Koj puas pom tias koj tus miv muaj o los yog lub mis lumpy? Nws tuaj yeem yog cov tsos mob ntawm mob qog noj ntshav mis, qhov thib peb feem ntau neoplasm hauv hom no. Kev ua kom tsis muaj menyuam thaum ntxov ntawm miv yog ib qho kev tiv thaiv tseem ceeb thiab feem ntau yog cov qog nqaij hlav hnyav heev hu ua adenocarcinomas, yog li qhov kev tshawb pom ntxov tshaj plaws, ua ke nrog kev ua tiav mastectomy, yog qhov tseem ceeb kom ncua kev ciaj sia ntawm miv mus rau qee yam ntawm peb cov miv.
mob qog noj ntshav yog kev hloov pauv ntawm lub cev ib txwm muaj ntawm cov qog mammary mus rau qog hlwb uas muaj peev xwm ntau dua thiab ntxeem tau. cov ntaub so ntswg nyob ze los yog nyob deb ntawm hematogenous los yog lymphatic.
Nyob hauv miv, cov qog mammary yog thib peb hom mob qog noj ntshav, ua ntej los ntawm lymphoma thiab qog nqaij hlav. Cov qog nqaij hlav malignant muaj ntau dua li cov benign, nrog rau feem pua ntawm 90% thiab adenocarcinomas yog cov mob malignant feem ntau. qog nqaij hlav hauv miv. Tsis tas li ntawd, nyob ib ncig ntawm 35% ntawm cov qog mis thaum lub sijhawm kuaj mob twb muaj metastases hauv cov ntaub so ntswg ze. Qhov metastasis no tuaj yeem tshwm sim ntawm qhov deb, cuam tshuam rau ntau yam kabmob, tshwm sim ntau dua 80% ntawm cov neeg mob hauv lub ntsws.
Yog xav paub ntxiv, koj tuaj yeem nyeem lwm tsab xov xwm no ntawm peb qhov chaw hais txog Cancer hauv miv - Hom, tsos mob thiab kev kho mob.
Causes of mammary cancer in miv
Ntawm cov laj thawj uas tuaj yeem ua rau mob qog noj ntshav hauv miv peb pom cov yam ntxwv ntawm caj ces, cov kab mob carcinogenic, qee cov kab mob thiab cov kab mob ib puag ncig. Txawm li cas los xij, feem ntau yuav ua rau yog hormonal, vim cov qog mis yog nyob ntawm hormonally, uas txhais tau hais tias feem ntau muaj cov tshuaj estrogen receptors thiab progestogens, yog li kev ua kom tsis muaj menyuam thaum ntxov yog qhov kev tiv thaiv zoo tshaj plaws.
Tam Sim No-Progestogens Ua kom cov qog uas muaj txiaj ntsig los ntawm cov qog ua si yog qhov uas muaj kev pheej hmoo ntawm cov qog loj hlob yog qhov kev loj hlob hauv lub caj dab, uas yuav ncaj qha txhawb txoj kev loj hlob ntawm lub caj pas thiab indirectly los ntawm kev loj hlob yam txuas mus rau insulin, uas plays lub luag hauj lwm txiav txim nyob rau hauv lub proliferation ntawm cov hlwb thiab lawv transformation mus rau hauv neoplastic hlwb.
Feline Breast Cancer Risk Factors
Tus miv qhov kev pheej hmoo ntawm mob qog noj ntshav mis nce ntxiv:
- Vim koj lub hnub nyoog nce.
- Yog lawv tsis sterilized.
- Yog koj sterilized lig.
Txhua yam tsiaj tuaj yeem cuam tshuam, tab sis qee qhov kev tshawb fawb qhia tias Siamese miv muaj ob zaug kev pheej hmoo ntawm kev txom nyem los ntawm lawv thiab nyob rau hauv European miv kuj feem ntau nquag.
