Tumor Surgery in Dogs and Cats
Tumor surgery in dogs and cats is a vital component of cancer treatment (Oncology). It follows different principles than general surgery because it must focus on completely removing cancer cells and reducing the risk of recurrence.
1. Principles of Oncologic Surgery
The primary goal is to remove the entire tumor along with a margin of normal tissue (Margins) surrounding it to ensure no cancer cells remain.
Surgical Approaches by Tumor Type:
Tumor Type Surgical Procedure
After surgery, the veterinarian will send the entire removed tissue for histopathology. This confirms the tumor type and, most importantly, evaluates the surgical margins to see if the cancer cells were completely removed.
2. Special Surgical Techniques
Because cancer surgery often requires removing a large area of tissue, veterinarians may use special techniques to close the wound:
• Skin Flap/Skin Graft: Moving skin from nearby areas or other parts of the body to cover a large wound.
• Amputation: If the cancer is located on a limb and has a high risk of spreading, amputation may be a life-saving option that also reduces pain.
3. Pre-operative Preparation
Preparation is critical because cancer patients are often weak or may have complications that require caution during anesthesia.
• Diagnosis and Staging: This includes physical exams, blood tests (liver/kidney function and blood clotting), and X-rays, ultrasounds, or CT scans to see if the cancer has spread to lymph nodes or other organs.
• Fasting: Pets must fast from food for 8–12 hours and water for 4–6 hours before surgery (depending on specific veterinary advice) to prevent aspiration during anesthesia.
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4. Post-operative Care
• Pain Management: The veterinarian will provide appropriate pain medication continuously.
• Wound Care: Prevent the pet from licking or biting the wound by using a protective collar (E-collar/cone) and attend all follow-up appointments for wound dressing.
• Activity Restriction: Limit movement to prevent the wound from opening (dehiscing).
• Combination Therapy: If the pathology report shows non-clean margins (cancer cells remain), the vet may recommend supplemental treatments such as chemotherapy or radiation therapy to destroy the remaining cells.