Caring for a Three Legged Dog or Cat
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Hello Everyone
Im Jenny , snowhite's mom and I really need some advice and opinions. Snowhite is a miniature schnauzer she is 8 years and 11 months old. On april her daddy and I found a small lump on her left back leg by I guess where the knee is at (not sure of the name). Her vet did a needle aspirate, suspected cancer so we went ahead with the surgery to take out the tumor and sent it out to the pathologist. It came back as a spindle cell sarcoma grade 1.
We took her to the oncologist which he recommended radiation, if no radiation then to do chemo but we opted not to do radiation or chemo because I myself battled with leukemia twice and I don't want to sound selfish but I don't want her go thru the pain and discomfort that those treatments lead to. I want her remaining years to be happy and comfortable.
The oncologist advised to just wait and see if another tumor grows which according to him since its a grade one the chance are low for it to grow back. I went ahead and got a second opinion and the second oncologist advised us to do a second surgery to remove more tissue and have a bigger margin since the first surgery didn't have the margins that they recommend. We had it scheduled for Monday may 12 but on sunday night the before the surgery I was brushing her when I discovered another lump about an inch below where the other one had been.
So we canceled the surgery her vet did an aspirate again and saw one cell that should not be there, so Tuesday she had another surgery to remove the mass and it got sent out to the pathologist and we are now waiting for the results to come in on Friday or Saturday.
Since we decided not to do chemo or radiation and the grade of the tumor is grade 1, and because of all the research I have done, we were thinking of doing amputation, but all the doctors are against it and say that for now that route is to aggressive to take.
Since I have been thru cancer twice I know that you cant predict when will cancer come back or HOW AGGRESIVE will the cancer be when It does come back. I believe in my heart that if I can contain the cancer with an amputation, then that is the right choice to do. My fear is of the cancer coming back in a way that there wont be anything else that we can do and then im going to feel guilty that I wasn't aggressive enough at the time when I should of been.
I don know if the second tumor or mass that appeared is cancerous but something in my heart is telling me that I should go with the amputation and by doing that im going to be saving her life. All her doctors are against this but I feel that in the end I should be the one with the decision because in the end snowhite is my life and to them she is just one more patient. They make me feel so guilty for wanting amputation, they make me feel like I want to cut off her leg for no reason at all, because its not necessary right now.
I really don't know what to do, what advice can you give me? Should I go with what my heart is telling me or should I listen to the doctors.?
Like how I said before, if there is a way to get rid of the cancer, why are they so against an amputation? In the end cancer doesn't have manners, it doesn't let you know when its coming or with what force its coming with.Since im new to this, I really need some insight and advice. Im really devastated because snowhite is my child with fur.
I feel so broken right now because I have to go thru this all over again but I know that I need to be strong so that snowhite can be a survivor just like her momma. I believe that im going to follow what my heart and love for snowhite is telling me. Im just scared that I might be going with the wrong choice.
Thank you all for your time and I will really appreciate any advice that you can provide me with. Thank you again.....Jenny...Snowhite's mommy
Hi Jenny, welcome. Your future posts won't require moderation and will automatically appear.
First, congratulations on KICKING CANCER'S BUTT! You are a rock star, wow! I'm so very sorry you're dealing with it now in Snowhite but your experience with this disease will help you be stronger and better than you ever though possible with whatever comes next for you and Snowhite.
When it comes to any kind of medical procedure, doctors will usually want the patient to go through the least invasive route first, which is likely whey they don't want you to jump to amputation (and that's similar to why it's so controversial when women want to have a radical mastectomy when they discover they have the breast cancer gene...many docs are still opposed to that).
Have you asked them what are the chances of the tumor recurring? What are the percentages they are discussing? And what would a chemo/radiation therapy program look like for her?
The thing to remember is that dogs handle chemo much differently than humans--better. I'm sure the vets told you this, and although you've been through the hell that chemo is, I know it's difficult to believe that, but most dogs do far better than anyone expects. That's because of the smaller dosages they are given since their bodies can't tolerate as much as a human's can. The whole point of veterinary chemo in animals is to balance quality of life with managing the disease, hopefully eradicating it, but to ensure that the dog isn't miserable. And the thing about chemo is, you can always stop it, there's no rule saying that you have to keep going if Snowhite is unhappy.
