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Soft Tissue Sarcoma - Remove or Amputate??
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Member Since:
10 November 2013
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10 November 2013 - 1:13 pm
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Jackson (4 yr old shar-pei mix -cutest thing you will ever see) was diagnosed with a soft cell mesenchyme tumor on his hind ankle.  Due to it's location they are certain that they will not be able to get the 2-3 cm clean tissue removal.

Oncologist called this a "cancer of inconvenience" and said we would be able to remove it and although it would come back, we should be able to remove it again.  We had x-rays done, and it has not metastasized to his lungs thankfully.  When I left the oncologist office, I felt great relief.  Sounded like this cancer of inconvenience wasn't really going to do any damage to my baby!! yay for the world.

Cut to yesterday, the consultation with a surgeon...and the first thing he suggested was amputation!  What???  I was shocked and confused, to say the least.  He said that if we remove, the chances that when the tumor comes back it will be more aggressive is very likely, and that it could metastasize at that time.  I did remind him that Jackson has valley fever (under control with Itraconazole) which has caused him some discomfort in his upper back if he "rough houses" too much with the other dogs.  I have the tumor removal scheduled for Friday, but wondering if amputation is the better route? 

I have a call into the surgeon with these questions as well, but any input or suggestions is appreciated!

- Will removing a hind leg put a lot more stress on Jackson's back?
- Jackson would have to walk down (and back up) 12 stairs to get to the backyard.  Will this be too hard for him?

- Since the cancer has not metastasized, if we amputate now is it curative??

- Jackson loves to swim in the summer, would he be able to do that?? (by the things I have seen on this site, the answer is yes)

 

Just want to make sure I am doing the best thing for my best friend.

On The Road


Member Since:
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10 November 2013 - 1:23 pm
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Welcome! Your future forum posts will not require moderation.

You can use the advanced search feature with the Search function above to refine your search for existing helpful forum topics about soft tissue cancers, or search all Tripawds Blogs here.

True, if you have to deal with cancer, you are looking at a "good" one. But far too many times we here from people purring dogs through multiple painful expensive surgeries trying to "save the leg" only to eventually proceed with amputation.

Check the Videos page or the Tripawds Youtube channel and you'll find plenty of proof that three legged dogs can swim! Wyatt is a great swimmer without a rear rudder and his K9 Float Coat is very helpful.

You'll find many more answers to the most common concerns in the Tripawds e-books and be sure to bookmark Jerry's Required Reading List too.

Tripawds Founders Jim and Rene
tripawds.com | tripawds.org | bemoredog.net | triday.pet

Member Since:
18 September 2013
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10 November 2013 - 2:36 pm
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Hi Jackson's family

I cannot answer some of your questions e.g. valley fever complications but I can tell you that my nine year old lab Tucker had his front right leg amputated seven weeks ago due to a soft tissue sarcoma.  Tuck did go through an earlier surgery this year to have the tumour removed (April) but it was back and growing quickly by August - so he was only tumour-free for a few months.

Tuck has done extremely well since his amputation surgery.  He is on a diet (needs to lose about nine pounds) and takes meloxicam and supplements in his food but, for him, the amputation is likely curative as this type is not known to metastasize.

Tuck is now back to short walks but I have not had the opportunity to take him swimming yet....though he does love it.  Tuck and I are now working on improving his core strength and making sure that his remaining three legs stay strong and healthy.

Tuck is still the same wonderful companion that he was before his amputation - he is happy, wags his tail constantly, "puts up with" grooming from one of his feline sisters and has adjusted beautifully to his new reality.

Good Luck with all your upcoming decisions,

 

Linda and Tucker :)

 

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10 November 2013 - 3:59 pm
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Hi there,

Dymond was originally diagnosed with a soft tissue sarcoma (STS). It was also suggested to me to amputate, given the re-occurrence rate with this cancer type. I made the difficult decision to amputate her right front leg 10/18/13. Last Friday (11/8/13) marked her three week ampuversary and I'm absolutely amazed at her progress. When the surgeon removed her limb they also removed her lymph node, which revealed disease in her lymph node. I have decided to pursue chemotherapy especially since there is no sign of lung met. 

 

I understand amputation is a very difficult decision and it is definitely an adjustment, but it will become your new normal. 

Virginia







Member Since:
22 February 2013
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10 November 2013 - 4:36 pm
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Hi Jackson and "mom"!

First of all, take a deep, dee breath and B.R.E.A.T.H.E...........B.R.E.A.T.H.E.......inhale ..DEEP BREATHS.....exhale.....S L.O.W.L.Y......Good job!

Thisisuch an overwhelming, fearful and confusing tme! We all u derstand, that's for sure!

