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Lymph Nodes Question
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Madison, WI
Forum Posts: 616
Member Since:
5 December 2009
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7 August 2019 - 1:26 pm
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Found out yesterday that Gerry has an enlarged sternal lymph node and for the moment they believe this is a return of adenocarcinoma that he lost his eye to two years ago. 

Today (and I wasn’t even thinking about checking his lymph nodes myself, just petting him) I noticed two, equal in size, soft round balls roughly where his jaw meets his throat.  I’m just wondering am I noticing something normal that’s been there all the time – tonsils maybe? – or could these be his mandibular lymph nodes inflamed as well?  Is this at all an emergency if they are?  I wasn’t really paying attention as to whether the vet checked them when we were in for the x-rays yesterday.  She probably did.  Also, they gave him his lepto vaccine yesterday, so even if those are his lymph nodes, could it be a normal reaction to the vaccine?

Anyway, I’m stuck with a lot of questions swirling around my head today because Gerry’s vet is off until tomorrow.  Can’t decide if it’s worth trying to call the oncology office myself today to try to set up an appointment with them or not.  Seems to go a lot smoother, faster if I let my vet contact them first, so I’m thinking it’s worth my while to be patient.

Gerry’s doing well.  The only clear change in him, which prompted me to get chest x-rays, is he doesn’t walk very far without wanting to take a break and drink water.  Which, for all I know, could be more age-related than metastasis-related anyway.

Gerry has been a tripawd since 12/16/2009.

He was a shelter dog with a mysterious past and an irrepairable knee injury.

Videos and pics of Gerry's pawesomeness can be found at: http://gerry.tripawds.com

The Rainbow Bridge



Forum Posts: 25441
Member Since:
25 April 2007
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7 August 2019 - 6:03 pm
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Ohhhh Bri! It’s so nice to see you and Gerry here, I’m just sorry it’s under these uncertain circumstances. I hope with all my heart that whatever is going on is totally treatable so that Gerry can get back to being a 3-legged ambassador for us! 

Everypawdy, check out Bri’s registration date in her profile: December 2009! WOW. Talk about a long-time member. It’s great to know that you and Gerry and the pack are still out there. Thanks for posting, I know Dr. Pam will have some good input for you.

It's better to hop on three legs than to limp on four.™
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Forum Posts: 1953
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22 August 2008
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8 August 2019 - 7:34 am
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It would be odd for carcinoma from the eye to go to the sternal lymph nodes but it is possible.  Usually I would expect just the submandibular lymph node on the side the eye was removed to be enlarged.  It is easy to aspirate the lymph nodes under the neck but the sternal node is harder to access without ultrasound.  I would also check the popliteal lymph nodes in the rear legs (behind the knee) and the prescapular lymph nodes in front of the shoulder.  If these are all enlarged then either the dog is fighting infection or possibly has lymphoma.  I would consult with the oncologist ASAP (with your vet’s) help.

Pam

Madison, WI
Forum Posts: 616
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8 August 2019 - 8:54 am
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Thanks, Pam.  I can’t find/feel any of the other lymph nodes.  Today I’m actually feeling two roundish structures next to each other, equal in size on both sides.  We’ll be going back into his regular vet at 4 p.m. today. He has an oncology appointment Tuesday, but I couldn’t wait that long – got enough questions in my mind right now.  Hopefully he just has “unusually prominent glands” in this area that I have never noticed before. My vet emailed me back that it was a possibility.

Gerry has been a tripawd since 12/16/2009.

He was a shelter dog with a mysterious past and an irrepairable knee injury.

Videos and pics of Gerry's pawesomeness can be found at: http://gerry.tripawds.com

Madison, WI
Forum Posts: 616
Member Since:
5 December 2009
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9 August 2019 - 9:30 am
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Well spotted, Pam.  When I took Gerry back in to his vet yesterday, his vet said all his external lymph nodes were enlarged. smiley6 No fever.  Sounded like she would put money on lymphoma at this point, but she did aspirate and I may hear back as early as today on results.  Then if it’s cancer (whatever type), we’ll see Gerry’s oncologist early next week.

Thanks Pam and Rene for the responses while I was stuck twiddling my thumbs.  Always helps.

Gerry has been a tripawd since 12/16/2009.

He was a shelter dog with a mysterious past and an irrepairable knee injury.

Videos and pics of Gerry's pawesomeness can be found at: http://gerry.tripawds.com

The Rainbow Bridge



Forum Posts: 25441
Member Since:
25 April 2007
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9 August 2019 - 1:30 pm
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Dr. Pam your expertise brings peace of mind to so many of us, thank you for sharing your thoughts.

Bri, I’m glad you got to talk to your vet. We will keep our paws crossed for good news from the report. Please keep us posted and smooch Gerry for us OK? 🙂

It's better to hop on three legs than to limp on four.™
Latest Tripawds News
Read my story here.

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Forum Posts: 1953
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22 August 2008
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10 August 2019 - 7:05 pm
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At least lymphoma often responds well to chemo and many vets still use the Wisconsin-Madison protocol.  I’m sure your oncologist will let you know if the vet school has any current trials.  Good Luck!

Pam

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