Caring for a Three Legged Dog or Cat
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Our lovely girl Milly had a stage 2 Soft Tissue Sarcoma removed last week, unfortunalty because of the nature of the tumor being within the muscle they have no way of removing it all without completely removing the tissue and they have no way of knowing just how much is left in the muscle.
We have been give a prognosis of moderate to high regrowth of the tumor but have decided to hold back on the Amp for now as we are not sure just how many cancer cells have been left and are worried we would be removing a leg that would not actually cause her any problems in the future.
We have absolutely no experience of dogs with cancer and I really would love to hear of anyone's stories of what they have dealt with or advice on what we should do.
My heart says we should go through with the Amp because if there is even the slightest chance of the cancer growing back and causing her pain I want rid of it but My OH keeps reminding me that because they are not sure how many cells are left that she may not have any problems for a good long while as it is a slow growing cancer.
PLEASE HELP!
my head is spinning and I desperately want your advice.
thank you
I just went thru the same thing 2 weeks ago with my dobbie. We thought our prognosis was going to come out like yours but ours was to far gone and we had to AMP. bUT IF THE TUMOR WAS SMALLER WE WOULD OF TAKEN THE CHANCE and let them get out as much as we they could and did radiation. hopefully it would of got most of it. Then waited to see if it grew back which we were told it would. But he would of been 10 then and we would look at other option.
YOU DO RISK THE CANCER GOING TO OTHER PARTS OF THE BODY.
We did do the amp. and he seems to be getting better every day. He's not where he should be . but all the good people on this sight says it takes time.
Good Luck.
Not every soft tissue sarcoma is the same. Only your dog's vet can tell you what prognosis is like for Milly, but it's just a guess based on numbers that are not Milly. Sometimes we have to have faith and leap.
My dog had a grade 2, spindle cell-type cancer on a front limb. His chest films were clear taken a month apart. The cancer was likely not going to kill him. HOWEVER, the burst skin and gangrene from leaving the tumor there would have.
I am attaching a photo at the end of my post that shows you just how huge his tumor was. He was a very furry dog with feathering along his legs, so it was impossible to see how big this thing was until they shaved his leg. Then I was horrified.
I did inquire about what would happen if we did nothing. As you can see, the tumor would have burst through the skin and he would have had an open wound that would not heave healed. I was told he would die from gangrene most likely. Again, Milly's vet may tell you her path would be different; I was told to expect an unhealing, open sore and months of suffering. No way would I do that.
I was told that Dakota would be considered cancer-free if he did not have a recurrence within 6 months. That was based on the lab results of his leg after amputation. Dakota died a month ago, 22 months after his amputation. He was almost 11. He had a horrible puppyhood and likely had a weakened immune system from his neglect. He did not have the benefit of a healthy upbringing with good food and medical care. If Milly has had those things, then she's already got that on her side.
Dakota likely died from a separate, internal cancer that could not be predicted. I have struggled with wondering if his death was due to his original cancer. I have had 3 local vets and our 2 Tripawds vets here tell me no, it was likely not anything to do with that. Genetics have a lot to do with cancer in dogs, and Dakota had a lot of Golden Retriever in him. Goldens are unfortunately cancer magnets in some ways. But I would never write off a Golden with cancer, either; I have no crystal ball.
My advice to you, since you're asking, is to get Milly's leg off ASAP. You won't know till then what her life expectancy is like, but it is a soft tissue cancer and not a bone cancer, so her chances of survival are greater. If you amputate, she PROBABLY will have a great life and live longer. If you leave the tumor alone, she WILL die from it, though it would probably come from an infection due to the tumor bursting. That's no way to go.
If you want to talk more about STS and how it behaves, many dogs here lost legs to it. I have a blog that started in Feb. 2011 and you could call up that month and read about Dakota's beginnnings. Others can chime in with their experience, but you already have the benefit (if there is one) of not dealing with OSA. You are dealing with a devil, but not the worst devil.
Shari
See this huge sucker? I was told it would be an ulcerated, oozing mess within 6 months, most likely followed by gangrene. But taking the leg would fix it!
From abandoned puppy to Tripawd Warrior Dude, Dakota became one of the 2011 February Furballs due to STS. Our incredibly sweet friend lived with grace and dignity till he impulsively raced over the Bridge on 12-15-12.
Dakota's thoughtful and erudite blog is at http://shari.tr.....pawds.com/
Hi Lonlydog and Dakota Dawg thanks for your stories.
We have had the main body of the tumor removed however the tumor has tentacle like extensions going through the muscle itself and it is impossible for them to trace the length of those tentacles. So although he initial danger has been removed there are most likely to be cells left inside we have been told it is a slow growing but as the original lump was found back in November and tripled in size the space of about a month or less, I am worried it is faster growing than we have been advised. I dont know how cancers develop so don't know what the regrowth process is like and how it might manifest next time.
Poor Dakota had a terrible looking tumor that must have been awful I cant imagine the panic and worry you must have gone through when you saw it like that. Milly's tumor when removed was about the size of a pingpong ball but because of the speed with which it grew they took it out straight away.
Like I said in my heart I feel like Amputation will be our most likely route its just hard when you see how perfectly normal she is and pain free to imagine removing what looks like a perfectly healthy leg.
As to her breed she was a rescue dog but we believe that she is a German Shepherd/Rhodesian Ridge-back x with perhaps a third breed in there.
Anyone else have anymore experiences similar to this?
I completely understand what you mean about taking a leg that is causing no pain. Dakota never was in pain, either, which made it hard for me in some ways. It made it harder for him, too, because he was still using his leg fully. The dogs that hurt begin to limp and favor the hurting leg. Many of them have been hopping on 3 legs long before their amputations, so they are already adapted to that. Dakota was not. He had a steep learning curve and it took him a lot longer to adjust. But adjust he did, and he was fine.
I also understand about the nature of the tumor with all its tentacles. Cancer is a nasty thing, and imagining it with tentacles seems about right!
Good luck with whatever you decide. You will find us all to be very supportive. Give Milly a hug and a belly rub for me.
Shari
From abandoned puppy to Tripawd Warrior Dude, Dakota became one of the 2011 February Furballs due to STS. Our incredibly sweet friend lived with grace and dignity till he impulsively raced over the Bridge on 12-15-12.
Dakota's thoughtful and erudite blog is at http://shari.tr.....pawds.com/
Hi,
My little pug Maggie had mast cell cancer. She had one tumor removed from her side about 6 months before I found the one in her knee. Although her tumor was causing a little stiffness, I do not believe it was painful. In fact the only stiffness I noticed was when she peed- she put her left leg out a little further when she squatted, and I only noticed that when I knew there was a tumor. When my vet, then oncologist, then surgeon said amputation I couldn't believe that was the solution. Like Shari, I asked what would happen if I left it alone. There were two things- one was a ulceration of the skin with a never healing wound. The other was risk of spread. We did lots of testing before surgery and did not see any spread. I went forward because in my mind amputation was curative. Unfortunately after surgery cancerous mast cells were found in the lymph node removed with the leg. Her prognosis was 6 to 9 months, but she blew that away, she lived almost 4 years. I don't know if it was the chemo we did, or that the cancerous mast cells were isolated in her one lymph node (seems unlikely) but what I do believe was that if I had not done the amp she would not have lived that long. Nothing in this cancer fight is for sure, but what I gave her was a chance.
I don't have experience with STS- what is your vet saying about the possibility of mets? Would amputation give you a good chance of getting the rest of the tumor tentacles? If you do the amp and there is cancer remaining in her shoulder what are your options? Are the options the same with or without the amp?
The moderate to high possibility of regrowth would concern me. If the growth is unpredictable could it grow such that amputation couldn't help your girl?
This is a big decision and I don't mean to push amputation on you. If it were me, and removing the leg removed the cancer I would do it. I do realize that it is easier to reach this conclusion once you have been there before.
We will help you no matter what decision you make.
Karen and the pugapalooza
HI milly'smom...
My dobbie who turned 9 January 9th, 2013 had his front right leg amputated on Nov 26th 2012...he was diagnosed with osteosarcoma on Sept 25th 2012. I am sorry I waited so long to do the amputation!! His recovery was instant and it is very very true what everyone is telling you...that she will be GREAT in just a few weeks. I was told by more than one veterinarian that by the time the cancer is diagnosed..there are other microscopic cells throughout the body that may not register..but that it will come out/back eventually...and unfortunately I know that is the case. I'd go through with the amputation as soon as possible so that she's pain free and loving life for as long as she can.
Hi, Milly's mom. I had posted to you in the other section, but please feel free to ask me any questions if I can help. I know I read Dakota's blog a lot because of the Soft Tissue Sarcoma.
I have a thought- and please please don't flame me as I felt HORRIBLE doing this but our vet suggested it and in retrospect I'm glad I did it. We wrapped an ace bandage around tilghman's "cancer leg" before surgery-- and kind of wrapped the leg up near his chest. Not to cause pain or anything like that but to make it inoperable. We then called him and gave him LOADS of chicken liver treats when he hopped a few feet to us. The whole thing lasted 1 minute or less. Obviously, this is not the same an amputation and I still feel terrible BUT it gave us the confidence that yes, our goofy boy could get around on 3 legs. I wonder if that would help you?
My other piece of advice is- if you're able- get another opinion. Our first specialty vet experience was OK, not great. We then went to a teaching university and loved them there. They were much more optimistic and cognizant of cost-- because especially when you're talking radiation, cost IS a real factor for many of us.
I admit I'm in a pleasant fairytale phase right now (compared with crying all the time last week)- because the vets are saying Tilghman is doing well in recovery. I am SURE it will get harder- and we'll have some struggles. But I feel like I gave him (and us) extra play time and I'm grateful for every moment we have.