Happy Hannah was diagnosed with osteo, so there's potentialy a different diagosis, so I cano ofer no insight on Jackson's specifics. I CAN tell you tat, although her recovery was tough and I thought I'd made the wrong decision for almost three weeks.......it was the best decisin ever for her!! She's over eight weeks post amp and continuing forward (kockng on wood) and we are having the most joyful, blissful, fun, hapy tail-waggin' time! Hapy Hannahis "well muscled" (aka fat) and 118 lbs sana rear leg! She's nine years young so, even though she doesn't jave the back issues as Jacksn, she has some "issues"!

Your surgeon will evluate Jackson to ensure heis a candidate for the surgery.....certainly enlist an opinion fron an Orthopedic Surgen.

You will see by navigating the site that many dogs go for swims, hikes, etc. You will also see that, because it dles take a lotof stamina t walk n three legs, that some dogs prefer trading tummy rubs and aying in the sun to lng walks! Hapy Hannah thoroughkh enjoys walks, running, etc. She also enjoys sitting down a lot ore often for rests and rolling in the grass.....preferably grass littered with DEER POOP!clap

I did build a ramp as Napoy Hannah can go down stairs easily, vut jas trouble going up! NOWEVER, arou d her seventh month amuversary, she DID climb the back porch stairs , a d nas don it once or twice snce then!! I have very narrow steps to the upstairs bedroom and, so far, she has not been avle to do those. Many dogs have no problems with stairs though.

No dog has a ti e frame stamped on his butt and could care less avout anyole' diagnosis! Dogs live in tne NOW! They stay in the moment and have no worries! This journeyis all avout the very best quality we can give our dogs.

You are making a decision ojt of LOVE......and THAT is always the RIGHT decisin.

We are hear for you, okay? You are NOT alone! I hung to this site likeit was my lifeline...it still is and I'm not letting go!

Keep us posted n Jackson...PLEASE! He ust sounds delightful! His icture is womderful! It shows quite a handsome fella!

Hangin there! We're with you

((((((((((((Hugs))))))))))))))))

Sally and Hapy Hannah

Happy Hannah had a glorious additional bonus time of over one yr & two months after amp for osteo! She made me laugh everyday! Joined April's Angels after send off meal of steak, ice cream, M&Ms & deer poop!

Member Since:
8 November 2013
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10 November 2013 - 5:07 pm
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I feel like we are On the same rollr coaster! My golden had one surgery to remove a lump that was said to be too small to biopsy on October 9. Oct 14 it came back as fibrosarcoma. Oct 23 I was given clean bill of health by my primary. Oct 26 grape size lump appears at the same site. Oncology visit confirmed regrowth oct 31. The oncologist spoke of a second surgery with possible radiation if need be. I schedule surgery for nov 7. The surgeon was brutally honest and said now due to size , location and nature of the lesion surgery most likely would not cure it alone. And with radiation who knows if that's going to kill all the microscopic cells left behind. He said the only real curative measure would be amputation. Thus we are scheduled for amputation dec 13,2013. Its a front leg. He's a 6 year old golden retriever. His name is rusty Russell. I made a Facebook page to follow his progress.. Listed on facebook as tripawd rusty. Everyone here has been awesome.. Hope u find the encouragement, advise, support, answers you need.. Laney and Rusty Russell

Lancaster, PA
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11 November 2013 - 7:02 am
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I can completely relate to you being floored when the doc suggested amputation for this small lump that is removable.. because it happened to me too. 

Barret's Hemangiopericytoma is also a highly aggressive "nuisance cancer" but there was no way to get clean enough margins. 100% chance it would return. A chance that it would be inoperable when it did.

Amp was the only way to prevent it from being worse a year down the road when amp may not be an option. Rather than put my dog through surgery after surgery, we got aggressive with it. I didn't want any cancer cells left in my dog. It was a tough roller coaster of a decision, but I can look back and say NO REGRETS! 

The amazing creatures we call dogs are so resilient, you'd be amazed at what they can do on 3 legs. Look at some of the super large breeds and elderly dogs we have on this site. They are a testament that if they still have the will to live, why not give them a chance?

That said, it is your decision to make with your vet. It would be easier if we could tell you what to do, but ultimately you have to make the decision for your pup with their best interests in mind. Most vets generally won't recommend a treatment unless they believe that the outcome is going to lead to a better quality of life, so voice your concerns and think about it. No matter what decision you make, all of us will be here to support you along the way. 

