Hi there. My dog Ruby had sudden onset Mast Cell Tumors present about 3 weeks ago. She’s an energetic 4 year old pit/great dane mix (I know because I spent a billion dollars on a DNA kit). I noticed about 7 subcutaneous lumps on her left side while she was outside playing. They felt like little oblong marbles under her skin. Our vet is an hour away. We had moved a few months back and kept our vet because we love him so much. We still see him for routine care. There is a vet very close to our home and I have read good reviews and have had email conversation previously when I was deciding whether or not to switch vets. I was concerned Ruby would have cancer, I just felt it, and didn’t want her to have to make several long trips to our vet if she were to require surgery, etc. So I decided to take her to the new close to home vet. As it is Covid-19 season, I did not get to go inside the vet’s office with her. They aspirated one of the lumps and were concerned. She was scheduled for surgery in the following week. I talked to my other vet about this, and he was not pleased to hear they aspirated her, because he was worried that the histamines from the tumor would cause it to spread. I was alarmed and researched Dr. Google for 2 days. It seemed to me after my research that the aspiration was standard course of care. Ruby had her surgery and had 2 large masses removed. They could not take all of them because there would have been too many incision sites. Directions for care included keeping her inactive for 10-14 days, not an easy dear with an anxious 65 lb lap dog. On day 7 of recovery, I noticed a fluid buildup around the incision site. Back to Dr. Google, I decided she had a seroma. I called the vet the next morning and we took her over and my suspicion was confirmed. They told us to call if it got worse. We still haven’t received the pathology back on the two masses that were removed. This morning I decided I needed to do more research, as two new masses have cropped up (the tumors, not seroma). Ruby is in good spirits and just wants to play and run with our other dogs. She’s mad at me, I’m sure of it, for making her lay around all day. Is it normal to have a seroma after surgery? Why do these tumors pop up all of a sudden?

Hi,

Last April, my 16-year-old long haired cat, Geisha, began experiencing frequent sneezing and congestion. Her symptoms worsened gradually. Her nasal breathing sounded wheezy and her purring sounded like duck quacking. We took her to the vet who treated her with antibiotics (Amoxicillin) and anti-histamine (Chlorpheniramine). When her symptoms did not improve, the vet then gave her a different antibiotic (Convenia) and a steroid (Dexamethasone). When her symptoms still did not improve, we took her to a specialist. The specialist ruled out rhinitis because Geisha’s bloody nasal discharge only occurred from her right nostril and concluded that Geisha possibly had a polyp or nasal tumor. They recommended performing a CT scan, rhinoscopy, and biopsy. They prescribed Geisha a steroid (Prednisolone) while we thought over their recommendations. Within a day, Geisha’s symptoms began to dissipate and after a couple of days, all her symptoms disappeared and she was fully recovered.

Unfortunately, in January of this year, Geisha had another relapse of the same symptoms. We brought her to the vet on 1/9/2020, who after hearing her previous history, prescribed both Clavamox and Prednisolone. They also administered a blood test, the result of which we were told was unremarkable.

Geisha’s recovery last year came after she was put on 1 tablet of 5mg Prednisolone per day. Unfortunately, the same medication regimen this time did not improve her condition. After weeks on medication with no signs of improvement, on 3/6/2020, we brought Geisha to a specialist referred by the vet. There she was given another blood test, the results of which was once again deemed unremarkable. During the same visit, we were told that only a CT scan along with a biopsy would conclusively identify the root cause of her symptoms. We agreed to the CT scan on this basis alone.

After spending close to $2,500 on the scan, we were told that the CT scan did indicate a mass but that the nature and identity of the mass could not be determined. The specialist informed us that the biopsy results did not indicate that the mass was cancerous. However, he stated that it is his opinion that the mass was cancerous, without any supporting evidence and despite the contradictory biopsy results. It is his opinion that the biopsy results are incorrect due to poor sampling. His conclusion is that we should consider pursuing radiation treatment since that would be the only resolution. So, basically, after a $2,500 expense, the vet is just as clueless about the nature of Geisha’s issue as he was before.

Geisha was returned to us after the CT scan with Prednisolone medication. We were instructed to increase her dosage to 1.5 5mg Prednisolone per day. With this increased dosage, Geisha’s condition has improved. In the month that has passed, while her condition has improved, she is still mildly symptomatic and not fully recovered and thus is still on the same medication regimen.

Naturally, my wife and I are very disappointed that we still have an inconclusive diagnosis despite having been assured that the costly procedures would be justified by the precise root cause that they would deliver. We also don’t understand why we spent money for procedures such as the biopsy only for the vet to completely disregard the results and formulate his opinion purely on conjecture. This all seems to fly in the face of the scientific method that all science is based on.

I would love to get your opinion on what you think is the issue with Geisha and what you believe the best course of action for her is based on her past year of symptoms and treatment history and also taking her age into account.

Thank you so much for your time.

