Mast cell tumour on eyelid

RE: Mast cell tumour on eyelid

grumpyoldman — Fri, 15 May 2020 11:23:50 GMT

the lip to lid transfer does depend on an intact Levator palpebrae m. and orbiculares m being intact . the safest solution would be an orbitotomy and extenuation ,some clients cant accept the visual consequences of this .

RE: Mast cell tumour on eyelid

janine redman — Wed, 13 May 2020 21:30:48 GMT

The cat has been on steroids for three months and they have become less effective over the last week or so. My concern with leaving any lid tissue would be recurrence of the tumour , or with a lip to lid transfer a permanent droopy lid which is non functional?

RE: Mast cell tumour on eyelid

grumpyoldman — Tue, 12 May 2020 19:46:02 GMT

There is a lip to lid transfer that can be used to replace the upper lid and lateral canthus usually in cats with aplasia. Its also possible to resect normally then split the remaining lid and slide the edges apart. Much less skin to play with in cats so the sliding canthoplasties don't tend to work as well and leave problems with trichiasis . I have done Mustarde technique a few times in dogs , it works well taking skin from the bottom lid to the top in 2 stages . . Mast cells will sometimes shrink a lot with steroids and TK inhibitors so may be worth some pre surgery treatment . There are always flaps and free grafts, cosmetics are important you don't want it looking like one of Hannibal Lecters victims.

RE: Mast cell tumour on eyelid

Kate Richardson — Tue, 12 May 2020 08:30:18 GMT

I do hate it when owners say it’s not worrying the cat. What they often mean is the cat is still eating.
I won’t comment on the surgery, Sam is far better qualified on that front than me! But I would check the cat elsewhere for mast cell pathology- haematology with a smear, local lymph nodes and abdomen scan with spleen/liver FNAs if poss or at least talk to the owners about the possibility of systemic disease and thus prognosis. Even if present surgery may be warranted for palliative reasons

RE: Mast cell tumour on eyelid

Samantha Lane — Mon, 11 May 2020 19:29:41 GMT

Hi Janine, I've just replied on the other forum :)

Sam