最後更新:2026年10月1日
發生於舌部的腫瘤性病變,犬最常見的為鱗狀細胞癌(SCC)和惡性黑色素瘤,貓則以鱗狀細胞癌為主(最常發生於舌根腹側)。口腔腫瘤是犬第四常見的腫瘤類型,具有局部侵犯性強的特點,常呈冰山效應(深層浸潤範圍遠大於表面所見)。
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)
犬下頜前端SCC手術切除後中位生存期19-43個月,預後相對較好。舌根或扁桃體SCC預後較差,轉移率高。犬口腔黑色素瘤轉移率高,手術+疫苗中位生存期約12-18個月。貓口腔SCC預後極差,確診後中位生存期僅2-4個月,一年存活率不到10%。
舌腫瘤 診斷流程
全身麻醉下詳細口腔檢查和腫塊評估
FNA或切開式活檢取得病理診斷
胸腔X光、淋巴結FNA、CT評估腫瘤範圍
根據腫瘤類型和分期選擇手術、放療或化療
來源:專家審閱