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Ask Dr. Michael Salkin Your Own Question
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 24402
Experience:  University of California at Davis graduate veterinarian with 44 years of experience
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What is prognosis otherwise healthy daschshund just

Customer Question

What is prognosis for 8yo otherwise healthy daschshund just diagnosed with transitional carcinoma of left caudodorsal maxilla displacing turbinates? Treatment? Treat or not?
Surgery with extensive excision completed. Dog recovering well from surgery...
Submitted: 1 year ago.
Category: Dog Veterinary
Expert:  Dr. Michael Salkin replied 1 year ago.
Aloha! You're speaking to Dr. Michael Salkin
I'm sorry that your question wasn't answered in a timely manner. Ideally, Max's oncologist should be consulted because this specialist knows the extent of the cancer, the degree of malignancy, and the likelihood of metastasis. I can tell you the following, however...
Both external beam fractionated radiation therapy and chemotherapy should be considered in such a patient although it's important to note that radiation therapy combined with chemotherapy doesn't increase survival over radiation alone. Treatment with definitive curative-intent radiation therapy with possible survival of as little as 8 months may seem irrational; however, most dogs have survivals of greater than 1 year. Modern approaches to radiation therapy have led to decreased side effects, and most dogs tolerate therapy and have a good-quality of life. Chemotherapy alone can also bring some relief from clinical signs. The use of piroxicam - a COX-1 and COX-2 inhibitor - alone may give some relief from clinical signs for 4 months or longer. In general, tumors that have involved the nasal cavity should be considered treatable even though they aren't often curable.
I regret that I can't be as specific for you as can be Max's oncologist. Please respond with further questions or concerns if you wish.
Expert:  Dr. Michael Salkin replied 1 year ago.
Hi,
I'm just following up on our conversation about Max. How is everything going?
Dr. Michael Salkin