I have a 12 year old cat that is experiencing sneezing, nasal discharge followed with blood in one nostril as well as some wheezing. Took him to emergency room and he was given steroid injection and clavamox for two weeks in December. After the two weeks experienced same thing, they stated it could be nasal polyp. Regular vet gave Orbax which did nothing. After calling around because everyone wanted 2500 for a ct scan i found a vet that performed a rhinoscopy and he removed three polyps. One looked abnormal so he did a culture and biopsy. He put my cat on doxycycline. The cat is still having wheezing but breathing better. The meds do not seem to be working. So went back to vet and he gave my cat a steroid injection. The biopsy came back negative for cancer and the culture negative for respiratory viruses. He doesn’t know whats going on. He says either my cat has a immune issue with inflammation where he will prescribe some predisone pills or that the cat has a tumor deeper than his rhinoscopy can go. He is suggesting i put my cat down. My cat has been behaving more energetic since receiving the predisone injection days ago but the wheezing and stuffy nose wont go away. Any ideas, i don’t want to put down an otherwise healthy animal.?

My 5 year old golden retriever, Paisley, just received ultrasound results that observed masses on her spleen, bladder and rectum, and enlarged lymph nodes. Her blood work came back normal, and stool sample was negative for parasites – she’s been a healthy dog! In the past 3 weeks, Paisley has been very lethargic, sleeps most of the day, can no longer get into the car or onto the bed, and strains trying to pass stool (it’s mostly blood or small stool with blood). Her appetite is unchanged – she’s always gobbled up her food and never misses an opportunity to mooch, so this is good. Her water intake is lower than normal, but she is still periodically drinking throughout the day. We’re currently awaiting the full report on the ultrasound to determine what the next options are (x-ray, biopsies, surgery, chemo – depending). My question goes out to the Pawbly community – pet owners and veterinarians, anyone who may have personal experience or insight related to this. Have you had this sort of unfortunate discovery with your pet? Was it benign or malignant? Is surgery recommended for both benign and malignant masses, and what is the likelihood of it resolving things? The questions go on…We just got this news last night, so admittedly my head is still spinning and not sure how best to proceed. It’s already been $2,000 in vet bills to get to this stage. Without pet insurance, just preparing for whatever costs may lie ahead for anything we choose to do next. Otherwise, Paisley is a very happy girl and still has a great zest for life when she has the energy! Shocked that this is happening to such a young pup.

Thanks in advance for any and all feedback! Very much appreciated.

My 14 year old female cat had surgery yesterday to remove a tumor on her right side. She has been doing very well until about 1 hour ago. Something about the surgical site is bothering her. It may be itchy or something, but she tries not to bite at the bandages at first. She will growl & run around, but will bite at the surgical area. Is there anything I can do to help her?

Hello! I have a 14.5 year old japaenese splitz who had disc surgery 2 years ago. This year he developed new weakness in his lower extremities and had a 2.5 kg weight loss so he had a full body ct with contrast and ct brain.
Findings included a chronic herniated disc explaining his weakness and an incidental finding of a splenic mass with some splenomegaly and no evidence of metastasis. Ultrasound findings were non significant. The nature of the mass remains unknown. His blood tests were good and he has no anemia. My veterinary doctor recommends a splenectomy. But i am worried of putting him through general anesthesia given that he has a heart murmur (on no medical Tx). I want to maximize his quality of life. I dont know if i should put him through major surgery given that he is asymptomatic but i am also worried abt internal bleeding and the suffering of metastatic disease if i dont operate. What should i do?

Had CT done of my cat Lucas due to no resolution of respiratory problems with antibiotics. Here are the results.

Moderate to marked thickening of the roof of the nasopharynx
• Otitis media bilaterally
• Lymphadenopathy left medial retropharyngeal lymph node

The marked thickening of the mucosal lining of the roof of the nasopharynx in conjunction withthe enlarged left medial retropharyngeal lymph node are highly suggestive for neoplastic
, and round cell neoplasia is the top differential diagnosis. Differentials include mast-
cell tumor, squamous cell carcinoma, adenocarcinoma, other. The mucosal thickening of the roof
of the nasopharynx can explain the bilateral otitis media due to mechanical obstruction of the
openings of the auditory tubes into the nasopharynx. A differential to neoplastic infiltration is
marked non-infectious inflammation (e.g. lymphocytic plasmacytic, eosinophilic) or
granulomatous inflammation (e.g. Cryptococcosis) but the later one is considered far less likely
here. The findings are not typical for inflammatory polyps.The bilateral otitis media is explains the history of head tilt and Horner’s syndrome.
Rhinoscopy/retrograde pharyngoscopy is recommended for further evaluation including FNA
sampling and biopsy. FNA sampling of the left medial retropharyngeal lymph node is warranted
as well. The prednisolone treatment may influence results of the samples.

I think all the tests and surgeries that may follow will be out of my budget. Already spent over $1000 to date with no resolution.
Wondering if there are veterinarians who would go in and remove the polyp – appears to be a poly under soft palate – just to give the cat some relief and time.

Opinions and suggestions are welcome.