This is a hard call. We always advocate following your gut instinct, which you are doing. But when it comes to something like this it's a matter of balancing the odds with your gut feeling. Maybe getting more information from the vet will help you feel better about what you decide. Either way, we're here to support you. Thank you for joining.
Tripawds Founders Jim and Rene
tripawds.com | tripawds.org | bemoredog.net | triday.pet
jerry said
Hi Jenny, welcome. Your future posts won't require moderation and will automatically appear.
First, congratulations on KICKING CANCER'S BUTT! You are a rock star, wow! I'm so very sorry you're dealing with it now in Snowhite but your experience with this disease will help you be stronger and better than you ever though possible with whatever comes next for you and Snowhite.
When it comes to any kind of medical procedure, doctors will usually want the patient to go through the least invasive route first, which is likely whey they don't want you to jump to amputation (and that's similar to why it's so controversial when women want to have a radical mastectomy when they discover they have the breast cancer gene...many docs are still opposed to that).
Have you asked them what are the chances of the tumor recurring? What are the percentages they are discussing? And what would a chemo/radiation therapy program look like for her?
The thing to remember is that dogs handle chemo much differently than humans--better. I'm sure the vets told you this, and although you've been through the hell that chemo is, I know it's difficult to believe that, but most dogs do far better than anyone expects. That's because of the smaller dosages they are given since their bodies can't tolerate as much as a human's can. The whole point of veterinary chemo in animals is to balance quality of life with managing the disease, hopefully eradicating it, but to ensure that the dog isn't miserable. And the thing about chemo is, you can always stop it, there's no rule saying that you have to keep going if Snowhite is unhappy.
This is a hard call. We always advocate following your gut instinct, which you are doing. But when it comes to something like this it's a matter of balancing the odds with your gut feeling. Maybe getting more information from the vet will help you feel better about what you decide. Either way, we're here to support you. Thank you for joining.
Hello and thank you for the wonderful welcome. To answer your questions the best option is radiation with 90% success, but i not only cant afford it i really dont want to put her thru that. next would be chemo but it will only slow down the cancer not get rid of it. The next option is a second surgery to "try" to get better margins which might get rid of it all, but if it doesnt work then the last option is amputation, which that is the route i want to take. With the second surgery they just tell me that they can try and that the cancer might or might not come back at all.
I do want to save her leg but i rather save her life with a more aggresive option with amputation. Im just in a crossroad Since i want to go with amputation but they want to leave it for last resort., and i dont see the logic in putting her thru another painful surgery if the outcome is uncertain. Id rather put her thru ONE painful surgery that will likely be curative since she has a grade 1 tumor.
To me that leg represents cancer and if i can get rid of the cancer with amputation ifeel that ultimately its will be the best option in the long run. But thank you so much for your advice.
It's a tough situation that's for sure, and with your own personal experience in dealing with cancer I can totally understand why you're struggling with it.
What you've described is exactly what we've seen here; sometimes it comes back, sometimes it doesn't. You just never know. I think because the surgery of removing a mass is much less life-altering than removing a leg, the vets see that as the best option.
Did you get the latest lab results yet?
Tripawds Founders Jim and Rene
tripawds.com | tripawds.org | bemoredog.net | triday.pet
Its definitely a hard decision and I'm sorry you are having to go through it. I don't have much advice but I can tell you our story with STS. Four years ago I found a lump on my Jakes shoulder. It was biopsied and diagnosed a fatty lipoma. We were advised to leave it alone, there was no sense in removing it because sometimes dogs "just get those things" and it wasn't bothering him. Fast forward a couple of years, Jake was chasing a squirrel and started limping. For a few months he was treated for a sprain that wasn't healing. The vet thought to do another biopsy of the "fatty lipoma" which showed it was now cancerous, a grade 2 STS (nerve sheath tumor).
