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Recurring soft-tissue sarcoma in 14 yo cat - vet says to amputate
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Member Since:
26 August 2023
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26 August 2023 - 10:32 am
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Hi -

One of my cats just turned 14 and has a soft-tissue sarcoma in her front left paw that has shown up for the third time now.  First time was in 2016 or 2017, not sure exactly - we went to the vet and had it surgically removed.  It basically looked like an extra paw pad.  Then last year her paw pad began growing out the side again - had it removed again.  Now it's back and the vet is saying we should amputate.  Granted, the first vet back in 2016 said that too back then, and I just sort of thought to myself WTF and didn't really say anything and just had it surgically removed instead.

Everything I've read online makes me feel logically that it is the right choice to amputate.  However, my problems are 1) my emotions which are crazy right now and 2) I live with my husband and father-in-law.  FIL is a retired epidemiologist who specialized in cancer (vs. infectious disease epidemiology) and was the first head of our state's cancer registry back in the day.  My husband currently works for the state cancer registry, though he doesn't have a higher level degree.  Either way, both of them know way more about cancer (in humans!) than I do, and it's been so difficult to filter all of that out when trying to figure out what to do.  Then the third problem is the fact that we have multiple vets in the equation (at the same practice - first vet did first dx and first two surgeries, then second vet bonded with one of my senior kitties and so we've been seeing her more often and now she is involved with the surgery somehow) - I don't want to start a turf war about who gets to operate on my cat and I especially don't want to damage the relationship with the second vet who currently sees my 20 year old cat and loves him so much.

This cat is my girl Tara and she is the youngest of my "original four" that I had - Elly, Orlando, and Murphy who I got in 2003 and then Tara who I got in 2009.  I was always irrationally afraid that the first three would die at the same time (spoiler alert - they didn't) and so I always said Tara was my "insurance policy."   Then Murphy got kidney disease and then cancer and died in 2017 at age 14, and then I lost Elly to cancer at age 17 in 2020.  Orlando (who is Murphy's brother) is still alive and going (mostly) strong at age 20.  Tara just turned 14, and then we have the "new kids" who are Jake, age 7 and Jodie, age 6.  We also have Marble, a stray cat that we (read: my husband) adopted.  (We also have two dogs, Bella age who-knows, but 14+, and Liam, age 2.)  

ANYWAY, I am just really emotionally distraught and my FIL preaching at me about how it is "only a sarcoma" is not helping.  My husband is supportive and knows his dad can be overbearing, but he is "just trying to help."  We are very close to one of the best veterinary schools in the country in my opinion (NC State), but I'm also embarrassed to say that money is an issue.  The amputation estimate was between $2500 and $3500 and I am going to be hard-pressed to come up with that.  I can't really afford to go see a vet oncologist (and one of my vets has to refer us to them in order to be seen at the vet school) and have them end up telling me the same thing in the end.  But ultimately I can't imagine doing this to my little girl.

I searched for cats with soft-tissue sarcomas on the forums and didn't find a lot, so I am eager to hear if anyone else has dealt with something similar.

The Rainbow Bridge



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26 August 2023 - 3:52 pm
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Hi Beth, welcome. Your future posts won't need to wait for approval so post away. 

I'm sorry your cat was diagnosed. Your feelings are totally understandable, we all get it. And to be surrounded by your cancer-smart FIL, husband, and the vet situation too, well that's a lot to deal with all at once. I know why your FIL said it's "only" a sarcoma, because in the big picture, it's one of the less aggressive cancers. But to you, that doesn't matter. It's cancer after all, and when amputation is recommended that is no small thing.

What it comes down to is, you know your cat best. If she is young at heart and you feel she has a spirit that won't be deterred by a recovery, she can go on to live out the rest of her life as a happy cat. You obviously care for your animals really, really well (which in the end, has nothing to do with how much money you spend on them but rather how closely you attend to their emotional and physical needs) so there's no reason she cannot be happy.

We've had many cats here who lost a leg to an STS. See:

Vaccine Associated Sarcoma - Fibrosarcoma, Osteosarcoma, Chondrosarcoma

and also

https://tripawd.....;include=3

Updated Three Legged Cat Book Offers Hope and Help for Cat Amputation

 

One last thing to read:

Amputation on a Very Old Cat

 

Finally never feel bad that money is an issue. It is for 99% of us! It's OK if you cannot follow up with chemo or whatever treatment they recommend. Amputation can take care of the pain and that's the #1 thing to help your girl live her best life for as long as possible.