Symptoms of mammary cancer in miv
Poj niam miv muaj ib tag nrho yim leej niam muab faib ua ob lub cranial thiab ob caudal paj. Cov qog nqaij hlav hauv lub mis yuav tshwm sim nyob ib leeg, zoo-circumscribed, mobile loj lossis infiltrative-hom kev loj hlob mus rau qhov chaw sib sib zog nqus uas muaj peev xwm ua rau mob plab thiab ua rau muaj kab mob thib ob. Nws kuj yog ib yam rau tib lub mis uas cuam tshuam rau tam sim no ntau lub nodules, txawm hais tias nws yog ib txwm muaj rau ob peb lub mis raug cuam tshuam. Hais txog 60% ntawm miv muaj ntau tshaj ib cov qog thaum kuaj pom. Cov qog ntshav qab zib nyob ze kuj feem ntau cuam tshuam.
Nyob rau hauv miv, qhov aggressiveness ntawm cov qog mammary yog ntau dua nyob rau hauv dev, yog li ntawd cov qog cell sai sai invaded lub lymphatic circuits, metastasizing mus rau lwm yam kabmob. Cov cov tsos mobqhia txog cov qog mammary hauv miv yog:
- Npaj hauv ib lub mis los yog ob peb lub mis.
- Ulceration of qog.
- Cov kab mob hauv lub mis.
- ntsws los yog lwm yam kab mob ntawm lub cev yog hais tias tus qog tau kis.
- Nyob.
- Nyob tsis muaj zog.
Feline Breast Cancer Diagnosis
Cov txheej txheem kuaj mob ib txwm muaj rau tus kab mob no suav nrog kuaj ntshav, kuaj zis thiab x-ray hauv siab. Vim nws ib txwm tshwm sim hauv cov miv laus, nws tseem ceeb heev kom ntsuas T4 kom pom cov thyroid.
Txawm hais tias feem coob ntawm cov qog mammary nyob rau hauv miv yog malignant, ib tug differential diagnosis yuav tsum tau ua rau cov kab mob mammary piav saum toj nonrog rau lwm yam pathologies uas tsis yog neutered miv yuav tshwm sim: fibroadenomatous hyperplasia, pseudopregnancy thiab gestation.
Lub mis feline qog staging system yog nyob ntawm qhov loj ntawm cov qog thawj zaug los ntawm kev ntsuas lub cheeb ntawm qhov loj (T), Kev koom tes ntawm cov qog nqaij hlav nyob ze (N) thiab metastasis hauv cov kab mob nyob deb (M). Tag nrho cov qog mammary thiab cov ntaub so ntswg ib puag ncig yuav tsum tau palpated, palpation thiab cytology ntawm lawv cov qog ntshav hauv cheeb tsam, lub hauv siab X-rays tau ua nyob rau hauv ntau qhov kev kwv yees los ntsuas qhov ua tau ntawm pulmonary metastasis thiab plab ultrasound txhawm rau ntsuam xyuas metastases hauv plab hnyuv.
theem ntawm mammary cancer hauv miv
Cov theem ntawm mammary cancer hauv miv yog:
- I: Cov pob me dua 2 cm (T1).
- II: 2-3 cm lumps (T2).
- III: Cov pob loj dua 3 cm (T3) nrog lossis tsis muaj cov kab mob hauv cheeb tsam (N0 lossis N1) lossis T1 lossis T2 nrog metastasis cheeb tsam (N1).
- IV: distant metastasis (M1) thiab muaj los yog tsis muaj lub regional metastasis.
Tshuaj mob qog noj ntshav mammary hauv miv
Vim tias mammary adenocarcinomas nyob rau hauv miv yog invasive thiab muaj tus nqi ntawm lymphatic kev koom tes, kev kho mob hnyav yuav tsum tau Txoj kev kho no yuav muaj ib phais tshem tawm lub mis, kuj hu ua mastectomy uas tuaj yeem ua tiav nrog kev kho mob thiab xov tooj cua. Kev kho hluav taws xob yog ib qho kev kho mob hauv zos uas nyob rau hauv miv tuaj yeem ua tau zoo los tiv thaiv qog nqaij hlav.
