Oh what a roller coaster and amazing at how fast a year has went buy since Fuzz had his right front leg amputated and began the hope for recovery in his very rare osteosarcoma battle.  We learned around the 6 month mark that his cancer had returned and metastisized into lung as there was a nodule discovered.. At 9 months it had grown a bit... now it has grown a bit more and apparently a couple more nodules in addition to a mass developing in his side which oncologist stated could be related or unrelated to his original cancer.  My heart hurts and is so heavy for this little guy because other than a missing leg you would not know anything is wrong with him over the past year.  He was the poster cat for recovery and not losing his loveable personality at all!  The Dr. sent me the reports which I copy and pasted below for specific details on his masses.  At this point and actually long ago I decided I am not goint to pursue anything medically more than comfort measures.  Per my treating oncologist, there is so little information on any type of additonal treatment for Fuzz's type of cancer that no guarantee other than cost and high risk of side effects would be pretty much it.  So with as well as he has done in past year that is the journey we continue on to love and enjoy whatever time we have left together!  Biggest actual concern was he lost a pound and despite eating I notice his pickyness kicks in.. I just had  about $180 worth of dry and wet cat food varieties delivered this week and Dr stated if I see him stop or lessen eating we will look at medication for appetite which he said is something called into my human pharmacy as it is a human type medication that they use.  Same with pain but from his particular experience and with what Fuzz has going on he does not think actual physical pain will ever occur unless he would start a mass again in a bony region (like his original in scapula) and or area that is hindering something in him internally.  That is relief as pain and eating are my biggest concerns that I posed to be able to provide immediate treatment and intervention for.  Advice was same- monitor and return in 3 months unless something needed sooner.  #Effcancer!

p.s. we stopped and got a 4 piece Wendy's chicken nugget but he was still so worked up and stressed from appointment and long ride he has hid and slept most of day- like me... his nuggets were saved for later!

Love to all in Tripawd Community- Fuzzmom (Melissa)and Fuzz

Copied from medical reports/radiology findings from today:

PRESENTING COMPLAINT: Thoracic metastasis screen

HISTORY: HISTORY/COMPLAINT:

Owner reports Fuzz is doing well at home. Owner has noted a small SQ lump on L side that she thinks may be a little

larger. Otherwise seems to be doing well at home. Getting a medicinal mushroom supplement in food

PHYSICAL EXAM:

Bright, alert, responsive. Temperature-98.4 Heart rate-140 . Respiratory rate 40 . Eyes, ears, nose and throat- pink

mucous membranes., mild bilateral otitis externa. Heart and lungs- Grade IV/VI systolic murmur over sternum, no

arrhythmias, lungs clear. App 1.5 cm SQ mass on L lateral thorax near end of ribcage. Abdomen palpates moderately

tense and non-painful. Lymph nodes palpate within normal limits. R forelimb amputation Weight- 3.85 kg 8.4 lbs

THORAX September 22, 2020: Right and left lateral and ventrodorsal projections of the thorax are available for review.

Three total images are provided.

FINDINGS: The images are compared to the exam dated May 19, 2020. The previously noted, soft tissue nodule in the

caudal subsegment of the left cranial lung lobe is similar to mildly increased in size from previous. Complete evaluation

of this nodule on the current exam is precluded by positioning/obliquity of the right lateral and VD views. An additional, illdefined,

patchy region of increased soft tissue opacity is now present caudal to this nodule on the lateral views, and is

superimposed in the region of the caudal vena cava on the VD view. An partially well-defined, round to ovoid, soft tissue

opaque nodule is now identified in the cranioventral thorax. This structure is best identified on the lateral views at the

level of the second intercostal space. An additional, small, partially well-defined, rounded, soft tissue opacity is now

superimposed with the cardiac apex on both lateral projections. The pulmonary vasculature and cardiac silhouette are

unchanged and unremarkable. Wet hair artifact is no longer present. The remainder of exam is unchanged.

CONCLUSIONS: The suspected, mild progression of the previously diagnosed soft tissue nodule in the left caudal lung

lobe, with a new nodule in the ventral mid-thorax and a new, rounded soft tissue opacity in the cranioventral thorax most

likely represents progressive metastatic neoplasia. The soft tissue opacity in the cranioventral thorax is suspected to be

pulmonary in origin, though its location within the cranial mediastinum cannot be entirely excluded.

The ill-defined soft tissue opacity in the caudodorsal thorax is suspected to represent artifact secondary to atelectasis

and superimposition, but the presence of additional, ill-defined, pulmonary nodule(s) at this level cannot be entirely

excluded.

F2: