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Peach and mast cell tumor
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Member Since:
26 September 2011
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28 September 2011 - 2:07 pm
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I hope I'm doing this correctly, never written on a site like this before.  Peach is our 13yo Rat Terrier and a sweet special girl.  In June/July os 2010, I found her upper, front right leg was swollen and took her to our local vet.  She had not pain, no limp and we believed it to be an abscess, treated with antibiotics and didn't really worry about it again.  Nearly a year later to the month, same leg swollen but this time with a limp.  Being a terrier and being that we own a multitude of animals (5 dogs, 4 horses, mini horse, mini donkey, 2 cats, rabbit, chinchilla and fish) we thought her limp was from chasing the chipmunks and squirrels around.  After a couple days, off to the vet and another round of antibiotics. That was on a Monday, she went for dental cleaning that Thursday and even the vet team there didn't even notice her limping.  However, by Sunday, she was not using the leg at all.

Our local vet is awesome and when we called her, she said to bring her in and we would drain the abscess.  Well, the needle didn't produce any fluid and on Monday we took her in for a biopsy.  Our vet said what she took out looked really ugly and the staging/grading proved it a week later...Grade III mast cell.  We made an appointment with the closest oncology vet (1.5 hours away in Denver) for two weeks later.  In that time, the biopsy site healed very well.  But the day before the oncology appointment, the site opened up and became infected.

At the oncology appt., it became very obvious quickly that the leg would need to be amputated since no antibiotics were helping with the infection and really couldn't given the cancer.  After full work-up, US, x-rays and tests of liver and bladder spots and accessible thyroids everything was spotless....CLEAN!!!  So, amputation scheduled for 5 days later.

Recovery went very well.  However, there was a little cancer found in the gland under the scapula, very small amount.  We decided to give chemo because it was short (6 doses over 6 months).  A week after the first dose, Peach could barely stand.  Rushed her down to Denver and they put her in ICU with a white count of 690.  She recovered quickly with meds and came home a day before the docs expected!  White count back up to 7000 in 4 days.  

Now, in the past 2-3 weeks the lower area where her incision site was has swollen and turned red and blistery looking.  Not painful and she sleeps on that side most all the time.  But of course, we fear the worst.  Called the oncologist, who agreed it would probably be mast cell returning but found it unusual since we are still within the window of treatment for the first dose of chemo (she wasn't due for another dose until this week.)  So, if the chemo, which we believed was merely preventative anyway, was going to work, it should have been doing so.  Only another needle biopsy could determine cancer for sure.

When I took Peach to our local vet yesterday we discussed our options.  We decided that poking Peach again was just not worth it since confirming cancer wouldn't change our course of action.  We've altered her prednisone dose, her antihistamine dose and added a 4th generation antibiotic for good measure, just in the off chance that it's bacterial.  We are hoping that the area, which looks about the size of a bottle cap, slightly larger, is scar tissue and pressure sores.  She's not in pain and no puss or running.  Shes continuing to eat, drink, go to the bathroom and do her regular thing.  

Of course chemo was stopped because to lower the dose would decrease the efficacy and would prove to be a pointless endeavor.  I saw some pics on this site of amputations with similar looking bumps, so we can only hope.  Any info or advice is so appreciated.  Thanks!

On The Road


Member Since:
24 September 2009
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28 September 2011 - 2:36 pm
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Sorry to hear about the challenges Peach is facing. Hopefully others with MCT experience can provide better feedback. Perhaps the swollen area is just a seroma . Check out our video with Dr. Pam discussing common post-amputation side effects for tips on what to look for in seromas gone bad.

Best wishes, please keep us posted!

Tripawds Founders Jim and Rene
tripawds.com | tripawds.org | bemoredog.net | triday.pet

Washington
Member Since:
1 February 2011
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28 September 2011 - 4:42 pm
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Hi Peach's people,

I was reading through your post, and was wondering: what sort of chemo did they put her on? There are many different treatment courses for Mast Cell Tumor, and if Peach doesn't fare well with one, it's possible that another would work. Rio was on Vinblastine the first time she had chemo nearly two years ago. The second time we went through chemo, it was a combination of both Vinblastine and CCNU.

The other question I had, did your oncologist discuss the possibility of radiation therapy? It is almost always more effective for locally aggressive Mast Cell than chemo. Rio handled that pretty well, with only minimal physical side effects -- hair loss at site, and some slight radiation burns (similar to a mild sunburn, no blistering or anything, but her skin was red and peeled).

We've been dealing with recurrent Mast Cell cancer now for about four and a half years. (You can read all the gory details on our blog....) Rio's tumors were all graded II-III instead of a straight III like yours, so maybe that alters the course of treatments... We are currently using a newly approved Mast Cell targeted therapy called Kinivet (masitinib). We started using it about two weeks ago when we found out that her cancer is on the move again. She's tolerating it with no visible side effects at all, but we haven't retested her ultrasound yet to find out how it's actually working.

If you want, send me a PM and we can chat...

Micki

the Woo

~ ~ Rio ~ ~
Forever in my heart...

April 2000 – January 20, 2012
Diagnosed with Mast Cell Cancer in June 2007. Left rear leg amputated Feb. 8, 2011.
Mets discovered Aug. 31, 2011. Read more of Rio's story here.

Member Since:
13 June 2011
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28 September 2011 - 4:53 pm
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We didn't deal with MCT, so I don't have much advice about that. But, I did want to welcome you to the site! Whatever happens, you have Peach's best interest at heart and she knows that. Give her lots of love and keep us posted on her progress!

 

Meghan and Angel Bo

krun15
5
28 September 2011 - 5:26 pm
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Hello,

Thanks for sharing Peach's story here.  Like I said in the other thread- there are not too many people dealing with mast cell cancer, but there are a few of us.  Your post may help the next person who comes along.

I've been dealing with mast cell cancer in two pugs for 5.5 years.  Maggie was my Tri-pug, she lost her left rear leg to a MCT in 2006.  She had several cutaneous MCTs as well, I think six in addition to the one that resulted in amputation.  My second pug now has had 8 MCTs.  5 have been removed, and now there are 3 more which I probably won't remove.  But with all those tumors I have never had a MCT return in the same place.  Mast cell is so unpredictable! Our oncologist says it is the most frustrating cancer she treats.

You can read Maggie's story in her blog- the link is in my signature box below.  There is also a tab that talks about her amputation and chemo.  Mag had 6 months worth of chemo, alternating CCNU with Vinblastine as Micki talked about above.   Maggie's cancer was present in her lymph node after amputation surgery and her prognosis with chemo was 6 to 9 months.  She lived 3 YEARS and 9 months and passed from a second, unrelated cancer. 

Maggie tolerated her chemo pretty well.  We started with a low dose and then increased each treatment until she showed some reaction. In her case it was mild nausea- she never threw up.  Then we backed off to the dose that did not cause a reaction.  She never had a reaction like Peach did- that would be scary.  Did they start with a high dose? 

There is another drug approved for mast cell that Micki didn't mention called palladia.  There seems to be lots of side effects, but some dogs tolerate it well.

At this point I am not doing any treatment for my second pug Tani.  When the tumors show up multiple times like hers they tend to keep coming.  She is not showing any signs of illness from the cancer. She is now 11.  Her first tumors were removed in 2007.

For inspiration you might check out Roxy the Boxer's blog.  She is more than 18 months past her amputation for mast cell cancer and did not have chemo.

I'm always willing to talk more... feel free to send me a PM too.

 

Karen and the pugapalooza

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