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Results (Sithreal Update)
Sithreal's results are back. It was an aggressive feline mammary carcinoma. The surgery the vet performed was for skin cancer, not this type of carcinoma, which is rare in male cats.
I should have taken him to the vet when I first noticed that the nipple was abnormally swollen, and not waited until it became a lesion. If I'd been quicker, he would have a better chance, since more cells would have been contained. It would not have changed the treatment (since some cells still might have gotten into the system), but it would have increased the odds. That said, the vet said this is the earliest detection he's ever seen and that there is still a chance he can beat it.
It's a very aggressive type of cancer, so cells from it could have metastasized to his lymph nodes, lungs, abdomen, or more. I will be taking him in to get his stitches out Friday. He will have some x-rays at that time to determine if it has spread to the lungs or abdomen. If all seems to be well otherwise, I will make an appointment for him to remove the entire chain of nipples on that side, as well as the lymph nodes (the recommended treatment). If the x-rays show any spreading, then chemo was advised.
However, one sentence in the above article is now staring at me:
"The size of the mammary tumor determines prognosis and survival times. Cats with a tumor less than three cm in size may live up to 21 months after diagnosis, and those with bigger tumors have an average survival time of a year."
It was much, much smaller than three cm - I don't think it was even 1 cm. But even if it was smaller, only 21 months? And what kind of 21 months would those be? I think the above sentence refers to cases where the cancer has become systemic. If by some miracle I caught this before it became systemic, maybe that doesn't apply. I will talk to the vet once the x-rays are back. I will weigh Sithreal's quality of life, the extent of the cancer, and prognosis against surgeries, chemo, and suffering, and I will make a decision which way to go.
If there's no sign of it anywhere else and the second surgery heals well, and his quality of life is good, we will take it from there with frequent exams. If it has gone systemic and the prognosis is "21 months with chemotherapy", then I will have to do more research and figure out what I should do. If it gets too bad and he stops enjoying life...
But that isn't a decision I have to make yet. I'm still hoping the x-rays come back negative and we caught it in time.
So that's the news.
no subject
> Routine laboratory results include a low white blood cell
> count, low platelet count, and elevated levels of specific
> liver enzymes.
That does sound like Ookie's symptoms, but his blood platelet count wasn't just low. It was dropping quickly to zero. We had to give him immediate blood transfusions while trying to figure out what it was, or he would have died on the spot.
Right now Sithreal seems to be liking his Wellness grain-free canned food better each day. I think it's good for his skin, too - his coat seems shinier after only a few days. He's started to favor it over the dry food and ask for it when I come home instead of eating the pellets. Tonight I think I'll remove the pellets altogether. I may also offer him some raw chicken to see if he recognizes it as food. We'll see what happens...
no subject
Regarding tick diseases- at least in dogs, the darn things apparently can go subclinical, and then suddenly pop up with a deadly vengeance.
http://blackgsd.googlepages.com/ehrlichiosis
That's why I was aggressive about getting a second opinion about Chan's anaplasmosis.
Unfortunately, I can't seem to find much information on cats and tick borne illness.
no subject
While we were there, I mentioned Ookie's case, and asked if it could have been anaplasmosis. They said they had never encountered anaplasmosis in cats. Maybe that's because they never looked for it, though.
There are many root causes of thrombocytopenia (Ookie's "diagnosis"). It's not really a diagnosis as much as a set of symptoms. At the time, I suspected an undetected liver tumor.