宠物口腔肿瘤：每个主人都应该知道
Oral tumors are surprisingly common in dogs and cats, especially after age 6. Learn the warning signs, types of oral tumors, and why early detection matters.
来源：兽医知识。口腔肿瘤约占狗所有肿瘤的 6%，约占猫所有肿瘤的 3%。虽然一些口腔生长物是良性的（如牙龈瘤），但另一些——尤其是恶性黑色素瘤和鳞状细胞癌——可能具有侵袭性并危及生命。早期发现是成功治疗的最重要因素。不幸的是，许多口腔肿瘤被发现较晚，因为宠物隐藏口腔疼痛，而主人很少检查宠物的口腔。
要点
- Oral tumors account for 6% of all tumors in dogs and 3% in cats
- Malignant melanoma is the most common oral tumor in dogs
- Squamous cell carcinoma is the most common oral tumor in cats
- Bad breath, drooling, and difficulty eating are early warning signs
- Many pets continue eating normally despite having a mass in their mouth
- Early detection dramatically improves treatment outcomes
Common Types of Oral Tumors
In dogs, the three most common oral tumors are malignant melanoma (highly aggressive, often darkly pigmented but can be pink), squamous cell carcinoma (arises from the gum lining, often near the tonsils in cats), and fibrosarcoma (firm, slow-growing but locally invasive). Benign tumors include epulis (arises from the periodontal ligament, usually near the front teeth) and papillomas (warts, common in young dogs). In cats, squamous cell carcinoma is by far the most common oral malignancy, followed by fibrosarcoma. Cats also develop feline odontoclastic resorptive lesions (FORLs), which are not tumors but destructive lesions that can mimic cancer.
Warning Signs to Watch For
The early signs of oral tumors are subtle and easily missed. Bad breath (halitosis) that is new or worsening is often the first clue. Drooling, especially if blood-tinged, difficulty eating or dropping food, pawing at the mouth, reluctance to have the head touched, facial swelling, and visible lumps or masses on the gums are all warning signs. Some pets show no outward signs until the tumor is quite large — this is why regular dental examinations are so important. Any new lump, bump, or sore in your pet's mouth that persists for more than two weeks should be evaluated by a veterinarian.
Diagnosis and Staging
Your vet will perform a thorough oral examination, often under general anesthesia, and take a biopsy of the mass. The biopsy sample is sent to a pathologist to determine the tumor type and grade. Staging — determining whether the cancer has spread — typically includes chest X-rays (to check for lung metastasis), lymph node evaluation (checking nearby nodes for cancer cells), and sometimes abdominal ultrasound. CT scans provide the most detailed view of the tumor's extent and are essential for surgical planning. The combination of biopsy results and staging determines the treatment plan and prognosis.
Treatment Options
Surgery is the primary treatment for most oral tumors. For benign tumors like epulis, complete surgical removal is often curative. For malignant tumors, wide surgical excision — removing the tumor with a margin of healthy tissue — is the standard approach. This may involve removing part of the jaw (mandibulectomy or maxillectomy). Despite sounding dramatic, most pets recover well and adapt quickly. Radiation therapy is effective for certain tumor types (especially squamous cell carcinoma and fibrosarcoma in cats). Immunotherapy (the melanoma vaccine ONCEPT) is available for canine malignant melanoma after surgery. Chemotherapy has limited effectiveness for most oral tumors.
何时立即去看兽医
- You notice a new lump, bump, or mass in your pet's mouth
- Bad breath has suddenly worsened or appeared
- Your pet is drooling excessively or dropping food
- There is blood in the saliva or on chew toys
- Your pet is reluctant to eat hard food or has stopped eating
- You notice facial swelling or asymmetry
RVC 如何提供帮助
皇家兽医中心进行全面的口腔检查、牙科 X 光检查和活组织检查，以诊断狗和猫的口腔肿瘤。我们的团队可以讨论治疗方案，包括手术和转诊先进疗法。如果您发现宠物口腔有任何肿块或变化，请致电 +853 6677 6611。
+853 6677 6611