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Caring for a Three Legged Dog or Cat

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Mast cell tumor removed in pup - dirty margins - to amputate or radiate?
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Member Since:
12 June 2023
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12 June 2023 - 6:45 pm
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Very new to this community. It's incredibly heartening to know it exists.

My girl is a 8Y coonhound mix who had a low grade mast cell tumor removed from her hind paw. Margins achieved were poor, however her aspirates to her liver, spleen, and lungs showed no metastasis. Local lymph node was also found to be "clean." 

Her incision site is having a horrible time healing. Wound dehiscence and strikethrough bleeding. She's about 2.5 weeks post-op and still needing regular bandage changes (2x/week). Her oncologist recommended radiation to the right hind leg. However, this couldn't begin for at least 4 weeks (and a punch graft procedure) to allow her wound to begin to really heal. 

Because her wound is taking so much time to heal, I'm very concerned that the cancerous tissue surrounding the incision site will allow the tumor to re-grow (is this possible, or am I making this up? - there's been a steep learning curve for me lately). Also concerned with just the amount of time it's taking. All I think is with every passing second, there is a chance the cancer is spreading. So, waiting over a month to even begin radiation is not great. The other option is amputation. When my mom had breast cancer, she scheduled her surgery to have her breast lopped off the next week. No second guessing. And I'm so glad for it because it's given her 20 years cancer free. I'm so grateful she didn't hesitate because her life has been a huge, unbeatable gift. Definitely worth losing a breast over. This is my thinking with my dog. I shouldn't wait, right?

Initially, I was fully on board with hind leg amputation. I have the surgery scheduled in a couple of days. But, now, I am wondering if I am taking too drastic of an action. What if I find a new tumor on her other hind leg in a few months? I won't have the option to amputate like I do here (or the option is at least not so simple). What if radiation is all she would really need? The oncologist said radiation eliminates all of the cancer in its target (in my girl's case, her hind leg) in 95% of patients. She estimated radiation would be $6k - $8k while amputation is estimated at $5k.

My dog is active and slim. I know she will adjust to becoming a three-legged gal. I know I can easily "what if" myself to death here. But, am I making the right decision? Hopefully all of these concerns haven't already been addressed. Still making my way through the forum! Any words of advice or calm would be so appreciated.

In short: 

PROs of amputation: Can begin healing immediately. Erases 100% of cancer in leg (because the leg is gone!). ~3k cheaper than radiation. Doesn't put my dog through the continued pain of this slow, slow wound healing process and the multiple sedations needed for grafting and radiation.

CONs: Complicates potential future cancer findings. Recovery needed for losing a leg

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The Rainbow Bridge



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12 June 2023 - 9:49 pm
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Hi Ann, welcome. Your future posts won't need to wait for approval so post away.  What is your dog's name? 

Deciding to amputate is tough, we all second guess ourselves even when it is the most obvious path. Mast cell cancer is a less straightforward decision than say, osteosarcoma, for many reasons. But it does sound like your oncologist recommend either amputation or radiation therapy right?

I guess the question is, if money were no concern (rarely is that the case), what would be the easier choice for you to make? Does your pup do OK at the vet? Would all those visits for the wound healing and radiation therapy be easy or hard on her mental and physical health? What would her quality of life be like during that time? 

Amputation is the faster, less costly way out. Recovery is usually over in a few weeks, but there may be residual pain issues in some dogs. But, it may help you get ahead of the mast cell cancer "wack-a-mole" game that an oncologist once described it to us as being like. Amputation also has some after-effects that come along with it, mainly mobility issues as a dog gets up in years. Your dog is still young, sounds healthy, and could easily adapt to life on three. You sound conscientious and like someone who will be sure that she gets the right kind of activity too.

Many people here have been in your shoes, chose amputation, and that was that, no more dealing with cancer treatment. Sometimes it can return, however, so that's always a risk really with either treatment path you take. There are no guarantees either way as far as a cancer recurrence. If, and that's a big IF, it comes back, there are other options like Stelfonta or intralesional chemotherapy , or electrochemotherapy

Either way, we will support you in your decision. Stay tuned for feedback from the community and keep us posted.

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13 June 2023 - 4:55 pm
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Thank you, Jerry. You asked all the right questions. I think, even if I had a massive disposable income, I'd still go for amputation. I don't want to mess around with this anymore and I don't want my girl getting messed around anymore than she already has been. I appreciate all of your input and support.

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Virginia



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13 June 2023 - 5:39 pm
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We are right by your side and will help support you through recovery  and onto all the celebrations as she regains her sparkle pain free!!!

As agonizing  as it is to makes a decision  like this, it is freeing to have a plan and move forward.

FWIW, you have made a  like a solid, well thought out decision that clearlym9s the gest for your pup!💖

Hugs

Sally and Alumni Happy Hannah and Merry Myrtle and Frankie too!

PS. Let us k ow when surgery  is scheduled  and any questions you ,may have, okay?  You are not alone!

Hugs 

Sally and Alumni Happy Hannah and Merry Myrtle and Frankie too!

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!

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