Curettage and diathermy: a treatment for feline nasal planum actinic dysplasia and superficial squamous cell carcinoma. (1st February 2013)

• Record Type: Journal Article
• Authors: Jarrett, R. H.; Norman, E. J.; Gibson, I. R.; Jarrett, P.
• Is Part Of: Journal of small animal practice. Volume 54:Number 2(2013:Feb.)
• Page Start: 92
• Page End: 98
• Publication Date: 2013-02-01
• Subjects: Veterinary medicine -- Periodicals; Veterinary Medicine -- Periodicals; 636.089
• DOI: 10.1111/jsap.12025
• Languages: English
• ISSNs: 0022-4510

Abstract

<abstract abstract-type="main"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="jsap12025-sec-0001" sec-type="section"> <title>Objective</title> <p> <bold>To evaluate curettage and diathermy as a treatment for actinic dysplasia and superficial squamous cell carcinoma of the feline nasal planum.</bold> </p> </sec> <sec id="jsap12025-sec-0002" sec-type="section"> <title>Methods</title> <p> <bold>Thirty‐four cats clinically assessed to have actinic dysplasia and superficial squamous cell carcinoma involving less than 50% of the nasal planum were treated with a three‐cycle curettage and diathermy procedure. Degree of dysplasia, response to treatment, adverse effects, owner perceptions, time to recurrence and proportion disease free at 1 year were evaluated.</bold> </p> </sec> <sec id="jsap12025-sec-0003" sec-type="section"> <title>Results</title> <p> <bold>Lesions ranged from actinic keratoses to invasive squamous cell carcinoma. A complete response to treatment was obtained in all cats. The median follow‐up time was 18 · 2 (IQR: 12 · 0–22 · 8) months. Two cats had a clinical recurrence of lesions at 161 and 192 days after treatment. The probability of remaining disease free after 12 months was 0 · 94 (95% CI: 0 · 85–1 · 0). Median time to recurrence was not reached. The procedure was well tolerated with a good cosmetic outcome and no significant post‐operative complications.</bold> </p> </sec> <sec id="jsap12025-sec-0004" sec-type="section"> <title>Clinical Significance</title> <p> <bold>This study suggests that curettage and diathermy is an effective treatment for feline actinic dysplasia and for superficial squamous cell carcinoma involving less than 50% of the nasal planum. Curettage and diathermy is an easily mastered technique, requiring minimal equipment.</bold> </p> </sec> </abstract>