Cerumineuze adenocarcinoom bij katten: inzicht in de meest voorkomende kwaadaardige oortumor

Ceruminous adenocarcinoma is the most common malignant ear tumor in cats, often causing concern for pet owners due to its aggressive nature and potential impact on a cat’s overall health. This comprehensive overview will help you understand the key aspects of ceruminous adenocarcinoma, including its symptoms, causes, diagnostic methods, and treatment options.

What is Ceruminous Adenocarcinoma?

Ceruminous adenocarcinoma is a type of cancer that originates in the ceruminous glands, which are responsible for producing earwax (cerumen). These glands are located in the external ear canal, and when cancerous cells develop, they can form a tumor that disrupts normal ear function and can invade surrounding tissues.

Symptoms of Ceruminous Adenocarcinoma in Cats

Early detection of ceruminous adenocarcinoma can be challenging because the symptoms often resemble those of other, less severe ear conditions. Common symptoms include:

• Persistent ear infections: Recurrent infections that do not respond well to standard treatments may indicate the presence of a tumor.
• Ear discharge: A noticeable increase in earwax or the presence of a foul-smelling discharge can be a sign of a tumor.
• Swelling or mass in the ear: Owners may notice a lump or swelling in the ear canal, which can cause discomfort or pain for the cat.
• Head shaking or scratching: Cats may shake their heads or scratch their ears frequently due to irritation caused by the tumor.
• Hearing loss: As the tumor grows, it can obstruct the ear canal, leading to partial or complete hearing loss.

Oorzaken en risicofactoren

The exact cause of ceruminous adenocarcinoma in cats is not well understood, but several factors may increase the risk of developing this type of cancer:

• Leeftijd: Older cats are more susceptible to developing ceruminous adenocarcinoma, with most cases occurring in cats over the age of 11.
• Chronic ear infections: Repeated ear infections can lead to chronic inflammation, which may contribute to the development of cancerous cells in the ceruminous glands.
• Genetics: Some breeds may have a genetic predisposition to developing ear tumors, although this is not well-documented.

Diagnosis of Ceruminous Adenocarcinoma

Accurate diagnosis of ceruminous adenocarcinoma requires a combination of clinical evaluation and diagnostic tests:

• Fysiek onderzoek: A veterinarian will examine the cat’s ears, looking for visible signs of a tumor, such as swelling or discharge.
• In beeld brengen: X-rays or CT scans may be used to assess the extent of the tumor and its potential spread to surrounding tissues or bones.
• Biopsie: A biopsy is the definitive method for diagnosing ceruminous adenocarcinoma. A small tissue sample is taken from the tumor and examined under a microscope to confirm the presence of cancerous cells.

Behandelingsopties

Treatment for ceruminous adenocarcinoma depends on the size and extent of the tumor, as well as the overall health of the cat:

• Chirurgie: Surgical removal of the tumor is the most common and effective treatment. In some cases, the entire ear canal may need to be removed (total ear canal ablation) to ensure complete removal of cancerous tissue.
• Radiation therapy: Radiation may be used in conjunction with surgery to target any remaining cancer cells and reduce the risk of recurrence.
• Chemotherapie: Although less common, chemotherapy may be considered if the cancer has spread beyond the ear or if surgery is not feasible.

Prognosis and Outlook

The prognosis for cats with ceruminous adenocarcinoma varies depending on the stage of the tumor at diagnosis and the success of treatment. Early detection and complete surgical removal of the tumor generally result in a better outcome. However, if the tumor has spread to other parts of the body, the prognosis may be less favorable.

Ceruminous adenocarcinoma is a serious condition that requires prompt veterinary attention. Understanding the symptoms, causes, and treatment options can help cat owners make informed decisions and provide the best possible care for their feline companions. Regular check-ups and early intervention are key to managing this common malignant ear tumor in cats.