Roscoe - growth near heart and lungs

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Jen
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Roscoe - growth near heart and lungs

Postby Jen » Tue Jun 10, 2014 4:12 pm

Roscoe has a "soft body mass" behind his scapula above his heart/lungs. It is what has been causing his persistent cough that hasn't responded to or been diagnosed by other treatment/tests.

Prayers and crossed fingers for "not cancer" would be very appreciated. Very very. A little freaked out over here. It could be a granuloma. Of course, if it's causing problems it'll have to be treated, but I'll take that over cancer.

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Re: Roscoe - growth near heart and lungs

Postby Sabine » Tue Jun 10, 2014 4:17 pm

Oh no, Jen! :( Lots of good vibes for you and Roscoe. I hope it turns out to be NBD. Freaked out here too, after losing 2 of my cats within only 6 weeks. Please don't do that, Roscoe!
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Re: Roscoe - growth near heart and lungs

Postby Emily » Tue Jun 10, 2014 4:35 pm

How scary! I sure hope it turns out to be nothing major and can be taken care of...prayers sent for sweet Roscoe!

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Re: Roscoe - growth near heart and lungs

Postby UpwardDog » Tue Jun 10, 2014 5:28 pm

:( Yikes that is scary. What's next, a biopsy? ((huge hugs and virtual wine))

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Re: Roscoe - growth near heart and lungs

Postby Jen » Tue Jun 10, 2014 5:36 pm

His X-ray is being sent to a radiologist for an expert opinion since his toe x-rays are being sent anyway. They might be able to tell more conclusively. If not, an ultrasound and biopsy.

I'd already gone 15 minutes into the next patient's appointment, so I saved my questions until Friday when the x-ray results are back. I don't really know anything else.

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Re: Roscoe - growth near heart and lungs

Postby UpwardDog » Tue Jun 10, 2014 5:40 pm

What's going on with his toe?

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Re: Roscoe - growth near heart and lungs

Postby connie » Tue Jun 10, 2014 5:55 pm

Oh dear! All paws crossed here for Roscoe!!

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Re: Roscoe - growth near heart and lungs

Postby Amanda » Tue Jun 10, 2014 5:57 pm

Ugh! I'm so sorry. Praying for the best possible outcome.

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Re: Roscoe - growth near heart and lungs

Postby SherriA » Tue Jun 10, 2014 6:04 pm

All my good thoughts for you and Roscoe. I hope this is something you can easily treat.
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Re: Roscoe - growth near heart and lungs

Postby Jen » Tue Jun 10, 2014 6:10 pm

What's going on with his toe?

He's had some weird growth in two of his toenails and they bother him off and on. We had it x-rayed a couple of months ago, but the results were inconclusive and after talking with TCVet decided management and a watchful eye were the best courses of action.

They seem to have gotten worse recently, so we decided to do x-rays again to compare views and see if a radiologist can tell better what's going on especially since I was worried about the chest X-rays too. So we just had them all done at once.

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Re: Roscoe - growth near heart and lungs

Postby UpwardDog » Tue Jun 10, 2014 7:39 pm

Oh right. I remember you talking about that before. Hmmm

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Re: Roscoe - growth near heart and lungs

Postby maxs_mommy » Tue Jun 10, 2014 8:01 pm

Good vibes for Roscoe and you! I hope this is resolved quickly!
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Re: Roscoe - growth near heart and lungs

Postby JudyL » Tue Jun 10, 2014 8:44 pm

Oh no, I hope this is NBD and something that is easily treatable. Hugs for you and Roscoe. Waiting for answers for something like this is nerve-wracking.

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Re: Roscoe - growth near heart and lungs

Postby KathysCotons » Wed Jun 11, 2014 5:51 pm

Prayers for Roscoe and for you!

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Re: Roscoe - growth near heart and lungs

Postby Calypso » Wed Jun 11, 2014 6:37 pm

Roscoe! Stop being lumpy! And save your growth for your hair.

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Re: Roscoe - growth near heart and lungs

Postby UpwardDog » Wed Jun 11, 2014 7:14 pm

Pitter patter when are they planning to get back to us with this? 24 hrs feels like an eternity when you're waiting for results.

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Re: Roscoe - growth near heart and lungs

Postby whiteboxerboy » Wed Jun 11, 2014 7:47 pm

Oh dear. Lots of good thoughts to you guys.... how much longer til you find out??

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Re: Roscoe - growth near heart and lungs

Postby Jen » Wed Jun 11, 2014 9:04 pm

I'm thinking Friday. They said it took 2-3 days for results and our appointment was afternoon Tuesday. So Wed-Thurs-Fri is 3. I hope by 4 pm because he has an appointment with Dr Valentine then, and it would be nice to discuss with her.

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Re: Roscoe - growth near heart and lungs

Postby MaisyPancakes » Thu Jun 12, 2014 9:54 am

Oh no! Sending less scary vibes. I'm glad you can get the xrays looked at by a specialist. I'm sorry that his toes are bothering him more. :(

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Re: Roscoe - growth near heart and lungs

Postby LisaT_II » Thu Jun 12, 2014 2:21 pm

I'm so very sorry all this I happening!
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Roscoe - "primary pulmonary neoplasia"

Postby Jen » Fri Jun 13, 2014 7:25 pm

"Large ovoid soft tissue mass seen within the cranial, medial and dorsal aspect of the right caudal lung lobe. It measures approximately 6cm by 6cm on the ventral dorsal view. It is approximately 5cm in height on the lateral image. The remainder of the pulmonary parenchyma is otherwise unremarkable. No obvious evidence of lymphadenopathy can be seen. Within the cranial abdomen, the ventral live margin terminates cranial to the costal arch and there is concurrent cranial ventral deviation of the gastric axis, suggestive of mild microhepatica. The remainder of the abdomen is otherwise unremarkable."

