咨询描述:泰迪9岁多,今年2月发现口腔上颚门牙上侧长了多余的肉,前几天发现口腔内流血,出现臭味,狗狗可以正常吃东西喝水和排便,但是精神状态不比以前,最近去了家附近的宠物医院看了,大夫说可能是上皮鳞状细胞癌,但是不知道是哪种肿瘤。要么就是手术「可能切掉整个上颚和鼻子」要么就是放疗,化疗。费用相对较大。想了解一下一下几个问题。
1能否帮忙看下我家狗狗是否是这个病?
2治疗方式,除了手术,放疗,化疗以外,是否还有其他治疗方式?
3能否吃药治疗?有什么药品推荐?目前正在吃的是****消炎药,吃了最近几天没有流血了,但是不知道其他应该再吃什么药?
4希望医生给与建议指导!万分感谢
问题大致一样,细节不同?
吴瑞珽
执业兽医师
1你好,你发的图片和您的描述我看到了现在。有很大的可能性是上皮鳞状细胞癌。但是这个是需要做组织切片的。是必须要送检。但是从图片上看,整个瘤体是浸润性生长。恶性肿瘤的可能性很大。单纯的靠发的图片和描述是不能确定哪种肿瘤的。
2基本上没有其他办法。还有一种是口服中成药。但是效果不敢确定。
3目前给他吃消炎药只是对症的控制炎症,但对本身的疾病并没有什么作用。也就是说只是治了表症。
4这种情况我个人建议还是遵从线下主治大夫意见。最好是能切除掉。不然狗狗的生活质量会越来越差。
1希望可以推荐一下可以尝试的口服的中成药名称,希望推荐一下药名。中药的抗肿药有什么?
2是否需要配合用一下外用的细菌杀菌的药品?往口腔内喷的?能用什么药呢?
3如果是口腔内的上皮鳞状细胞癌,这种病以后是否会发展到嘴外侧?比如脸上?眼睛下面?或者往食道,下颚等位置转移扩散呢?
4如果手术切掉,正常来讲这种癌病后续复发生长或者转移的几率大概是多少?
5请问吴大夫,您了解的这个病情,一般从发现到最后狗狗离开,最长时间是多久?
吴瑞珽
执业兽医师
1,2这两个药物我等会儿给您推荐一下,您可以看一下。口腔喷一天喷四到五回。主要是口腔消炎的。而另一个要就是针对肿瘤的。
3有很大的几率会扩散。
4扩散的几率还是很大的。这个治疗和人是一样的。就算是做完手术切除掉,也是,还需要做化疗,
5这个是有个体差异的。而且狗狗的新陈代谢要比人的快。再一个就是和狗狗的饮食有关系。如果它是碱性体质会慢一些。如果他平时吃人的食物或者是摄入比较多的肉蛋奶那就会发展的快一些。
谢谢您大夫,另外我想问一下目前狗狗的情况,1日常应该吃什么饭?狗粮泡软?还是能正常吃就不用泡?其他的食物还可以吃点什么好一些?
2请问狗狗这个情况分泌的唾液或者流出的血液,会有传染性吗?由于家里还有别的狗狗,两只狗狗每天都是在一起,是否需要隔离开呢?
吴瑞珽
执业兽医师
1泡软的狗粮就可以。还可以少给一点鸡胸肉,补充一些蛋白。
2应该是没有传染性的。这种情况是内科病,不需要隔离。
能推荐一下药品名称和使用方式吗?我重新量了,狗狗的体重是8.2斤
吴瑞珽
执业兽医师
你好,专门的**药物平台上没有。而且医院里也很少用。因为现在基本上都是没有批号。没有批号的话,医院里是禁止使用的。这种只能去找一下人用的。看有没有效果好一点的。
您好大夫,我想再问一下**药吃了之后副作用大吗?一般会有什么反应?如果吃的话一般需要吃多久?网上有好多宣传「***」的,是否可以试?还是说直接找一下人用的,能否推荐一下药名
吴瑞珽
执业兽医师
**用药肯定是有副作用的。根据每个狗狗的个体差异不同,临床上表现也会不同。但是最明显的肯定是白细胞会有明显的下降。狗狗精神状态变差,没有食欲。一般根据他的患病面结合做完手术整体情况来决定用药周期。而且这是需要复查的,看有没有扩散才能确定。我对网上的这个药物不太了解,十分抱歉,帮不上太大的忙。因为我们临床上也没有用过这个药。
医生建议及处方根据当前病情给出,仅适用于本次问诊
蘑菇宠医处方笺
用法用量需根据患宠的年龄、体重等信息开具,此处方暂不展示
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