Use of subcutaneous tranexamic acid in the management of bleeding in feline oral squamous cell carcinoma

Feline oral squamous cell carcinoma is an aggressive cancer in cats and is often associated with significant morbidity and serious complications such as bleeding. Management of bleeding from oral tumours can be challenging at home, especially when conventional local haemostatic agents are ineffective. This case report describes the management of intractable tumour bleed in an adult domestic short‐haired cat with feline oral squamous cell carcinoma receiving palliative care at home. Various topical agents were trialled with limited effectiveness, including topical tranexamic acid, adrenaline, cold compresses, Yunnan Baiyao powder and alginate dressings. Subcutaneous administration of tranexamic acid successfully achieved the control of tumour bleed without any adverse skin reactions, suggesting its potential as a supportive treatment in similar cases.