 

Heather & Barret

Barret was diagnosed with Hemangiopericytoma May 16, 2013. Front left leg/scapula/pectoral muscle was amputated on June 11, 2013 and we've never looked back. Follow our story on http://barret.t.....pawds.com/ and read my column on That Pet Blog


Member Since:
10 November 2013
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11 November 2013 - 1:46 pm
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Thank you all for the replies. After reading for what seems the last 36 hours straight (and watching videos), I think we are going to go forward with the amputation. I kept asking Jackson what he wanted and if he would be angry at me. He just looked at me with those big brown eyes and said he would be fine. But my heart still hurts.

We are going to call the surgeon tomorrow and see what next steps are.

I already ordered the Web Master harness that everyone suggested and we will go buy the orthopedic type bed as well. As I mentioned earlier we have stairs both up and down as the "ground level floor" is really just and entryway. I plan on keeping him downstairs because that will mean he only has to go up 5 steps instead of 11 to go potty. This means I will need to live down there with him, but any idea how long he needs to be away from the other dog? Or how long until he can handle the 11 stairs alone? How many days do I need to take off from work? So many questions.

Maybe I should post this in another forum. Hmm.

Portage Lake, Maine
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11 November 2013 - 1:50 pm
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Hi Jackson's Mom,

I'm sorry you're dealing with STS but get all your ducks in line and educate yourself is the best way you can do this!

My tripawd, Spirit Maggie, had STS on her left hind knee.  We amputated as her STS was very diffuse and within the muscle.

If there are chances of it coming back more aggressively, I would do the amputation route.  My dog lived almost 4 years as an amputee and it wasn't the cancer that took her in the end(kidney failure).  If they can't get good clear margins, it sounds as though amputation is the best option, in the long run.

As far as stairs...dog dependent.  But my tripawd never did more than a couple stairs at a time.  I had a ramp for her to avoid the 6 stairs into my house.

As far as his back and that causing issues...that's a crap shoot too but regular PT work and not letting him overdo it will help IMO. 

Good luck with your boy!

 

Tracy & Spirit Maggie

Maggie was amputated for soft tissue sarcoma 10-20-09

Maggie lost her battle with kidney disease on 8-24-13

http://maggie.t.....t-24-2013/

Lancaster, PA
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17 May 2013
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11 November 2013 - 2:02 pm
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As far as steps, being away from the other dog, how many days to take off.. it really depends on the dog, but I can tell you about my experience and maybe it will help? You're seriously going to be amazed at how well he does :)

 

Barret is/was 4, very energetic 25 lb dog.

Surgery was the 11th, came home the 12th of June

We tried to prevent him from using the stairs, but it was pointless. He snuck over or around the barriers right away. It was no use. I lived downstairs with him the first night, but the second night he snuck upstairs before bed so it was back to business as usual.

I could tell he was definitely in pain, but he was still lifting his leg to pee (and falling over when he did it), up and down stairs, jumping on the couch.. We TRIED to limit his activity as much as possible, but a stubborn dog will be a stubborn dog. The hardest part was finding the right combo of pain meds the first week that controlled the pain and phantom limb pain. Ice and heat packs helped too. 

I took 3 days off work, however went back to work after only 2 days off because being around him 24/7 was driving both of us crazy. I think he was sensing my anxiety over his every whimper. It was tough to keep it together for him, but I tried my best. I used a web cam to check in on him throughout the day and went home at lunch to administer pills. 

I have 2 other dogs, they honestly backed off because they could sense he wasn't feeling himself. Keeping him confined was the least of my worries. 

Within a few weeks we weaned off the pain meds and haven't looked back since! 

Hope that was some help!

Barret was diagnosed with Hemangiopericytoma May 16, 2013. Front left leg/scapula/pectoral muscle was amputated on June 11, 2013 and we've never looked back. Follow our story on http://barret.t.....pawds.com/ and read my column on That Pet Blog

Idaho
Member Since:
12 March 2013
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11 November 2013 - 2:08 pm
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I can't answer your cancer-related questions, as Murphy's amputation came as the result of being hit by a car. I can, however, assure you that Tripawds CAN swim and quite well. We opted to get a Float Coat for him, just as a precaution against him getting too tired. He gets Sooo excited when we get it out. He can still out swim our quadpawd Golden.

Keep your chin up. Our pups turn out to be much more positive than we are sometimes. They just live for the now, rather than over thinking things (like I am prone to doing).

Kathi and Murphy

Murphy is a five year old Lab/Chessie cross. He was hit by a car on 10/29/12 and became a Tripawd on 11/24/12. On 2/5/13, he had a total hip replacement on his remaining back leg. He has absolutely no idea that he has only three legs!

