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Questions to Ask Oncologist for Newly Diagnosed Osteosarcoma in our Vizsla | Presentation and Diagnosis

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Questions to Ask Oncologist for Newly Diagnosed Osteosarcoma in our Vizsla
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3 December 2017 - 2:47 am
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My 9 year old Vizsla was diagnosed 3 days ago with osteosarcoma in her left hind leg. We have an appt with an oncologist this coming Tuesday to discuss options we have. Her blood work and chest xrays did not show any apparent evidence of metastitis. If anyone has suggestions on questions i should ask the oncologist in the meeting I would appreciate it. This is all new to me and still in a state of shock about it.

The Rainbow Bridge

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3 December 2017 - 7:06 am
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Hi and welcome! I wanted to get your post approved so others can see it, but I’m on my phone now so I’ll comment when I’m on my laptop. Thanks for your patience!

Meanwhile see

http://tripawds…..ncologist/

And meet Bart

http://tripawds…..nationals/

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3 December 2017 - 12:25 pm
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Hi and welcome to our family 🌺

I am really sorry you find yourself here but  rest assure we are all here for you and we all know first hand what you’re going through. 

When my baby girl was diagnosed with osteosarcoma (clear lungs) these options were discussed:

Amputation – this is the only way to remove 100% of pain, no drug works fully for this kind of pain. 

Limb sparing surgery – there are several procedures but oncologist said it would not be a perfect choice because of infection risks (high) and the fact recovery takes many months. In the end, if there were serious problems, we would have to amputate. (Meg and Clare “megstamom” went for limb sparing surgery followed by amputation so you might want to chat with her if you’d consider going for limb sparing surgery)

Radiotherapy – in this case, there is a maximum amount of sessions our dogs can have, it targets the tumour directly and reduces the pain dramatically but requires general anaesthesia each time. Also, as the tumours are targeted, so is the bone so the risk of a pathological fracture increases (fracture which never heals) If a fracture occurs, amputation is needed.

Amputation plus chemotherapy – this is statistically the best option (and the one I went for)

Carboplatin – generally this is the first option and 4 to 6 sessions are done. Cerenia is also used, normally the day of chemo and for about 3 days after, to prevent nausea.

Doxorubicin – this is the second choice chemo, as it is dangerous to the kidneys and heart. A maximum of 5 sessions can be done. 

Later on, Eurydice also did:

Metronomic therapy – generally this is used after the IV chemo. It is administered orally and is combined with an anti-inflammatory and an antibiotic. The aim is to try and act inside the blood vessels and by doing so, starving the tumours of the blood supply they need to grow. 

Others who could not have amputation (like Hazel, the Great Dane) also had:

Bisphosphonates – this is a treatment by which the tumour is “enveloped” and therefore makes it more difficult for it to grow. It is normally used only if amputation is not possible.

There is a lot to consider, I know, but I can promise you once you make a decision and move forward you will feel better. 

Also, losing a back leg is much better than loosing a front one as the vast majority of weight is carried by the front legs. 

Please try not to be scared, we can all promise you here dogs can do fabulously well on 3 legs and have a wonderfully happy life! 

And as for life expectancy, remember statistics are worth what they are worth, we have many, many, many cases here of dogs who largely passed the forecasted “deadline”.

Do let us know how you’re doing, we’re all here for you!

Sending you a hug and cuddles to your baby boy 😘😘😘🐮💫✨🌟🌹

Eurydice 77kg/170lb Great Dane limping end of April 2016, amputation (right front leg/osteosarcoma) 4 May 2016 6 courses of carboplatin followed by metronomic therapy, lung mets found 30 Nov 2016. 3 courses of doxorubicin, PET scan 26 Jan 2017 showed more mets so stopped chemo. Holistic route April 2017. Lung X-ray 5 May 2017 showed several tennis ball size mets, started cortisone and diuretics. Miss Cow earned her XXL silver wings 12 June 2017, 13 months and 1 week after amputation and 6 1/2 months after lung mets, she was the goofiest dawg ever and is now happily flying from cloud to cloud woof woofing away :-) 

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