your veterinarian if there are any changes with the incision site or your cat's behavior. Cats undergoing chemotherapy will need to be monitored closely for potential side effects of the medications. The cat will need follow-up examinations and routine blood testing to monitor organ function and cell counts. After completion of treatment, follow-up examinations with routine blood work and x-rays will be recommended every few months to evaluate the cat’s general health and monitor for recurrence of disease.
While mammary cancer in cats is not completely preventable, there are several precautions owners can take to decrease the incidence of this disease. The first is to make sure their cats are spayed before they come into their first heat. There is a strong correlation between early spaying and a reduction in the incidence of mammary tumors in cats. The second precaution is to avoid the use of progesterone-like drugs, which can increase the incidence of mammary cancer in cats. These drugs are still occasionally used to treat miliary dermatitis and some behavior disorders in cats. Owners of female cats need to weigh the risk versus the potential benefits of using these drugs in their cats and discuss any concerns with their veterinarian. Finally, owners should be sure their cats get regular, thorough veterinary checkups. Owners can perform their own mini checkups by feeling for any lumps or bumps, particularly in the mammary area. Early detection and treatment is very important in the successful treatment and outcome of mammary cancer in cats.
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