最後更新:2026年10月1日
原發或轉移性肝臟腫瘤,原發性包括肝細胞癌、膽管細胞癌及肉瘤等,轉移性腫瘤較原發性更為常見。。腫瘤的生長和擴散涉及細胞增殖失控和免疫逃逸機制。
Lymphoma is the most common feline malignancy. Alimentary (GI) lymphoma predominates, with small cell (low-grade) vs large cell (high-grade) distinction guiding prognosis and treatment. FeLV-associated mediastinal lymphoma has decreased with vaccination. Injection-site sarcoma (feline injection-site sarcoma, FISS) requires wide surgical margins (3-5 cm).
Lymphoma is one of the most common canine cancers, with multicentric form predominating. CHOP-based protocols are standard of care. Hemangiosarcoma (spleen, right atrium, liver) is overrepresented in German Shepherds and Golden Retrievers. Mast cell tumors are the most common cutaneous neoplasm in dogs.
這頁有幾個欄位是同系統共用的模板,還沒針對本疾病單獨改寫過。請以臨床判斷為準,記得對照下方文獻。
可點的項目會開啟該疾病頁。要依症狀與檢驗排出完整清單,請用鑑別診斷工具。
建議:化療前後積極利尿(cisplatin)或維持量
監測頻率:化療後 7-10d (nadir)
建議數日內就診評估,非立即危及生命但不宜拖延 (evaluation within days recommended, not immediately life-threatening)
巨塊型肝細胞癌手術切除後中位存活超過1460天,預後良好。結節型和瀰漫型預後差,中位存活約270-428天。膽管細胞癌和轉移性腫瘤預後不佳。
肝臟腫瘤 診斷流程
評估非特異性症狀與腹部觸診
肝功能檢測與腹部影像學
超音波引導細針抽吸或Tru-cut生檢
全身轉移篩查與手術可行性
來源:專家審閱