Feline Gastrointestinal Eosinophilic Sclerosing Fibroplasia
A resource center for cat caregivers and veterinary professionals
Prognosis for FGESF
As previously mentioned, the prognosis for FGESF was initially considered poor to guarded. Fortunately, we have seen more recent research demonstrating reasonable outcomes with prolonged survival times when the disease is accurately diagnosed and managed. Sadly, there is still a subset of cats that do poorly.
Prognosis Challenges and Treatment
Because this condition is still relatively unknown and certainly underdiagnosed, we have seen many situations in which cats have been misdiagnosed. Veterinarians have often mistaken these masses for cancerous lesions during physical examination and surgery. Additionally, due to diseases having similar characteristics to a number of tumors on a microscopic level, it has even been misdiagnosed on histopathology. Consequently, navigating the prognosis of this condition poses challenges due to discrepancies in reported outcomes and external factors influencing data integrity.
Factors Influencing Treatment Outcomes
Treatment failures may stem from various factors, including the failure to diagnose underlying diseases, the presence of false-positive diagnoses (potentially indicating a more severe condition such as cancer), comorbidities, and complications arising from surgery—largely dictated by the lesion's location or medical management.
Recent Data/Treatment Advances
While historical perceptions may have been less favorable, recent advancements in treatment offer a more optimistic outlook. Recent data suggests survival rates close to 90% with medical management, with or without surgical excision of the mass.
Individual Variations
While we are now seeing many cases with prolonged survival time due to therapy, it's crucial to recognize that not every case aligns with the expected outcome, and individual variations are common. Unfortunately, there is still a subset of cats that do poorly. Each patient's unique circumstances contribute to a nuanced understanding of prognosis and treatment effectiveness.