SCC white cat

RE: SCC white cat

Martin Atkinson — Wed, 29 Nov 2017 12:42:40 GMT

[quote user="Nicola M"]what is the preferred approach to presumed nasal SCC in a cat?[/quote]I still recommend cryosurgery with a lesion that size and Filtabac Clear as the sunscreen, goes on easily and lasts all day.

RE: SCC white cat

Nicola Cole — Tue, 28 Nov 2017 20:43:44 GMT

Resurrecting an old thread but....what is the preferred approach to presumed nasal SCC in a cat? Lesion is currently small (5mm with a bit of horizontal extension in one direction) and appears superficial, was initially solar dermatitis, healing annually over winter, now not and getting slowly larger.

The owner doesn't want something that needs regularly painting on, but otherwise is happy to go with whatever option is best. As always, this is a very outdoorsy cat, and the owner is reluctant to limit his lifestyle as doesn't tolerate being indoors well.

RE: SCC white cat

Aine Seavers — Sat, 03 Dec 2016 23:48:33 GMT

I havent found that to be the case and given if lesion small enough-less than 5c coin, the aldara will shrink it away. use it sid x 3 days then every 3rd day-i have had 50% total lesion resolution success in perianal skin warts in dogs with this.It is used in humans as well for gDLE and so probably of use in dogs with this condition and perhaps some of the skin lesons seen with Old dog EM may respond to it as well. Is the dog entire-? suprelorin inj

RE: SCC white cat

Lindsey Edwards — Fri, 02 Dec 2016 21:22:55 GMT

Anyone with experience using aldara on canine patients - does it cause discomfort during application or during treatment? Have an elderly WHWT (not a candidate for anaesthesia) with perineal mass but owner will not allow treatment if this will cause additional discomfort as he is not currently distressed by said mass?

RE: SCC white cat

Rob Loxley — Tue, 01 Nov 2016 13:43:40 GMT

[quote user="Aine Seavers"]overviewing SCC treatment options for other cases. Hence some in depth info on the photo light treatment would be good[/quote]

https://www.ncbi.nlm.nih.gov/pubmed/11327662

RE: SCC white cat

Aine Seavers — Mon, 31 Oct 2016 21:30:07 GMT

the use of the photo light was what I was asking for more info on.tx. Re the charcoal, the paper was written by a vet whose husband is a human dermatologist which is probably where the concept came from. I don't think these particular clients would go for it as fairly intensive and a tad gruesome until the lesions heal but it is good to have all options in the one thread for referral back to later if overviewing SCC treatment options for other cases. Hence some in depth info on the photo light treatment would be good

RE: SCC white cat

Martin Atkinson — Mon, 31 Oct 2016 18:21:23 GMT

[quote user="Richard Carter"]The charcoal approach is extrapolated from the human side where SCC very common in Australia - literally burn the tumour to crisp, scrape away and repeat x 3[/quote]Being as this thread started with the owner not wanting anything aggressive this seems less of an option than cryosurgery or sharp surgery.

RE: SCC white cat

Richard Carter — Mon, 31 Oct 2016 09:59:51 GMT

the charcoal approach or the ointment?

The charcoal approach is extrapolated from the human side where SCC very common in Australia - literally burn the tumour to crisp, scrape away and repeat x 3

RE: SCC white cat

Aine Seavers — Sat, 29 Oct 2016 06:10:13 GMT

Could you expand in depth on exactly how to do this; then we really will have had all the options available for SCC in one place so easy to refer back to for all of us, many tx Aine

RE: SCC white cat

Richard Carter — Fri, 28 Oct 2016 14:33:06 GMT

thanks - no wonder couldn't find it if looking through the wrong journals. At least someone has a brain attached - TGIF!!

RE: SCC white cat

Aine Seavers — Fri, 28 Oct 2016 11:44:13 GMT

Is this the one, first written up in Control and Therapy then Richard Malik encouraged them to get it peer reviewed published?

J Small Anim Pract. 2013 Feb;54(2):92-8. doi: 10.1111/jsap.12025.

Curettage and diathermy: a treatment for feline nasal planum actinic dysplasia and superficial squamous cell carcinoma.

Jarrett RH¹, Norman EJ, Gibson IR, Jarrett P.

RE: SCC white cat

Karen Eggleton — Thu, 27 Oct 2016 19:05:09 GMT

Super useful Aine. Thank you very much!