Stay tuned for feedback from others and keep us posted.

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26 August 2023 - 4:09 pm
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Thank you, Jerry!  My husband says he will support me in whatever I decide, but I'm also sensitive to the fact that Tara is the only one of my original four cats that really bonded with him as well.  They have their own relationship which I think is really sweet and so I want to make sure he's OK with whatever I decide to do.

She is very spirited, not super friendly but once she opens up to you she can be very sweet.  She is extremely tiny and petite, weighs less than 8 lbs but is at a health weight for her size.  I always figured she was the runt of the litter or something.  I always thought she would be adorable as a little old lady cat, just never imagined her with only three legs.  The first time the vet said that back in 2016 I was almost offended by the suggestion, it just seemed so drastic.  But if the alternative is that it comes back every year or six months and we have to do another surgery, and each time it's harder to get because there's not a lot of skin on her paw....

I have been reading and I like the idea of putting her in a modified onesie, she is so small that it's hard to find cones that fit her.  She's in one now that I kept from that first surgery in 2016 and she can get it off herself if she is really persistent (mostly she just leaves it there and suffers in silence, lol).  Plus my FIL will take it off her to feed her and then "forgets" to put it back on her.  She does chew at the cancer in her paw pad if left without a cone for long enough, so as long as it's there she needs the cone.

I am glad to have found this website, I went through a similar thing with Murphy when he had kidney disease back in 2017 and it was very helpful to have a community of people going through the same thing.  <3 

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29 August 2023 - 9:02 am
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Tara has an appointment tomorrow (Wed) with a vet tech for a blood draw and also a chest x-ray.  I was a little appalled to realize that when my husband took her in for her annual earlier this year, he did not get blood work done.  My rule of thumb is that if the cat is 10 or older, they go every year to the vet and get blood work done every year.  That's how we catch things like thyroid issues or kidney problems.  Orlando (20 year old) has gone every 6 months since he turned 18.  But apparently my husband didn't get blood work done earlier this year so it's been over a year now.  So we could find out something else, like thyroid or kidney stuff that we had no idea about.

Husband also wants to get a referral to an oncologist.  I made my list of questions to ask the vet when she calls with results of blood work and the x-rays.  He said he is having second thoughts about amputation.  I am hesitant to go spend $$$ seeing an oncologist just to have them say the same thing.  He also asked for a copy of the path report from the biopsy we did when the mass returned a few weeks ago, so he could read all the cancer-ese.  

Tara is still in her cone because otherwise she chews at her paw and re-opens the wound and I am worried about infection.  She is acting a little depressed, but I can't tell if it is because of the cone or because she doesn't feel well (or both).  She is pretty sedate normally, but she has been sticking close to me or going to hide in FIL's closet (the latter especially to me suggests that she doesn't feel good).

So yeah.  I am like 90% of the way there to amputation, but now husband is having second thoughts.  He said he will do whatever I want to do, but I worry about him holding it against me.

Virginia







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29 August 2023 - 10:11 am
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Your kitties are mighty lucky to hsve such a loving home and one that understands all their different personalities. ♥️

I can understand  how difficult  it is to think whether to amputate  or not.  Hopefully  the Onco can give you a clear path forward.

If amputation  does seem to be the best solution,  we can assure you cats and dogs thrive on three legs.  They love life to the fullest  once that vum leg is gone.  Not saying  recovery  is easy, but st least it doesn't  last furever.  And goodness knows, finances  definately have to be a part pf the equation!!   

Take care and update is when you can.

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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29 August 2023 - 10:45 am
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Thank you, Sally!  I think husband is falling back on the "she is already old" argument and how much more time will we get vs. putting her through an amputation.  Me, growing up, all four of our cats lived to at least 16.  Midnight was 18 when he died.  When I started collecting my own brood after college, I assumed 16 would be the minimum.  Murphy caught me completely off guard with his kidney disease and then cancer and he left us when he was 14.  So now I am like OK, 14 is the minimum.  Except now of course Tara just turned 14 last week.

And in husband's family, cat life expectancy is lower, maybe like 10 or 12 or something.  So he has said he is content to sort of let this be the thing that gets her.  And I know she won't live forever, something will get her, and at some point she will be old enough that I will say no, I'm not putting her through XYZ.  It's like with Elly, who was my heart cat, she majorly slowed down and it was obvious something was going on - so we went and they felt a mass in her abdomen.  She was 17 and a half, I didn't even bother putting her through the ultrasound because I knew I wasn't going to put her through the surgery (if that was even an option).  So we let her go.

