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Outcomes of eight cats with oral neoplasia treated with radical mandibulectomy
Author(s) -
Boston Sarah E.,
Stee Lucinda L.,
Bacon Nicholas J.,
Szentimrey David,
Kirby Barbara M.,
Nimwegen Sebastiaan,
Wavreille Vincent A.
Publication year - 2020
Publication title -
veterinary surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.652
H-Index - 79
eISSN - 1532-950X
pISSN - 0161-3499
DOI - 10.1111/vsu.13341
Subject(s) - cats , medicine , demographics , basal cell , medical record , mandible (arthropod mouthpart) , retrospective cohort study , surgery , dentistry , biology , genus , botany , demography , sociology
Objective To report outcomes after radical mandibulectomy in cats. Study design Multi‐institutional retrospective study. Animals Eight cats were included. Methods Medical records were searched for cats with confirmed oral neoplasia treated with radical mandibulectomy. Data collected included demographics, surgical procedure, histopathological diagnosis, postoperative management, and outcomes. Results Ages ranged from 8 to 17 years. All cats had 75% to 90% of the mandible removed and feeding tubes placed. Seven cats had squamous cell carcinoma, and one cat had a giant cell tumor. Six cats ate on their own postoperatively. Three cats had local recurrence and tumor‐related died at 136 and 291 days. Six cats had no recurrence, with survival times of 156, 465, 608, and 1023 days, and two cats were still alive at 316 and 461 days after surgery. The three long‐term survivors died of causes unrelated to oral neoplasia. One cat died at 156 days due to aspiration of food material. The overall estimated mean survival time was 712 days. Conclusion After radical mandibulectomy, independent food intake was achieved in 6 of eight cats, and four cats lived longer than one year. Clinical significance: Radical mandibulectomy should be considered for the treatment of extensive oral neoplasia in cats. Successful long‐term outcomes are possible with aggressive supportive care perioperatively.