Cov qog mammary ua haujlwm hauv miv li cas?
Mastectomy hauv miv yog nruj dua nyob rau hauv dev, vim tag nrho cov kab mob mammary yuav tsum tau ua Nws yog contraindicated tsuas yog thaum tus kab mob yog siab heev thiab twb muaj metastases nyob rau hauv cov kab mob nyob deb, yog li ntawd ib tug ua tiav mastectomy yuav tsum tau ua nyob rau hauv ib sab yog hais tias tus cuam tshuam ob lub mis nyob rau hauv ib tug ib tug sawb los yog ua tiav ob sab yog hais tias tus cuam tshuam ob lub mis raug faib los ntawm ob lub mammary chains. Tsis tas li ntawd, nws yuav tsum tau muab tshem tawm tag nrho nrog ob peb wide margins uas yog tus yuam sij kom txo tau cov qog nqaij hlav hauv cheeb tsam thiab nce lub sij hawm ciaj sia.
Cov qog nqaij hlav uas cuam tshuam yuav tsum tau muab tso rau hauv mastectomy Cov inguinal raug tshem tawm ua ke nrog cov qog mammary caj pas thiab lub axillary tsuas yog tshem tawm. Yog hais tias nws loj los yog metastasis tau kuaj pom hauv cytology. Thaum muab rho tawm, cov qauv yuav tsum tau muab xa mus rau histopathology los kuaj xyuas hom qog uas tus miv muaj.
Nyob rau lub sij hawm postoperative ntawm mastectomy nyob rau hauv miv, tshuaj tua kab mob thiab tshuaj tua kab mob yog tsim nyog los tswj qhov mob, mob thiab kis tau tus kab mob. Thawj lub lim tiam yog qhov kev ntxhov siab tshaj plaws, tshwj xeeb tshaj yog ua tiav ob tog. Nws yuav siv sij hawm ob peb hnub rau koj tus miv kom nws lub siab, qab los noj mov thiab muaj zog. Lawv yuav tsum tau muab Elizabethan dab tshos yog li ntawd lawv tsis txhob yaim thaj tsam thiab qhib plooj. Ntawm qhov tod tes, qhov possible complications are:
- pab.
- Pab mob plab.
- Nkauj kab mob.
- Necrosis.
- Self-trauma.
- Suture rupture.
- Hindlimb edema.
Tshuaj kho mob cancer mis hauv miv
Raws li cov hauv paus ntsiab lus ntawm oncology, adjuvant chemotherapy yog pom zoo nyob rau hauv miv nrog kho mob theem III thiab IV los yog hauv miv nrog Theem II lossis III malignant hlav Nws yog ua tom qab tshem tawm cov qog kom ncua kev rov tshwm sim, ncua lub sij hawm tshem tawm thiab ncua qhov tshwm sim ntawm metastases. txhua 3-4 lub lis piam feem ntau yog muab, muab tag nrho 4-6 lub voj voog. Cov kev mob tshwm sim tuaj yeem tshwm sim hauv miv uas tau txais tshuaj kho mob yuav yog: anorexia thiab ntshav ntshav thiab txo qis hauv cov qe ntshav dawb vim yog myelosuppression.
Nws kuj tseem yuav txaus siab ntxiv rau nonsteroidal anti-inflammatory drug (NSAID) uas inhibits cyclooxygenase type 2 (COX-2), xws li firocoxib los yog meloxicam, raws li cov qog no tau pom los qhia COX-2. Ntawm qhov tod tes, txawv chemotherapy protocols tau piav qhia txog feline mammary qog:
- Yog peb muaj mob cancer mis theem III los yog IV: doxorubicin (20-30 mg/m2 los yog 1 mg/kg intravenously txhua 3 lub lis piam) + cyclophosphamide (100 mg/m2 rau 3 hnub txhua 3 lub lis piam ntawm qhov ncauj).