Two of the options we were given were radiation or removal. Like you, I just wanted it gone. He went into surgery, and they found it had grown down the leg (all the pre-op tests did not show this). His leg was removed and the tumor re-biopsied. It came back a grade 4. I was very glad to have it gone. Jake has since passed away, but not due to the NTS. He passed from another type of cancer which his onco said was really rare to have the two types in one pup. She was adamant they were not related. That being said, I would do it again in a heart beat. The STS's are considered locally invasive and slow growing, which is probably why they are leaning towards a less aggressive approach. If I were you I would do as much research as possible so you can make the most informed decision. If you decide amputation is the route you want to take, I would stick to your guns with them.
Please keep us updated!
{Hugs}
Mom to Tripawd Angels Jake (2001-2014) and Rosco (2012-2015) and Tripawd Tanner. “Whatever happens tomorrow, we had today; and I'll always remember it”
jerry said
It's a tough situation that's for sure, and with your own personal experience in dealing with cancer I can totally understand why you're struggling with it.What you've described is exactly what we've seen here; sometimes it comes back, sometimes it doesn't. You just never know. I think because the surgery of removing a mass is much less life-altering than removing a leg, the vets see that as the best option.
Did you get the latest lab results yet?
Jerry it sure is a tough decision....I did finally get the results back and it came back as a benign lipoma...and the doctors said since its not cancerous it should not cause any more problems but now with the story that Elizabeth has provided me of jake's it makes my decision on amputation, seem more logical and the best option in the long run for snowhite.
elizabeth said
Its definitely a hard decision and I'm sorry you are having to go through it. I don't have much advice but I can tell you our story with STS. Four years ago I found a lump on my Jakes shoulder. It was biopsied and diagnosed a fatty lipoma. We were advised to leave it alone, there was no sense in removing it because sometimes dogs "just get those things" and it wasn't bothering him. Fast forward a couple of years, Jake was chasing a squirrel and started limping. For a few months he was treated for a sprain that wasn't healing. The vet thought to do another biopsy of the "fatty lipoma" which showed it was now cancerous, a grade 2 STS (nerve sheath tumor).Two of the options we were given were radiation or removal. Like you, I just wanted it gone. He went into surgery, and they found it had grown down the leg (all the pre-op tests did not show this). His leg was removed and the tumor re-biopsied. It came back a grade 4. I was very glad to have it gone. Jake has since passed away, but not due to the NTS. He passed from another type of cancer which his onco said was really rare to have the two types in one pup. She was adamant they were not related. That being said, I would do it again in a heart beat. The STS's are considered locally invasive and slow growing, which is probably why they are leaning towards a less aggressive approach. If I were you I would do as much research as possible so you can make the most informed decision. If you decide amputation is the route you want to take, I would stick to your guns with them.
Please keep us updated!
{Hugs}
Elizabeth thank you so very much for your advice and the story on your journey with Jake, I really appreciate it, it has helped me not feel so guilty on the decision to amputate snowhite's leg.
I have done tons of research and most of the stories of STS I find is that after many unsuccessful surgeries and sometimes with radiation the cancer ended coming back anyways and sometimes it came back more aggressive than the first. I know not everyone's cancer is the same but I just want to give my snowhite a better quality of life and not put her thru surgery after surgery when the end result is going to be amputation.
The truth is none of us can say for certain if the cancer will come back and we cant control when it comes back. I want to go the the more aggressive route because im also scared since her cancer is grade 1 that if it comes back again it could be a higher grade and I don't want to go with the "lets wait and see what happens" route that the doctors want me to take.
I just want to do what's right for snowhite . I feel in my heart that amputation is the right way to go and its whats best for snowhite. I know with my decision she's not only going to be cancer free but she is going to be a happy and beautiful tripawd. 🙂
A B9 lipoma? Wow!
Stay tuned for tomorrow's Tripawd News blog post about our upcoming Tripawd Talk Radio episode about making medical decisions for our animals, I think you'll find it valuable.
Tripawds Founders Jim and Rene
tripawds.com | tripawds.org | bemoredog.net | triday.pet
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