Emmie, I don't think what you did wrapping Tilly's leg was a bad thing at all. I wish I'd had the foresight to try it. Unlike a lot of people, I did not agonize over the decision. That's neither bad nor good, it's just me. Once I knew what was in there, I wanted it gone. And when I knew it wasn't OSA, I felt better about prognosis.
Dakota was not an easy adjuster. He liked things his familiar and comfortable way. Taking his leg was difficult because he was such an old fart about it. He and I butted heads a lot the first couple of weeks, and I said a fair share of bad words directed at him. He reminded me of my insufferably stubborn grandfather. But once we figured out how to "do the dance" together, we were fine. Never looked back.
Milly, I think it would be a great idea to see you do with 3 legs! Tie it up and see what happens.
Shari, Dakota's tormenter
From abandoned puppy to Tripawd Warrior Dude, Dakota became one of the 2011 February Furballs due to STS. Our incredibly sweet friend lived with grace and dignity till he impulsively raced over the Bridge on 12-15-12.
Dakota's thoughtful and erudite blog is at http://shari.tr.....pawds.com/
Our dog Bailey had the same kind of cancer as your dog and Dakota. We let the tumor go for 2 years (I'm now kicking myself), mainly because our son was having medical issues at the time and neither of our dogs were able to be the focus of our energy.
So, fast forward to December. The tumor had gotten huge.
We took him in to finally have it simply debulked. Once they began operating, they told us that it had invaded the bone (although it hadn't metastasized) and they would have to amputate or euthanize. So, at 13-1/2 years old, he's an old dog and a new amputee. He's actually doing well with everything though. I was really worried that it would be too much for him, but he's been proving me wrong. Hopefully everyone's stories are helping you. It's such an agonizing decision: one that we didn't make until we were in the heat of the moment and had to.
Millysmommy, I also responded to your question in your other discussion, so I hope you saw it? But what I will add to my thoughts are; as you know, none of us can predict the future. We all want definite answers but unfortunately nature just doesn't like to work that way. All you can do is your best with the information you have right now. And whatever you decide, know that Milly won't be mad at you if things don't go the way you envisioned them to go. Dogs are the most unconditionally loving creatures on earth. All Milly wants is for her, you and the pack to feel good and enjoy each day as it comes.
I hope this helps, I know you're in a tough spot.
Tripawds Founders Jim and Rene
tripawds.com | tripawds.org | bemoredog.net | triday.pet
Hi Millysmommy,
Smilin' Sammy had osteosarcoma, so our situation was different. However, I think I may be sensing a perfectly normal revulsion about removing your beautiful doggie's leg. Even after we made the decision to amputate, I almost obsessed about it. During his surgery, I pictured them sawing off his leg and wondered what they would do with it. I grieved for his leg. I even wondered if I could look at him in the same way ... would my pity for my three-legged dog change our relationship?
How silly I was! The moment I saw my brave boy hopping out to greet me my heart swelled with pride. The first few weeks were, at times, challenging. But his recovery was amazing — he could still run, play and swim faster than most dogs. It was just a leg — and, as we say here, dogs have "three legs and a spare."
Whatever decision you make will be the right one for you. But, if you are hesitating because the amputation seems like some kind of admission of defeat — or something that will make Milly unhappy — please rethink that. It may be just the opposite; it may improve her life. And, if there is a chance of removing most — or all — of the cancer, a leg is of little consequence.
— Beth, Spirit Smilin' Sammy and MB Wiggly Wrigley
Smilin' Sammy, March 16, 2004 – Dec. 5, 2011
Golden retriever, diagnosed with osteosarcoma in September 2010 — right front leg amputated November 2010. He fought valiantly to stay with us; but a second diagnosis of osteosarcoma, this time in his left front leg, was more than our golden warrior could overcome. He loved his pack — and everyone else he met.
We loved him even more.
Thanks for the pennies, Sammy. They helped.
After my experiences of the past week, if the dog is walking - I'd leave her alone as long as she is not in pain, and the chance of metastisizing is low. There are possible complications from amputation - from any surgery for that matter. My dog had grade 2 fibrosarcoma in her front ankle. We let her go until she started limping badly (which was 2 weeks after diagnosis). After surgery - she couldn't walk at all. She still can't, and it's been just over a week. She appears to have suffered an FCE - causing neurological paralysis in the hind legs. The vet is hopeful that she will be able to walk in 4-8 weeks. But everyday, something else seems to go wrong (wound site infection, urinary tract infection , colitis) She was a very healthy 6.5 year old dog the beginning of December.
I also tried to tie her leg up, and get her to limp beforehand. That is a good suggestion. My dog was able to hop over to treats. She tended to hop for treats anyway.
It's a tough decision, but as long as you have your dog's best interest at heart; it will be the right one.
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