But Tara at 14, my reaction is not automatically that she is too old or in bad condition.  She is very petite, but she is not overweight and she is generally healthy.  She looks way better than Orlando, who is 20 (just about anything goes wrong with him and I am ready to let him go so he doesn't suffer).  I think she would survive amputation and would adjust.  I struggle with the thought that I would feel horrible for the rest of her life, especially if it ended up being short.  But if we do this and she makes it to 16 or 18 or even 20, it will have been worth it.  I don't understand husband's willingness to let this be the thing that gets her, aside from him wanting to avoid putting both her and me through an amputation.  I tried explaining getting rid of the cancer now before it spreads will be better, but he does his "I know everything about cancer" thing and says it likely won't spread and won't be painful.  But if we don't want her chewing on it, she's in a cone for the rest of her life.  If we find someone to remove the growth, chances are it will come back.  And how many times do we put her through that surgery?

Sorry for all the word/emotion vomit, I'm sure everyone is used to it, this is such a huge decision and it's so emotional.

Virginia







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29 August 2023 - 5:10 pm
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Oh gosh, thank you soooo much for sharing all the thought processes involved  with  you, your husband and FIL while trying to decide a path forwar

No wonder you're  conflicted.  Sound reasons on "both sides".   And fnecause your experience with a cat's longevity is different from his,   you are both looking at this with different "filters".  One thing is clear though....you are all focused on what's best for Tara and you all love her very much.

Whatever dec you end of making, right down all the reasons you went with that path.  A member  Karen always suggest that.  In the future, if you ever start guessing yourself, you'll have this list to remind you why you did what you did.Sometimes it boils down to which of these tough decisions  can you not second guess down the road.

Keep is posted

Hugs 

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

 

PS. No worries about starting a "turf war" among the Vets.  They are above that and only want what's best for your kitty and with whom you are most comfortable. 

Co tinue to process your thoughts, talk to your husband and also include the opinions of the Vets.

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!

Where ever my car goes


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29 August 2023 - 9:39 pm
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Hi Beth and Tara, 

I am so sorry to hear about Tara's troubles with the tumor reoccurrence.  While I have not had any dealings with cancer in a pet, Tuxedo, my fur baby lost his rear leg and partial pelvis 6+ years ago.  He is 16+ years old now and still quite a handful, in many ways, being a big old boy.  So I can relate in some way to the issues about amputation you are likely going through.

As others have said, second guessing, third guessing, fourteen guessing is normal.  As is the reality of cost.  Vet care is expensive.  And surgery + any sort of follow-on treatment/care, even more so.  Tuxedo's situation was the result of trauma.  So I did not have the luxury/torture of time to consider my choice.  It was put him to sleep or try amputation and pray for no lasting spinal cord damage.  I do not for one minute regret the hasty decision I made.  Time in that fashion is not necessarily a good thing.

If there is anything I or others here can do to help you, even if just listen, do not be shy.  Also remember that any decision you make is going to be the right one.  Because it was made out of love and only you are in your exact circumstances to make it.

Best wishes,

Dawna, Tuxedo, Lilly, and Angel Dazzle 

The Rainbow Bridge



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31 August 2023 - 11:24 am
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Just checking in to see how Tara is doing.

I think as far as your husband's point of view, to that I say: how would you like having a cancerous tumor on your leg that kept opening up? Would you like walking around with it? How would you handle that pain, and wearing a cone all day? Because yes, it's painful, animals are just so good at hiding their pain. And wearing a cone is not fun either. So why would you want your animal to go through that? Even at an older age? Our medical system help elderly people through their health challenges as they age, why isn't it the right thing to do for animals?

OK I'm off my soap box.

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31 August 2023 - 12:56 pm
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Thanks, everyone.  We went to the vet yesterday so a tech could do the chest x-ray and also get some blood for blood work.  They said that Tara behaved extremely well.  So now we are just waiting on the vet to call us with results.  I think either way my husband is going to ask for a referral to a vet oncologist for a second opinion.  And then we are going to call whoever we get referred to and ask how much it will be to go in and see them, do the exam, etc.  I've already spent almost $700 between the biopsy, the blood work, and the x-ray.  But I would be interested to hear what an oncologist would say.  The thing on her paw has shrunk back down again, but she's still in the cone otherwise she chews at it.  I feed her in the morning and at night and I take her cone off and sit with her and let her bathe herself etc. but then put the cone back on when she starts going at her paw.  

