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Are misdiagnoses common in osteosarcoma?
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Member Since:
7 August 2013
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8 August 2013 - 3:45 pm
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Our Lesty is in good hands now and recovering from her amp (see 'Share Your Story' for details), but I'm wondering if others went through what we did before finding out what was going on.  

 

After some limping that clearly wasn't getting better we went to her regular vet who watched her walk and poked and prodded a lot then determined that there was some trauma in her elbow.  They told us that there were only two options, either arthritis or a bone chip.  After X-rays and finding no bone chip we were told it was arthritis and we were given some pain killers and told to watch it for two weeks.  The long and the short of it was that it got worse so we went to a specialist who first determined that the problem was in her shoulder (which was not X-rayed), not her elbow and that it was clearly Osteosarcoma.  Although we are happy with where we are now, she went through several weeks of pain during which tie the cancer presumably grew and had the chance to metastasize (though her lungs are looking good right now).

 

Is Osteosarcoma rare enough that a regular vet wouldn't see it often?

 

 

Colin

My heart lives at Rainbow Bridge
Member Since:
28 November 2008
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8 August 2013 - 6:54 pm
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I think a misdiagnosis is more likely to happen if there is no diagnostic x-ray.  Once they have the x-ray, they can make an educated guess.  Bottom line, they aren't 100% sure until they do the surgery and the pathology is completed.

When Trouble was diagnosed they were 90% sure with the x-ray, as there was an apparent starburst pattern that is indicative of osteosarcoma, but they wouldn't say for certain until the final tests were done after surgery.  We were given the option when she was prepped for surgery to do a biopsy, but declined.  We felt it would only delay the inevitable. As it turned out we were right.

Shanna & Spirit Trouble ~ Trouble gained her wings 3/16/2011, a 27 1/2 month cancer survivor, tail wagging. RIP sweetheart, you are my heart and soul.  Run free at Rainbow Bridge.
The November Five - Spirits Max, Cherry, Tika, Trouble & Nova. 11/2008 - 3/2013 An era ends as Queen Nova crossed the Bridge.

Tolland, CT
Member Since:
7 March 2013
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8 August 2013 - 6:59 pm
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Hi Colin.  Very glad to hear that Lesty is thru the surgery and hope you've taken everyone's advice and are stocking up on sleep and ice cream!

I think you'll find that every story is different.  We got our then 10 1/2-year old Roxie last June after her owner died unexpectedly. She was very healthy for her age and I thought we'd have at least a few years before any issues surfaced. She developed an occasional limp last fall. Had her at the vet and they thought it was a strain or overuse.  Got anti-inflammatory meds.  Ended up at the local emergency vet Christmas weekend because she was not using her back leg at all.  They took xrays, but not under sedation, so not a lot of manipulating of the leg.  I remember clearly the vet saying it was good that they found nothing because it ruled out bone cancer.  Limp came and went (a testament to her pain tolerance I now know) and we thought it had to do with icy trails and steps, but in late Feb we were back at primary care vet.  By then the muscle had wasted but a new hard area could be felt.  He knew as soon as he examined her that it wasn't good., and we knew, too.  New xrays and, next thing we knew, we had a new relationship with an onco at a new emergency/cancer care center.  Onco said that the location of Roxie's tumor, so far up in the femur, was extremely rare.  They would have needed to do a lot more investigating than what was done at Christmastime to find it.  Theoretically, that would have bought us more time, but it's all speculation at this point.  The ampu was the best thing we could have done for her and she sailed through post-op.  I hope the same for Lesty.  She finished chemo but unfortunately, she's now got mets in her lungs and we've been through a nasty week with loss of energy, appetite, but no clinical cause. 

We also have a 3-year old high-energy GSD, and I know that, should he develop a limp, I will insist on much more testing to rule out - or find early - any cancer.  I think everyone did their best with Roxie, but it's so important as pawrents to educate ourselves and ask questions and be advocates for our furries.  At some point, though, I guess we have to accept that we do the best we can, but sometimes it's out of everyone's hands. What's hard, too, is that so many technology advances are now available; limited only by what we can afford or are willing to pay. That can be heartbreaking, but that's another topic.  For now you know that Lesty's pain will be gone once she heals, and you've already given her a great gift.

 

Best, Liz and Princess Roxie

On The Road


Member Since:
24 September 2009
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8 August 2013 - 8:25 pm
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I hope it can bring you some comfort in knowing that you're not alone in having a delayed diagnosis. Many, many Tripawds here through the years went through the same thing, including yours truly. My own vet didn't even mention the "c-word" at all, it wasn't until my pawrents got a second opinion months after I started showing symptoms did the other vet mention it as a possibility.

We once asked a vet why so many dogs go through a delayed diagnosis. We wanted to know why so many don't get to the cancer diagnosis sooner and the answer we got made sense: conventional medical thinking says that you rule out every possibility and start with the least invasive, least traumatic and least costly tests and treatments first, then work your way up from there when symptoms don't improve. For certain dog breeds who aren't commonly known as being predisposed to bone cancers, reaching the diagnosis can take even longer.

When my limp started, my vet took x-rays but x-rayed the wrong part of me; my osteo tumor was in my scapula, not my limb. It wasn't until we got to a teaching hospital with better equipment that the tumor even appeared.

It really stinks when you're caught up in this and it brings on a lot of guilt later on when you do find out that was the problem all along but please don't let it get you down. Just know that Lesty doesn't hold it against you; you did the best you could with the information you had at the time. She is moving on and I know you can too.

{{{{hugs}}}}}

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

Virginia







Member Since:
22 February 2013
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8 August 2013 - 10:42 pm
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Just to add to all the wonderful input, Happy Hannah, like soooooo many dogs here, were first treated off and on for months for artritis or muscle strain, etc. For Hapy Hannah the limping would come and go...which of course was proof the arthritis meds were working!

Yeah, afraid this is par for the course for all the reasons others have mentioed

So e dogs were diagnosed very quickly and had amutation right away and it still didn't give estended tme for sme...and for some it did.
Some dogs weren't diagnosed for many months before amp. and some got extended tme and some didn't

It really is a crap shoot s p,ease don't spend any energy dwelling on it.

Your Lestey is going to have a quality, pain free life full of loving and spoiling and is going to do brilliantlh well for a very, very long time!!

Rest while you can! Yo are a great advocate for Lestey!

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!

Member Since:
24 April 2013
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9 August 2013 - 9:42 am
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So glad to read that Lesty's surgery went well and she is recovering nicely.
I remember when I first came here and started reading how just about every story was the same....limping was thought to be from over play or arthritis....took weeks or months to discover cancer. I agree that it has a lot to do with where the tumor is - a tumor in the ankle is much easier to spot than a tumor in the shoulder.

Sending all pawsitive energy for a speedy recovery!

Patricia & Mighty Atlas

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