RE: SCC white cat

Rob Loxley — Thu, 27 Oct 2016 18:35:44 GMT

[quote user="Martin Atkinson"][quote user="robloxley"]from our usual human meds supplier[/quote]Who do you use?[/quote]

http://www.munrovet.com/

RE: SCC white cat

Richard Carter — Thu, 27 Oct 2016 17:11:52 GMT

there is also a paper from Australia where you cauterise the lesions, scrape away the charcoal and repeat doing three cycles if I recall - been looking for the paper which I think is in the IFMS journals and the authors were getting very good response rates - something like 90% even on noses with v.good healing after, minimal scarring, loss of anatomy

will carry on looking....

RE: SCC white cat

Martin Atkinson — Thu, 27 Oct 2016 16:57:42 GMT

[quote user="Evelyn Barbour-Hill"]No bother, it's a stock item with Centaur so I imagine it is with other veterinary wholesalers.[/quote]Not on NVS when I looked but they may be able to get it as a 'special'.

RE: SCC white cat

Evelyn Barbour-Hill — Thu, 27 Oct 2016 16:37:06 GMT

No bother, it's a stock item with Centaur so I imagine it is with other veterinary wholesalers.

I have used it for a basal cell carcinoma and man, it's fierce.

RE: SCC white cat

Martin Atkinson — Thu, 27 Oct 2016 16:26:49 GMT

[quote user="robloxley"]from our usual human meds supplier[/quote]Who do you use?

RE: SCC white cat

Rob Loxley — Thu, 27 Oct 2016 15:40:00 GMT

Aldara 5% Cream	Aldar512	12 Sachets	£55.50

Aldara 5% Cream

Aldar512

12 Sachets

£55.50

from our usual human meds supplier

RE: SCC white cat

Aine Seavers — Thu, 27 Oct 2016 11:36:25 GMT

very much a prescription here and given anyone call sell advocate, revolution, wormers here, I suspect would very much be prescription only in the UK.

RE: SCC white cat

Martin Atkinson — Thu, 27 Oct 2016 10:52:17 GMT

[quote user="nobbygonzo"]

:) Just one last question-sorry! Is Aldara used daily ongoing and can it be done by the owner themselves? Thank you!

[/quote]I would ask where you get it from. I suspect its an over-the-counter product the client can just buy after discussion with the pharmacist.

RE: SCC white cat

Luca Poddighe — Thu, 27 Oct 2016 08:39:10 GMT

Very interesting, I didn't know this either. Does anyone know if it is available and how easy is to get in UK?

RE: SCC white cat

Aine Seavers — Wed, 26 Oct 2016 23:48:40 GMT

Owner applies at home themselves in most instances- except the first application where we do it if the lesions need cleaning up first. In those cats, we either do in consult if cat happy to tolerate the cleaning or lightly sedate and clean up area then paint the aldara on.

We use tiny cosmetic cotton buds(buy in a packet at chemist) and have owner paint Aldara on with bud as seems to work well and stops owner being heavy handed but cream can just be rubbed on. Owner Must wear Gloves. We show them how to apply the first one.

They must be advised to stop the cat sunbathing-not because the ointment is photosen which it isn't but they need to start prevention. We see it worse here end of Winter as the colder weather means the cats can stay longer in the sunlight so more exposure. On a really hot summer day the cats will seek shade. Don't know how that holds for the Northern Hemisphere but as our Winter's day can be 10-19 then maybe that still is a Liverpool summer...

There are different regimes but the usual regime for cats is daily for 3 days on and 4 days off. You expect to see inflammation-that shows Aldara is working but in the odd cat if severe then back off for a couple of days and or observe how owner is applying the ointment-only had this happen once.

Treatment continues for 6-16 weeks until lesions resolve and dry up. (For perianal warts we used 4 on 3 off in dogs-50% success which given many not easy to surgically remove then one could consider it).

A box has 6 sachets in it-depending on how large your target area is, you can get 1-2 weeks out of each sachet if owner seals the packet back up each time and keeps airtight.

This is what our prescription instructions say:

Paint as shown onto the affected area once daily for 3 consecutive days each week.

WEAR GLOVES.

Stop application if inflammation is excessive- if in doubt, check back with the vet.

RE: SCC white cat

Karen Eggleton — Wed, 26 Oct 2016 17:34:36 GMT

:) Just one last question-sorry! Is Aldara used daily ongoing and can it be done by the owner themselves? Thank you!

RE: SCC white cat

Aine Seavers — Mon, 24 Oct 2016 23:14:03 GMT

no probs, glad to share info, I learn a lot from Martin on cat stuff on this list so its been nice to share something back. good luck,Aine

RE: SCC white cat

Karen Eggleton — Mon, 24 Oct 2016 22:39:05 GMT

Thanks for the great advice about Aldara :)