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Topic Dog Boards / Health / The importance of proper diagnostics...
- By Merlot [gb] Date 14.03.13 09:39 UTC
Merlot has been under the weather for a while, so 4 weeks ago I took her to the vet for a full MOT. We did full bloods, scans (All clear) examination and a test for chushings syndrome, we also did a fine needle biopsy on a lump in her mandibular lymph gland that may or may not have been a swollen gland. That was on a Thursday. On the Tuesday (The day before the pups were born) the cushings test came back possitive so we assumed all the symptoms (They fitted) were caused by the cushings. On the Friday of that week after we had come to terms with the fact that she had cushings and got her started on medication the result from Iddex on the Fine Needle Aspirate from the lymph gland came back as having contained Hystio cells (Cancer). The suggested plan was to remove the lump completly and scan and x-ray for any other tumors (Hystio is a lymph/systemic cancer) On the following Monday she went in for the lump removal and chest x-rays, No sign of anything on the x-ray. The Tuesday after the results came back from Iddex to say it was acctually a cancer called Heamangio sarcoma (A particullarly nasty canser...as is Hystio) It attacks the blood organs causing ruptures to speen/liver/heart etc.. and causing death by heamorrhage (Sp) As you can immagin we were devastated. It has been a bad few weeks with loosing Pepsi and problems with the whelping to then have this was the last straw. My vet contacted a very well respected oncology unit and the vet there wanted the mass from Iddex to perform his own testing prior to giving a prognosis or treatment plan (There really is no treatment for Heamangio) I have been living under a huge black cloud for 3 weeks and was awaiting thereply with dread. Last evening my vet rang me. The oncology cantre has done extensive testing and all the lab bods have had a look, result !! NO CANCER ... not a sign of it at all....just a bizzare reaction probably to the cushings ...To say I am on cloud nine today is a huge understatement...Whooop whoop...Iddex, you have taken 10 years of my life !!!
Aileen
- By Vanhalla [gb] Date 14.03.13 10:38 UTC Edited 14.03.13 10:40 UTC
You have been more fortunate than us.  Following the judging of Norwegian Elkhounds at Crufts, where he took 3rd in Veteran dog, my beloved heart-dog Raider was taken ill on his bench and the vet was called  He was sluggish in the ring, which was not like him.  He had recovered slightly by the time the vet arrived, and he thought he had either had a mini-stroke or was in pain.  The next morning he was right as rain, but in the afternoon he had another episode, and this time he was drawing up his abdomen.  It lasted about an hour, after which we were due at the vets (I did actually call to see if they could fit him in earlier, but they said unless he was vomiting or his bowels were loose, it wasn't an emergency).  He was perfectly well at the vets, but they agreed with me that there was a problem with his back (I'd noticed a slightly altered stance in the ring over the last several months - very slight, but I know my dog).  I'd also printed off a photo that someone had taken in the ring at Crufts, which showed how he was standing, but also showed what to me appeared to be a swollen abdomen.  He had also looked swollen in the afternoon whilst spasming, but he was normal by the time we went to the vets, and his stomach was soft.  The vet offered to run some blood tests, to which I agreed, although I think that at this stage she didn't feel it was really necessary.  Bowel and bladder were normal, and he was eating well.

The tests showed that he was severely anaemic, probably because of a bleed in the abdomen.  We brought him in on Saturday morning - he still looked completely normal - and they operated on Saturday afternoon.  They found three tumours on his spleen, and performed a splenectomy.  They sent the spleen off to histology, but I already knew in my heart that it was cancer, and that I would only have him for a few more weeks.

He recovered well from the anaesthetic, enough to go outside to relieve himself and to eat some hotdogs that the vet's daughter brought in to him.  He'd refused other food.  They'd kept him in for observation.  He might have come home in the late afternoon on Sunday, but another blood test showed that his blood levels had dropped still further.  The vet said that this was not unusual after surgery, but she wanted to continue to observe.  Checked at 10 pm by the on-site staff, he was found to have gone downhill again - another bleed, but not from the incision site. On opening him up again, the vet was able to find a very small tumour on his liver, which had already burst and was bleeding, buried deep within.  She had missed it on first examiniaton, but it was really very small.  She was devastated to have missed it.  At that point, I decided to let him go, as the tumours would have begun to appear elsewhere, and it wasn't right to bring him round and let him undergo the recovery, when he would only live for a matter of days anyway.