- Nrog kev phais + carboplatin (200 mg / m2 intravenous txhua 3 lub lis piam, 4 koob tshuaj) cov kev tshawb fawb pom tau tias muaj sia nyob nruab nrab ntawm 428 hnub.
- Miv nrog kev phais thiab doxorubicin hauv cov qog me dua 2 cm tau pom tias muaj sia nyob nruab nrab ntawm 450 hnub.
- Nrog kev phais thiab doxorubicin, muaj sia nyob ntawm 1998 hnub.
- Nrog kev phais, doxorubicin thiab meloxicam, kev muaj sia nyob ntawm 460 hnub tau pom.
- Nrog kev phais thiab mitoxantrone (6 mg / m2 intravenous txhua 3 lub lis piam, 4 koob) kev ciaj sia ntawm 450 hnub tau txiav txim siab.
Nws feem ntau yog nrog noj tshuaj, tshuaj tua kab mob thiab qab los noj mov los tiv thaiv kev poob phaus thiab kho cov tsos mob. Nyob rau tib lub sijhawm, yog tias tus miv nthuav tawm qee yam kev ua haujlwm tsis zoo, nws yuav tsum tau kho.
Feline Breast Cancer Prognosis
Cov kev kwv yees ib txwm tseg. Lub sij hawm muaj sia nyob nruab nrab ntawm kev kuaj mob mus rau qhov tuag ntawm tus miv yog 10-12 lub hlis Kev kuaj mob ntxov thiab mastectomy ntxov yog qhov tseem ceeb hauv kev ncua sij hawm ciaj sia.
1. LUB PRAMMOOS YUAV UA LI CAS THIAJ LI CAS THIAJ LI CAS THAUM KUB HEEV ntawm kev ciaj sia. Lub xub ntiag ntawm cov metastases nyob deb yog ib txwm qhia tau hais tias tsis zoo.
Ua li no, yog tias koj pom muaj kev hloov pauv hauv koj cov qog mammary, koj yuav tsum mus rau kws kho tsiaj kom paub sai li sai tau. ua tau yog tias peb tab tom ntsib mob qog noj ntshav mis lossis lwm yam kab mob ntawm lub mis. Raws li peb tau hais lawm, kev mob qog nqaij hlav cancer mis yog kev puas tsuaj, vim feem ntau nws yuav ua rau peb tus miv lub ntsws, ua rau nws ua tsis taus pa zoo, nrog rau lwm qhov ntawm nws lub cev, thiab thaum kawg yuav ua rau koj tuag
Tiv thaiv mob qog noj ntshav hauv miv
Txoj kev tiv thaiv zoo tshaj plaws ntawm mammary cancer hauv miv yog ua kom tsis muaj menyuam thaum ntxov, ua ntej lawv thawj zaug,vim lawv yuav txo tau txoj kev txom nyem heev. los ntawm nws, uas yog qhov tseem ceeb, txij li lub neej expectancy ntawm tus miv nrog mob qog noj ntshav yog tsawg heev, txawm tias nrog kev kho mob.
Yog tias koj tau ua kom tsis muaj menyuam tom qab koj thawj xyoo ntawm lub neej, txawm tias koj tsis muaj qhov txo qis hauv kev mob qog noj ntshav mis, koj tuaj yeem zam tau lwm tus xws li pyometras, metritis thiab zes qe menyuam lossis cov qog hauv tsev menyuam.
Early spaying considerably txo yav tom ntej yuav tshwm sim ntawm mammary cancer hauv miv, yog li ntawd:
- Txoov li 91% yog ua ua ntej 6 lub hlis xwb, lawv tsuas muaj 9% xwb thiaj raug kev txom nyem.
- Tom qab thawj tshav kub qhov tshwm sim yuav yog 14%.
- Tom qab cua sov thib ob qhov tshwm sim yuav yog 89%.
- Tom qab thib peb qhov kev pheej hmoo ntawm mob qog noj ntshav mis tsis txo qis.
