All feline diagnoses

Your cat was diagnosed with Mast Cell Tumour, Cutaneous. ~20% of feline skin neoplasms. USUALLY BENIGN in cats (unlike canine). Two subtypes: mastocytic (common, benign) and histiocytic (Siamese-associated, spontaneous regression). Compare 2 treatment options for cats including Surgical Excision, Observation (Siamese Histiocytic Variant) — with survival times, costs, and what to expect during treatment.

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Mast Cell Tumour, Cutaneous

BreedsSiamese (histiocytic variant, <4 years, spontaneous regression)
feline

Round Cell

About This Cancer

Cutaneous mast cell tumours in cats arise from the same immune cells (mast cells) as in dogs, but their behaviour is notably different. In cats, the majority of skin mast cell tumours are benign and are cured by surgical removal alone. Two main subtypes exist: the common mastocytic form, which appears as a solitary skin nodule and behaves benignly in most cases, and the less common histiocytic variant, seen predominantly in young Siamese cats. The histiocytic variant is particularly interesting because it often undergoes spontaneous regression — the tumours resolve on their own without treatment. This benign behaviour in cats stands in marked contrast to the often aggressive nature of mast cell tumours in dogs, highlighting how the same cell type can produce very different cancers across species.

Prognostic Factors(1)
Histological variantSiamese histiocytic variant has spontaneous regression potential
Minimum Workup(5 steps)
1Fine-needle aspirate cytology (diagnostic — mast cell granules visible)
2Histopathology with grading and mitotic rate if surgery planned
3Physical examination of all skin for additional lesions
4Palpation of regional lymph nodes
5CBC (baseline)

Median Survival Time Comparison

How long the average patient survives with each treatment

Bar opacity reflects evidence strength
Surgical Excision
See notes
Observation (Siamese Histiocytic Variant)
~12 mo (4–24)
Reading this page: MST (Median Survival Time) is how long the average patient survives with a given treatment. ORR (Overall Response Rate) is the percentage of patients whose tumour shrank or disappeared. CR = Complete Response (tumour gone); PR = Partial Response (tumour shrank). Hover over any abbreviation for a quick explanation.
Strength of Evidence

Each treatment is rated by how much published research supports its use. Solid bars indicate stronger evidence; dashed bars mean less certainty.

StrongLarge published studies with strong agreement among veterinary oncologists.
ModerateWidely used in clinical practice, but supported by smaller or retrospective studies.
IndirectEvidence comes from a different tumour type or species and has been applied here.
LimitedVery little published data is available for this specific treatment.

Please note: All treatment data is sourced from published peer-reviewed literature. Survival times and cost figures are approximate guides. Your pet's individual factors — including tumour grade, stage, and overall health — will influence outcomes and should guide all treatment decisions. The strength-of-evidence rating reflects how much research exists, not how strongly a treatment is recommended. This tool is designed to help you have informed conversations with your veterinary oncologist, not to replace them. Costs shown are US referral centre estimates and may vary significantly by region.