It will have been hemangiosarcoma.  Because all of the blood in the body passes through the spleen every day, the cancer would have metastised to all of his other organs.  A vet tech on my Moosedog list sent me an email that explains very well what was happening to him "It sounds to me like a hemangiosarcoma which will do exactly as you describe.  It is a tumor off the liver or spleen that thrives on blood.  When it bursts, it releases blood into the abdomen and them seals itself and things look fine.  It grows and then bursts again.  The bigger the tumor, the more blood that is released into the body cavity, the more anemic he will get.  He'll get tired more readily and as the blood is absorbed, he feel fine again.  Sometimes surgery is the answer and sometimes it's too late".  It was too late for Raider, but I write this in the hope that someone will catch the very subtle symptoms early enough to save their dog.  The message here is do the diagnostic tests if they are on offer!!  They might just give your dog a chance.

Please give Merlot a big hug from me.  She has had a very lucky escape, and I am so glad that it isn't that.  I hope she'll continue to live a very happy life on behalf of Raider.  I went from grooming a perfectly healthy, vital and athletic 11-year-old boy on the Wednesday afternoon, to cuddling his cold, dead body on a table in the vets on the Monday morning.  A big part of me went with him when he left - I am finding it very difficult to cope, as is my one remaining dog.  My old lady died in September, but we'd expected her passing.
- By Nova Date 14.03.13 10:40 UTC
You will get it back in these days of joy - so pleased for you.
- By Goldmali Date 14.03.13 10:43 UTC
Wow Aileen, talk about up and down. So glad it wasn't cancer. Fingers crossed for the Cushings to be kept under control.
- By Goldmali Date 14.03.13 10:45 UTC
I'm so sorry Vanhalla, how absolutely awful. I lost one dog two weeks after having a splenectomy due to tumours and since then have heard of so many that have died shortly after.
- By Nova Date 14.03.13 10:46 UTC
Nessa, we posted at the same time and I was, of course, replying to Merlot.

I am devastated to hear about Raider and can imagine what a loss you are feeling, was looking forward to seeing him in July, so sad and no words I can think of will help in anyway, so very sorry.
- By Vanhalla [gb] Date 14.03.13 11:12 UTC
I don't mean to hijack Merlot's thread.  We should celebrate that she has escaped Raider's fate.  I am really pleased for her.
- By Vanhalla [gb] Date 14.03.13 11:30 UTC
But thank you, Jackie, really.... x
- By Merlot [gb] Date 14.03.13 12:40 UTC Edited 14.03.13 12:44 UTC
Oh Vanhalla I do not mind anyone posting thier feelings for you. I know just how lucky we have been. I am so very sorry for your loss. I had seen the same scenario in my mind for Merlot and I really feel for you. It really is a horrible cancer and we had all but come to the conclusion that we would let her go before we got to the stage where she bled. I am thanking my lucky stars and have now accepted that however sad it is that she has Cushings, the other options do not bear thinking about.
RIP Raider, run free now at the bridge.
Aileen
- By Rhodach [gb] Date 14.03.13 14:12 UTC
Aileen glad you got such great news in the end, how can labs get things so wrong.

Vanhalla that is so sad,to be placed at Crufts and lose him a few days later, may he RIP
- By JeanSW Date 15.03.13 02:04 UTC
I am so very sorry for your loss Vanhalla.  Losing a heart dog is so very painful.  I feel for you.

Run free Raider.  xxx
- By AlisonGold [fr] Date 17.03.13 08:53 UTC
To Aileen - I am absolutely delighted to hear your good news. Having been through something similar recently after a wrong diagnosis I know exactly what you have been going through. Onwards and upwards!!!

To Vanhalla - I am so sorry that you have lost your boy like this. I know with Luke I wondered whether we should have seen something earlier but as you say it is such subtle changes that you only realise a bit later that there had been some very slight changes.  A week earlier I had him at a show and I thought then that he wasn't as bouncy as he normally would be in the ring. We though have been lucky (so far) and Luke is still with us. Sorry that your boy didn't have luck on his side.
Topic Dog Boards / Health / The importance of proper diagnostics...

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