UPDATE: Murphy lived his life to the fullest, right up until an aggressive bone lesion took him across the Rainbow Bridge on April 9, 2015 and he gained his membership in the April Angels. Run free, my love. You deserve it!

On The Road


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11 November 2013 - 2:14 pm
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It's great you had a heart-to-heart with him. I fully believe he is right. You WILL get through this, stronger and closer than ever.

All dogs and cats are different in how they recover and how long it takes. It's good to keep him away from stairs for a while, at least until his stitches are out, especially if they're non-carpted. But also keep in mind that the sooner you can "normalize" your routine together the sooner he will start to live a regular life again. Check out these CARE videos, they'll really help boost your confidence.

Tripawds Founders Jim and Rene
tripawds.com | tripawds.org | bemoredog.net | triday.pet

Virginia







Member Since:
22 February 2013
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11 November 2013 - 5:03 pm
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You have a plan and nowyou can move forward! Good foryou!

Just want t add ...regardingthe bed...and NO...Ihave NO affiliation to the Big Barker DOG BED!!

Happy Hannah is 118lbs. and I ordered it from Amazn after seeng all the reviews for beds that are supportive for big dogs.
She is over eight months post amp and still moving forward (knockingn wood), and this bed has not lost one smidgen of support!! I consider it the "tempurpedic" of dog beds! It has kept it's shape ten thousand percent. It is sturdy enough that a three legger can stand nit and move around without slipping or falling.

If you order fromAmazon, you can also help the triawds community.clap

Itis an "investment" and they dn't make any for small dogs. They have a wnderful guarantee also.

I cannot speak highly enough about this bed for larger dogs!

Yes, when I F.I.N.A.L.L.Y made the decision to do the amputation FOR Happy Hannah and realized it was not TO her,it was because we had a heart to heart talk too! And only people on this site can understand this.....but she made it CRYSTAL CLEAR she wanted to conti ue living life to the fullest PAIN FREE. Time frames didn't mean a thing to her.....just let her have QUALITY!! YEP! That's what she told me and that's how she's living! And every kiss and every wagof the tail says "thank you"! and I say "No, thank you"!clap

Love and hugs!

Sally and Happy Hannah

Happy Hannah had a glorious additional bonus time of over one yr & two months after amp for osteo! She made me laugh everyday! Joined April's Angels after send off meal of steak, ice cream, M&Ms & deer poop!

Georgia
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20 August 2011
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23 November 2013 - 10:38 pm
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I know I'm late; but thought I'd share my thoughts.

I'd guess by now that you have made your decision and the surgery is done.  I'd also guess that Jackson is likely up and around by now. 

My dog Spencer was only about 4.5 when he was diagnosed with a fibrosarcoma.  Unfortunately for us, it was extremely aggressive.  Between that and the location, amputation was the only possible first step.  Spencer was over 80 lbs before surgery.  He was down in the range of 78 lbs after surgery and through diet we got him down to about 74, which was a great weight for him.

After about day 4 I had to really work to keep Spencer from doing stairs.  For the first few days I used the sling to take him out the front door and around the house to go to the bathroom rather than have him deal with the deck stairs.  By 2 weeks post op he was handling stairs no problem and ran right up (or down) what ever he encountered.  

Have the doctors told you what grade the cancer is?  Generally fibrosarcoma is not an aggressive cancer and according to our oncologist, if Spencer's had been a grade 1 or 2 it would have been safe to assume that the amputation would have been a curative surgery.  Sadly, Spencer's was a "grade 3", which means very aggressive.  We tried chemo and I like to think that it bought him some more time with us.  

I never once regretting the amputation and now know that if ever faced with it again, it will not bring the tears that the suggestion brought for Spencer.  I can still remember my first post on this board and how just 2 weeks later I was completely sold on it (his amputation was 1 week after my first post - 1 week after we found the lump, I'll give myself another week to have realized that he was still going to be able to get around and not hate me).  In the 6 months that we had him as a tripaw, Spencer still went on hikes with us, climbed stairs and was pretty much just the same, just minus one leg.

Jac and Angel Spencer.  Spencer was 5.25 years old. He fought a grade 3 fibrosarcoma, started on his shoulder.  Left front leg amputated in August 2011.  15 weeks of chemo finished 12/22/11 (mytox and adria).  Lung mets found on x-rays 12/28/11.  Started carboplatin 1/6/12. Went to Heaven on 2/27/12. I miss him like crazy every day.  See his blog here:  http://spencer.tripawds.com/

On The Road


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24 November 2013 - 12:19 pm
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Thank you so much for taking the time to share Spencer's story.

Tripawds Founders Jim and Rene
tripawds.com | tripawds.org | bemoredog.net | triday.pet

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