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猫犬 直肠肿瘤

完整评审: 8月 2025 作者:Alex Gallagher, DVM, MS, DACVIM-SAIM, Columbia Veterinary Emergency Triage and Specialty
上次更新: 8月 2025
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Rectal neoplasia includes benign lesions, such as polyps and adenomas, or malignant neoplasms, such as adenocarcinomas, lymphomas, plasmacytomas, and leiomyosarcomas. In dogs, colorectal polyps may undergo transformation in situ into carcinoma and, eventually, malignant carcinoma. Miniature Dachshunds are predisposed to developing inflammatory polyps, which are often multiple and may resemble malignant neoplasia.

猫犬直肠肿瘤的临床表现

Clinical findings of rectal neoplasia in dogs and cats include the following:

  • hematochezia

  • tenesmus

  • constipation

  • dyschezia

  • diarrhea

猫犬直肠肿瘤的诊断

  • Digital rectal examination

  • Endoscopy

  • Biopsy

猫犬直肠肿瘤的治疗

  • Endoscopic resection

  • Surgical resection

  • Chemotherapy

  • Rectal stenting

For rectal polyps and adenomas, endoscopic resection or surgical resection via eversion of the lesion through the anus is often curative. For removal of malignant neoplasia, more aggressive surgical techniques, such as rectal pull-through, are often required.

Chemotherapy is recommended for lymphoma and as adjunctive therapy after incomplete resection of malignant neoplasia. Inflammatory polyps in Dachshunds often require immunosuppressive therapy, such as steroids or cyclosporine, to decrease risk of recurrence.

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