"The primary differential diagnosis is neoplasia (primary pulmonary neoplasia). Metastatic disease is felt less likely. Other possible differentials such as pulmonary abscess or granuloma is also an unlikely differential. Mild microhepatica. It is suspected that this likely represents a normal variant for this patient. The presence of atrophy associated with chronic liver disease cannot be entirely excluded."

:frown: :confused:

As far as I could understand because a lot of words were thrown at me, an ultrasound would likely help specify for sure what this is but nobody really has any doubt it's cancer. Prognosis is 4-6 months with "hospice care," a year with chemo. We could see an oncologist to discuss surgery to remove the tumor but vet didn't think that was a very likely option given its location but that the oncologist would be able to know for sure. I already made the decision years ago that I would never do chemo on my dogs because I didn't want to reduce the quality of their life now just to extend it later, but now I'm being told canine chemo isn't really like human chemo. It is, however, $5-10,000. So now do we really have to make a decision based on money?! I can tell you right now that if that's the case, this will be the biggest fight we've had in 12 years.

I'm having a hard time wrapping my brain around 4-6 months because, apart from his toe and a cough, he's so healthy! He is bouncy and joyful and just as Roscoeish as ever. Dr. V did say, before we knew for sure what it was, that when I got the results not to pay any attention to the statistics because her patients beat them *all the time* with TCM. So we'll be going back to see her ASAP.

Thoughts?

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Re: Roscoe - growth near heart and lungs

Postby connie » Fri Jun 13, 2014 7:35 pm

Wow.

Also, OMG.

Thoughts? You probably know mine, and if you don't, I'll send you a(nother) copy of Sander's Book. :grin: Go see Dr. V. And good luck. If I can do anything for you guys, let me know.

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Re: Roscoe - growth near heart and lungs

Postby Jen » Fri Jun 13, 2014 8:05 pm

:) I was just looking for my copy. I'm sure it's here somewhere. If not, my grandparents probably still have theirs.

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Re: Roscoe - growth near heart and lungs

Postby UpwardDog » Fri Jun 13, 2014 8:14 pm

I'm so sorry and sad about this.

The ODO animals are having one hell of a bad run.

My bias --even without factoring in cost-- is not to do chemo. I would of course look at each situation individually and make my decision based on whatever info is available at the time. I wouldn' t rule out oral chemo if that was an option, but I wouldn't want to do the protocols I have seen where it's IV and the dog has to stay at the vet's for long periods.

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Re: Roscoe - growth near heart and lungs

Postby Jen » Fri Jun 13, 2014 8:23 pm

I wouldn't want to do the protocols I have seen where it's IV and the dog has to stay at the vet's for long periods.
Oh, I didn't even think of that! No, he will not be staying at the vet for any treatment. He wouldn't understand that. I can barely stand to leave him behind when I take Bella for her turn at Nosework class.

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Re: Roscoe - growth near heart and lungs

Postby Jen » Fri Jun 13, 2014 8:32 pm

I googled neoplasia and found this:

Causes — There are some dog owners who train their dogs to smoke cigarettes through a tracheostomy (a surgical incision in the trachea). These dogs have a very high susceptibility for lung cancer. Other contributing factors to pulmonary tumors in dogs include plutonium and other forms of radiation.

wtf

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Re: Roscoe - growth near heart and lungs

Postby whiteboxerboy » Fri Jun 13, 2014 8:33 pm

Well bummer, I'm sorry about all of this, too.

L & T did chemo for their Boxer w/lymphoma. She never appeared bothered by it at all - good appetite, good energy... it did make her coat yukky but that was it. She did have to stay at vet clinic for a few hours once a month bug that wasn't a big deal - the techs kept a close eye on her & spoiled her. (She's a retired show dog so I suppose it's not a huge deal for her).
Sadly just 3 months after finishing chemo a new lump appeared. They're doing more chemo but not the super strong one. As long as she feels good they'll stay with it. Vet gave her 4-5 months which is better than the 30 days w/o any treatment.

ETA: in case you're looking for a "bright side" of things - I'll never forget Dr. Fred saying that when you see the word **Adeno** you know it's very serious and very bad.
"No obvious evidence of lymphadenopathy can be seen."

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Re: Roscoe - growth near heart and lungs

Postby maxs_mommy » Fri Jun 13, 2014 8:54 pm

Oh God Jen, I'm so so sorry. Is Neoplesene an option? I have no idea but it seems like it's been discussed here a lot recently. 5-10K is a lot, especially since it might give a year, according to your vet. TCVM is obviously a great place for you to at least start. I have no doubt he's in good hands with you and your fantastic team but damn, that sucks.


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Re: Roscoe - growth near heart and lungs

Postby JudyL » Fri Jun 13, 2014 9:06 pm

I'm sorry about this Jen.

Personally, I'm with the others in that I wouldn't do chemo on a dog if the treatment might only give a few extra months, and the quality of life in those months has to be a considered as well. When my vet and I discussed the possibility that Dixie's anal mass might be cancer, she said that their practice recommends to not use chemo for that very reason. For me to even give a moment's consideration to using chemo, the dog would have to be young and of a long-lived breed, and the cure rate incredibly high.

Are you thinking of meeting with the oncologist or surgeon and having the ultrasound done?

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Re: Roscoe - growth near heart and lungs

Postby Sabine » Fri Jun 13, 2014 10:11 pm

I'm so very sorry to hear this, Jen.

Maybe you are interested in talking to Dr. Spencer about neoplasene?
http://www.scottvalleyvet.com/neoplasene-study/

He's very nice and if you send him an email outlining Roscoe's condition, he'll be able to advise if it is an option.
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