I find if I think about this logically, amputation is the obvious choice.  But if I get emotions involved, I want to do anything but that.  I just find it so upsetting.  I think husband is still thinking more in terms of amputation would be to prevent the spread, and to him sarcomas don't spread often, so there is no need to amputate (I know his dad feels 100% the same way, but I did tell husband that if his father disagrees with me he just needs to keep that to himself and so far that's worked out).  I am like, but otherwise she is in a cone, or we find someone to remove the mass but then when does it come back and how often?  How many more surgeries would we put her through?

At one point husband even said that we have just talked so much up one side and down the other that he is confused about what to do and that is why he wants a new, fresh opinion from an oncologist.  I am like... I remember the order that things happened in if you want me to go over it and help you not be confused... but he just wants a second opinion. 

Just waiting for news from the vet and then we'll go from there, I guess.  I am sure she will call husband and then he will forget all the questions I want to ask... or she'll call me and I'll be in a meeting so she'll have to leave a message or something.  Ugh.  I hate waiting.  

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31 August 2023 - 7:10 pm
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So the vet actually called us around 7 pm tonight so we could both get on speaker and talk to her... first of all, Tara's chest x-ray was clear!  So there's that hurdle over with.  She did have a slightly high creatinine level, and the blood work was just a pre-anesthesia panel so nothing fancy.  Tara has never had any abnormal blood work before, so if she has kidney issues this would be the first sign.  I would like to get a urinalysis done at some point just to be sure.  Murphy developed kidney disease and we did the daily IV fluids at home for about six months before he developed cancer too, and I'm not real anxious to do that again unless of course we have to.

So husband asked some questions about why can't we just excise it again and the vet went back into explaining mode that cancer is very bad and scary and I could feel husband's blood pressure rising.  But he was good and didn't say anything, just that we would like a referral to an oncologist, and she said that was fine.  So we might hear from them tomorrow or it might be next week.

After we got off the phone he started to go off again about how everything the vet had said about sarcomas was wrong and I just started grasping at straws from things I had read and finally I went "in humans is it typically encapsulated?" and he was like "of course" and I said "aha! in cats it is not!" and suddenly I saw the comprehension on his face that this is CAT cancer, not human cancer and Things Might Be Different.  So we finally had that breakthrough.  I tend to be a little more well-read than he is, but cancer is like the one thing where I know he knows way more than I do so I just always defer - and this has been difficult because I'm like everything the vet is saying is jiving with what I've read and researched and he was just like "nope!" until I finally got him to see that it IS different.

Phew!  I'll keep reading and we'll get an appointment with a vet oncologist and see what they say and go from there.  Thanks again to everyone here who has been so kind.  I am really glad this place exists and that I found it.  It always helps to not go through these things alone.

Virginia







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31 August 2023 - 7:44 pm
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Happy that the xrays were clear.....great news!!.

Glad you and your husband  could have a "speaker phone consult" with the Vet.  Hopefully the  appointment  will bring more clarity as you try and navigate through a path forward.

Thanks for the updste

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!

New England
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1 September 2023 - 4:44 am
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This sounds like a mostly positive update. I'm glad your husband got to be involved directly in the conversation and that he learned something. Keep us posted! 

The Rainbow Bridge



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1 September 2023 - 1:14 pm
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Wow that's a lightening bolt breakthrough for him, pretty cool! smiley16

These types of cancers tend to have tentacles that reach way past the original tumor. We've seen folks take their animals in for excision surgeries many times because they keep coming back, until there just isn't anymore skin left work with around the tumor. Eventually you're still faced with the euthanasia or amputation decision. 

Getting an opinion from an oncologist is wise, especially in your situation. A third party can be so helpful and even if you decide not to pursue treatment at least you know you left no stone unturned.

Super happy to know that Tara is a pretty healthy and strong kitty right now. That's awesome.

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1 September 2023 - 7:29 pm
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Yeah, we've excised it twice and now it's back again.  It took 5-6 years between the first and second time, so we thought maybe the vet had got it all.  But it came back last year, and now about a year and a half or so it's back for the third time.  So the time with no tumor is getting shorter.  And it's on her paw, like right where one of her toes joins the paw and often it's the big main paw pad that swells up or looks weird or whatever.  So even if they tried to just like take a toe or something, it's in the paw pad too and you can't really take that and not take the paw... and then that turns into the leg, etc.  

I was talking to my mom tonight and I'm like amputation is the absolute last thing I want to do, but if Tara is healthy otherwise it doesn't seem right to put her to sleep at only 14.  I'd rather amputate than put her to sleep, but I really really don't want to amputate.  Ugh.

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