[Felvtalk] Has anyone gone with radiation treatment for FeLV+ with cancer?
dlgegg at windstream.net
dlgegg at windstream.net
Sun Mar 15 19:03:12 CDT 2015
I THINK THAT IF IT WAS MY HARLEY, I WOULD SAY NO. IT WOULD NOT HELP THE QUALITY OF HIS LIFE AND THE TRAUMA OF SURGERY. I AM ON A SALVE FOR TUMORS ON THE SKIN AND A TONIC FOR INTERNAL JUST TO WARD OFF A POP UP OF MY LYMPHOMA. IF YOU WANTED TO TRY GETTING THE TONIC DOWN HIM, I CAN GIVE YOU THE INFORMATION. I WILL ADD BOTH OF YOU TO MY PRAYER LIST.
---- Marsha <martia at lynxe.com> wrote:
> Harley had a CT scan on Monday, and needle biopsy Friday. Saturday
> (yesterday) the report came back that he has cancer. It is in the area
> of his right middle ear and TMJ. By the CT images, it does not appear
> to be something operable - it does not have distinct borders and there
> is no room to get margins. I have many things to discuss with vets
> tomorrow: comfort care for the time being for sure; how effective is
> radiation treatment vs. benefit to Harley; are there any chemo protocols
> for this that can help? Also they push for a full biopsy requiring
> surgery because the diagnosis will be more "definitive" and they could
> stage the cancer then. But I question the cost (both money and physical
> discomfort to Harley) vs. benefit to him. How will the full biopsy
> change potential treatment? It will cost money, has risk due to
> anesthesia, location of mass, and possible infection, and will cause him
> some pain afterwards. Is it worth it for the extra bit of detail?
> Below is the report if you're interested, and able to read the technical
> stuff. One note on the final comment that radiographs are recommended
> to rule out bone involvement: the CT scan showed already showed bone
> lysis (erosion), but the pathologist did not have access to the info
> from the CT scan.
>
> In the meantime, Harley has gotten meloxicam or buprenorphine when he
> doesn't want to eat. The anti-inflammatory effects of meloxicam give
> him relief for 4 days or so, allowing him to eat comfortably. I just
> worry about potential kidney toxicity with that drug, so they have to be
> really careful about dosing, and the risk goes up long-term. I wouldn't
> ordinarily say yes to that drug, but it helps him. And if he's not
> going to make it long-term, the kidney concern takes back seat to his
> comfort. The buprenorphine doesn't help nearly as much, but may make
> him feel good. He has been eating all his food for the last 5 days, and
> plays and grooms himself. A little more subdued than usual, but he has
> a big burst of energy after his breakfast or dinner.
>
> Marsha
>
> CLINICAL INFORMATION:
>
> Mass adjacent to/involving the right tympanic bulla; painful to open
>
> mouth; bulge palpated through skin medial to the right caudal mandible
>
> suspected to be the mass; blind aspirate; concern for carcinoma;
>
> patient is FeLV positive; regional node (and all peripheral nodes)
>
> palpate normal
>
>
> SOURCE:
>
> Mass adjacent to roof of mouth right side: 12 slides
>
>
> DESCRIPTION/MICROSCOPIC FINDINGS/COMMENTS:
>
>
> Microscopic Description: The smears are low to moderately cellular on
>
> a clear background with moderate blood contamination, many scattered
>
> platelet clumps and a low to moderate number of ruptured cells. Few
>
> small, loosely cohesive clusters of polygonal to cuboidal epithelial
>
> cells are observed. This population exhibits mild to moderate
>
> anisocytosis and anisokaryosis. The cells have a small amount of
>
> variably staining purple cytoplasm and a round central nucleus. The
>
> nuclei have finely stippled to reticular chromatin and often 1-2,
>
> small prominent nucleoli. There are also rare mesenchymal cells noted
>
> displaying oval nuclei, one to three small nucleoli and moderate
>
> amounts of basophilic cytoplasm. This population exhibits mild to
>
> moderate anisocytosis and anisokaryosis and occasionally surrounds a
>
> small to moderate amount of pink extracellular matrix. No infectious
>
> agents or cytologic evidence of inflammation are observed.
>
>
> Microscopic Findings: EPITHELIAL NEOPLASIA; MILD TO MODERATELY
>
> ATYPICAL MESENCHYMAL CELLS
>
>
> Comment: The observed epithelial population exhibits only mild atypia
>
> but based on the number seen and the provided history raise concern
>
> for a well-differentiated, malignant neoplasm. Cell morphology of
>
> this population is most consistent with a basal cell, ceruminous gland
>
> or apocrine gland population. Significance of the rare mesenchymal
>
> cells is uncertain (they could be a fibrous component associated with
>
> the mass/granulation tissue, connective tissue, possibly rare cells
>
> associated with a well-differentiated mesenchymal tumor). Tissue
>
> biopsy with histopathology is recommended for a specific diagnosis.
>
> Radiographs of the area are also recommended to completely rule out
>
> underlying bone involvement.
>
>
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