咨询描述:您好,之前问过诊,您这边建议做检查,我给它做了鼻腔镜和核磁,您看下图片,它是否确诊为恶性肿瘤?该怎么治疗呢?能否治愈呢?
问题大致一样,细节不同?
于博
执业兽医师
好的,具体良性恶性需要做病例送检,就是切除后送检试验是判断良性恶性。可以取一小块组织送检。如果是良性的,如果没有增大,可以暂时不管或者手术切除。如果是恶性的,还要看有没有转移,再决定手术然后化疗。但是由于鼻腔结构特殊原因,往往肿瘤切除不会完整干净
于博
执业兽医师
鼻腔肿瘤是多数是恶性肿瘤,建议是手术切除,然后进行化疗,可以先拍个片子看看有没有转移胸腔内
就是可以确诊为肿瘤,但不确定良性恶性是吗?还有除肿瘤外的其他可能吗?
于博
执业兽医师
好的,正常做完鼻腔镜,如果有肿物还需要做个细胞学穿刺,看一下细胞成分,分辨是不是肿瘤细胞,可以确定。但是目前从鼻腔镜内刊应该是肿瘤。而基本鼻腔内肿瘤都是恶性的多见。手术也是减瘤,就是因为体积过大影响日常生活而手术切除一些,但是不能完全去除。可以考虑化疗和抑制肿瘤生长的药物。
太突然了,它吃喝都正常,冬季了还每天食量增长很多,精神状态也很正常,很活泼,才2岁多的狗,怎么突然就肿瘤了呢,核磁能确定肿瘤吗?我还是不敢相信
于博
执业兽医师
肿瘤前期是不会有身体总体影响的,但是肿瘤鼻血打喷嚏就是不正常的局部影响。
核磁含是由钙化灶的,肿瘤会有钙化灶,如果是息肉不会有钙化情况。
一般是中大型犬,长嘴犬,老年犬多发。原因一般是:长期有刺激性气味物品侵害(烟味,刺鼻香水,有毒物质等),一些病毒性疾病毒素,免疫抑制疾病,自身基因遗传体质。
因为现在宠物杂交太多,加上食品安全。和人一样,肿瘤也是年轻化了。
那现在发现它这个肿瘤是属于前期还是中后期?我们发现的早还是晚了?面积大不大
于博
执业兽医师
好的,肿瘤是分四期:
1期是肿瘤小于3厘米,没有转移没有侵害淋巴结
2期时肿瘤大于3厘米,没有侵害淋巴结和转移
3期是不论肿瘤大小,有侵害淋巴结,没有转移
4期是无论大小无乱侵害淋巴结,有转移。
目前单看肿瘤是二期。但是还要看线下医院检查淋巴结和拍片子看有无转移的情况定性
于博
执业兽医师
托消*** 一天两次 一次4粒 抑制肿瘤生长作用
可定期复查鼻腔镜
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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