狗狗牙膛旁边肿了个大包确诊鳞状上皮癌

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患宠信息:泰迪/弟弟/9岁3个月

咨询描述:我家泰迪今年大概9岁三个月大,9月份因为牙结石去洗了牙拔了牙,那个时候医生说嘴里还没有肿瘤,结果这几天发现狗嘴上牙膛旁边肿了,像鼓了大包,去检查确诊鳞状上皮癌,并且不到一个月的时间鼓得已经很大了。大夫说是恶性的,但现在狗很活泼,吃东西喝水精神头都很足。我想咨询一下是建议保守治疗还是做手术或者放疗化疗。我们这里的大夫说就算手术切了也还会再长,并且狗年龄大了。但我觉得他才九岁,还有没有别的可能…

问题大致一样,细节不同?

点击获取针对性解答

于博

执业兽医师

您好,肿瘤如果没有转移到重要气管和部位是不会影响到全身症状的精神饮食运动等。看检查报告应该是做的细胞学穿刺检查,并没有做病例送检,而且建议是病例送检。如果真是鳞状细胞那基本是恶性肿瘤,不影响日常生活情况下不建议切除,可以考虑化疗治疗。

于博

执业兽医师

狗狗年龄9岁算是老年犬了,相当于人6.70岁。而且肿瘤和年龄无关。

请问病理检查是什么作用?是真正确诊吗?化疗治疗小狗会不会很难受?大夫说他们那里没有化疗的地方,还需要去别的医院或者城市,所以我们现在就很纠结。如果确诊了这个病大概还能活多久?如果用了化疗能延长多少寿命?

于博

执业兽医师

好的,病理送检救赎切除后送检化验室确诊。细胞学检测只是基础的细胞分辨。我建议您可以给狗狗做个CT看一下有没有转移,如果没有转移,可以切除后送检,确定一下。如果是的话,还没有转移,积极化疗不影响正常寿命,但是如果出现转移就不号判断能活多久了,要看转移的部位和身体表现。化疗和人一样个别会有呕吐

那大夫如果出现转移了再化疗还有用吗?我现在就想让他没有痛苦,昨天打了一针消炎针,现在精神状态还不错。我问了我们这边的医院都不能做化疗,不知道该带他去哪了,平时还要上班,如果没有转移但是不化疗,后面会是什么情况?

于博

执业兽医师

确诊是恶性肿瘤是必须要做化疗的,而且化疗也是有转移的概率的。化疗是输液和打针就可以,应该是医院没有进化疗药物可以多问问较大型的连锁医院应该会有。 化疗是预防和减小转移机率,不是说不转移就不化疗。如果没有转移您又不考虑化疗那就是口服药物维持。看运气了。 稍后会给您开个抗肿瘤药物处方

于博

执业兽医师

****丹 一天两次 一次两粒 抑制肿瘤 辅助化疗药物 还有一个药物是“***”目前平台缺货,可以自行线下或者其他正规平台购买 您可以根据实际需求选择在平台或者其他正规渠道购买即可

好的谢谢医生,还有就是这表面需要喷雾什么的吗?看着感觉很疼,怎么缓解?

为保护用户隐私不显示图片/视频

于博

执业兽医师

需要喷一些口腔喷剂缓解疼痛,这种情况还是切除送检。可以舒勇二氧化碳冷冻技术或者超声刀切除更快一些

医院说要切除必须切除鼻子,感觉这样他太痛苦了,现在就想缓解一下他的痛苦,最后如果太疼了就安乐😭😭😭

于博

执业兽医师

**口腔***喷剂 一天3次,饭后清洁

于博

执业兽医师

那如果您要是说不打算给它按照正常癌症治疗,就是保守缓解,就不做送检和化疗了。只要不影响生活下保守养护就好

医生建议及处方根据当前病情给出,仅适用于本次问诊

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