Mast Cell Tumors (Mastocytoma) in Cats

Overview of Feline Mast Cell Tumors

Mast cell tumors, also called mastocytomas, arise most commonly in the skin. They develop from a normal component of body tissues called the mast cell that play a role in the process of tissue repair by releasing inflammatory mediators.

Mast cell tumors rarely affect the skin of cats, although it is the most common site for dogs. Malignant mast cell tumors in cats usually involve the intestine or spleen, and the spleen can become dramatically enlarged. Malignant mast cell tumors can spread to the lymph nodes, spleen, liver and bone marrow.

The cause of mast cell tumors is unknown. Mast cell tumors have been transmitted experimentally using tumor extracts suggesting possible viral origin, but this hypothesis remains unproven.

Among cats, the Siamese breed may be more commonly affected. Males and females are affected equally.

Mast cell tumors in the skin of cats usually are benign and can be managed effectively by simple surgical excision. Some mast cell tumors in young Siamese cats may even spontaneously regress in time without any treatment.

What to Watch For

Diagnosis of Mast Cell Tumors in Cats

Diagnostic tests are needed to recognize mast cell tumors and exclude other diseases that may cause similar symptoms. Tests may include:

Treatment of Mast Cell Tumors in Cats

Treatment for mast cell tumors may include one or more of the following:

Home Care and Prevention

Your cat should be examined by a veterinarian if you notice any mass on his skin. A fine needle aspirate or surgical biopsy can be performed to identify the nature of the mass. Most skin tumors in cats are benign, but early detection and treatment of malignant tumors, especially mast cell tumors, can dramatically affect your pet’s long-term prognosis.

No method of protection against development of mast cell tumors can be recommended because the cause of these tumors is unknown. Careful monitoring of your pet is important, especially if you have one of the breeds known to be at increased risk. If you notice a lump in your pet’s skin, the mass should be examined by a veterinarian as soon as possible.

In-depth Information on Mast Cell Tumors in Cats

Mast cell tumors or mastocytomas arise most commonly in the skin. They develop from a normal component of body tissues called the mast cell, which normally play a role in the process of tissue repair by releasing inflammatory mediators.

Mast cell tumors vary greatly in their biological behavior. Some mast cell tumors remain localized for extended periods of time, but others invade local areas causing much inflammation, and they eventually metastasize or spread to distant sites in the body. Malignant mast cell tumors can spread to the lymph nodes, spleen, liver and bone marrow.

Mast cell tumors rarely affect the skin of cats as they do in dogs. Malignant mast cell tumors in cats usually involve the intestine or spleen. The spleen of a cat with a splenic mast cell tumor can become dramatically enlarged.

Mast cell tumors occur as one of three types:

This classification refers to how closely the mast cells of the tumor resemble normal mast cells and ultimately to the biological behavior of the tumor or its tendency to remain localized or spread throughout the body.

Well-differentiated

Poorly-differentiated

Moderately-differentiated

This type is between well and poorly differentiated.

The cause of mast cell tumors is unknown. Mast cell tumors have been transmitted experimentally using tumor extracts suggesting possible viral origin, but this hypothesis remains unproved. Among cats, the Siamese breed may be more commonly affected. Males and females are affected equally.

Mast cell tumors generally respond well to treatment. Well-differentiated mast cell tumors in the skin often can be removed successfully by wide surgical excision. The less common, poorly-differentiated mast cell tumors can cause severe swelling and inflammation locally and tend to spread throughout the body. These aggressive tumors are much more difficult to treat effectively and often result in death. Mast cell tumors that occur in areas around the mouth, anus and genitals tend to be more aggressive and have a worse overall prognosis than those occurring elsewhere in the skin.

Mast cell tumors in the skin of cats usually are benign and can be managed effectively by simple surgical excision. Some mast cell tumors in young Siamese cats may even spontaneously regress in time without any treatment.

Diagnosis In-depth

Diagnostic tests are needed to recognize mast cell tumors and exclude other diseases that may cause similar symptoms.

Mast cell tumors are graded as follows:
Grade I (well-differentiated)
Grade II (moderately-differentiated)
Grade III (poorly-differentiated)

Treatment In-depth

Depending on their grade of differentiation, mast cell tumors often can be effectively treated. Treatment for mast cell tumors may include one or more of the following:

Radiation therapy also may be recommended after surgery if the removal of the tumor was thought to have been incomplete based on the pathology report that tumor cells were observed in specimen margins. Radiation therapy can be a very effective treatment for incompletely excised Grade I and II tumors with control rates approaching 90 to 95 percent at five years. Radiation therapy may also be used in conjunction with surgery and chemotherapy to treat animals with Grade III mast cell tumors. In this situation, the life span of affected animals may be prolonged and their quality of life improved.

Follow-up Care for Cats with Mast Cell Tumors

Optimal treatment for your cat requires a combination of home and professional veterinary care. Follow-up can be crucial. Administer as directed any prescribed medications and call your veterinarian if you have difficulty administering them.

Restrict your cat’s activity during the time he is recovering from surgery, usually 10 to 14 days, to allow for proper healing of the surgery site.

Your cat may be placed on a 7- to 14-day course of antibiotics to prevent infection from developing at the site of tumor removal.

Your veterinarian may prescribe a short course of anti-inflammatory analgesic medications. In cases in which radical surgery was necessary, your veterinarian may prescribe narcotic analgesic medications. These medications may be given by mouth or in the form of a patch applied to the shaved skin. The patch is placed on your cat’s shaved skin and the narcotic is absorbed slowly over several days, delivering constant pain relief.

Your cat usually will need to have sutures removed from the skin 14 to 21 days after surgery after healing has occurred.

The veterinary pathologist’s biopsy report will help your veterinarian (often in consultation with a veterinary oncologist) decide if your cat needs additional treatment such as chemotherapy or radiation therapy.

Even if no follow-up treatment is recommended, your cat should be evaluated on a regular basis for recurrence or spread of the mast cell tumor. Follow-up examinations are recommended every 2 to 3 months for the first year and then every 6 months thereafter for cats with mast cell tumor. Your veterinarian will take a complete history and perform a thorough physical examination during re-evaluations, and may also perform buffy coat smears to check for circulating mast cells.

You should examine your pet routinely for signs of recurrence at the site of tumor removal or for new masses. Unfortunately, cats that develop one mast cell tumor may have a tendency to develop others during their lifetime. If you detect any skin masses, contact your veterinarian for a re-evaluation visit.

Signs to watch for that may indicate spread of the mast cell tumor may include decreased activity, decreased appetite, vomiting or diarrhea. If you note any of these signs, contact your veterinarian to schedule a re-evaluation visit.

If your cat receives either radiation therapy or chemotherapy, your veterinary oncologist will instruct you on proper follow-up.