Veterinary

Ask a Vet and Get Your Veterinary Questions Answered.

Ask a Veterinarian,
Get an Answer ASAP!

Veterinary

My golden just had 3 mammary duct tumors removed. The tissue

Customer Question
came back as lymphosarcoma. However...
My golden just had 3 mammary duct tumors removed. The tissue came back as lymphosarcoma. However her margins were clear. Lymph nodes are fine, blood work fine and ultrasound and chest X-ray clear. Is it worth doing chemo at this point? Or should we wait and see? She will be age 12 in November. Is there a chance they could have gotten it all? My vet wants to do IV chemo once a month for 4 months. I just can't decide whether to put her through that. She isn't sick the lumps were removed.
Submitted: 2 years ago.Category: Veterinary
Show More
Show Less
Ask Your Own Veterinary Question
Answered in 28 minutes by:
5/9/2015
Veterinarian: MsAM,
 replied 2 years ago
MsAM
Category: Veterinary
Satisfied Customers: 11,652
Verified
Hello and welcome. My name is ***** ***** I'm a biologist with a special interest in canine cancers. I am sorry to hear of your golden's diagnosis.

As you may already know, there are five stages of lymphoma. Stage 1 usually has only one lymph node involved, while stage 4 has liver and spleen involvement, as well. Of course, there will be no way to know for certain what stage your dog is in unless you visit a veterinary oncologist. I recommend seeing an oncologist because they are up-to date on all the latest studies and protocols.

The first thing to know about chemo is that, for most dogs, you are not putting them through anything. Dogs don't generally have the side effects that we humans do. For those few that do, the protocol can be changed or the chemo stopped. Chances of curing lymphosarcoma with only surgery are very slim. Research has shown that dogs in stages 1 through 4 tend to respond well to chemotherapy. They aren't cured, but remission can often be achieved. The prognosis for dogs in stage 5 is much poorer, because they tend not to respond to chemo. This link will take you to a site with information on lymphoma and more information on treatment:

http://www.marvistavet.com/html/body_canine_lymphoma.html


With no treatment at all, the average life expectancy is about 2 months. Most dogs are not acting sick at the time of diagnosis. Some dogs don't respond to chemo at all. About 1/4 of those treated respond exceptionally well and survive for two or more years. Remission times vary with different protocols, which we'll get to in a moment.

How much chemo will cost depends on what protocol you use and where you live. Any veterinary care tends to be more expensive on the coasts. There are several different chemo protocols used. Doxorubicin used alone is the least expensive.

The COP protocol using cyclophosphamide, vincristine, and prednisone is also an inexpensive option. Median remission time is 130 days.

The VELCAP protocol results in about 50% of dogs living for a year. VELCAP-L (a modified version) results in a remission rate for about 13 months in 70% of dogs. It does have more frequent side effects.

A newer and more expensive protocol is VELCAP-SC. Median survival time is 302 days. Dogs that had good appetites at the time treatment was started tended to be those who lived the longest.

Most expensive would be to find a center that offers bone marrow transplants and radiation. It offers the best chance for long term remission, to the point that some dogs are considered cured. What I've given you is a summary of the protocols. An oncologist can give you details, and help you decide which protocol would be best.

What I would recommend is that you consult with an oncologist and discuss the various options. The oncologist can give you prices for the different protocols, and then you can make your decision. The following site has listings of oncologists. You don't need to fill in all the information. If you just put in your state, it will give you a list.

https://netforum.avectra.com/eWeb/DynamicPage.aspx?Site=VCS&WebCode=IndSearch

If you need anything else, let me know by clicking on REPLY. I'll be hoping for the best possible outcome for your dog.

Anna

My goal is to provide you with excellent service – if you feel you have gotten anything less, please reply back, I am happy to address follow-up questions. Please remember to rate my service only after you have all the information you need. Thank you!
Ask Your Own Veterinary Question
Ask MsAM Your Own Question
MsAM
MsAM
MsAM
Category: Veterinary
Satisfied Customers: 11,652
11,652 Satisfied Customers

MsAM is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

It was so professional, so personally concerned (as we were) and you answered all of our questions. George and I are so happy that I found "JustAnswer" on my Google search -- you are now in my "Favorites" list! And, yes we do love our kitty - she makes our life complete!

Bev & GeorgeBoca Raton, FL

Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help.

Mary C.Freshfield, Liverpool, UK

This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!!

AlexLos Angeles, CA

Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult.

GPHesperia, CA

I couldn't be more satisfied! This is the site I will always come to when I need a second opinion.

JustinKernersville, NC

Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around.

EstherWoodstock, NY

Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know.

RobinElkton, Maryland

< Previous | Next >

Meet the Experts:

Dr. Andy

Dr. Andy

Medical Director

2,673 satisfied customers

UC Davis graduate, Interests: Dermatology, Internal Medicine, Pain Management

Dr. Bruce

Dr. Bruce

Veterinarian

1,774 satisfied customers

15 years of small animal veterinary medicine

Dr. Gary

Dr. Gary

Veterinarian

1,547 satisfied customers

DVM, Emergency Veterinarian, BS (Physiology)

Dr. Scott

Dr. Scott

Veterinarian

865 satisfied customers

15 years of small animal, equine and pocket pet experience in medicine and surgery.

Dr. Bob

Dr. Bob

Veterinarian

1,323 satisfied customers

35 years in practice

Dr. Drew

Dr. Drew

Veterinarian

1,895 satisfied customers

Small Animal Medicine and Surgery

Dr. Jenn

Dr. Jenn

Veterinarian

1,225 satisfied customers

Practicing small animal medicine since 2004 , also involved in working with animal rescue groups.

< Previous | Next >

Related Veterinary Questions
I have been waiting since 6:00 pm for a response. Have paid
I have been waiting since 6:00 pm for a response. Have paid $20. and the situation is dire without my questions answered. … read more
divealot1
divealot1
DVM
7 satisfied customers
My hen has a round black crusty area around ear, I think.
My hen has a round black crusty area around ear, I think. Mostly under her eye. She is very steady walking & not rubbing it. I have a picture … read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
DVM
3 satisfied customers
I have wormed my 5 and a half week old puppies with Drontal
I have wormed my 5 and a half week old puppies with Drontal all wormer syrup, I have lost one pup, the vet had done routine test and there was no par one, but glucose was lo and was also low with prot… read more
Scott Perry
Scott Perry
Veterinarian
Doctor of Veterinary Medicine
1,520 satisfied customers
Our dog asher can not use his back legs. He can not walk
no wound we got xrays and doctor says possibly a nerve pushing against his spine or possibly emolysm … read more
Dr. Kara
Dr. Kara
Doctoral Degree
5,383 satisfied customers
Our dog Taffy is shaking her head. She can't stand still.
Our dog Taffy is shaking her head. She can't stand still. Could you please help us. … read more
Dr. Denise
Dr. Denise
Veterinarian
Doctor of Veterinary Medicine
494 satisfied customers
14 yr old Chiuahuah-Dauschund mix. Head bobs up and down and
14 yr old Chiuahuah-Dauschund mix. Head bobs up and down and walks around the house much of the day and today cries out often. … read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
DVM
3 satisfied customers
I got a? The ears of my baby well she's a shitzu smells what
Good afternoon I got a ? The ears of my baby well she's a shitzu smells what can I do? … read more
Dr. Meghan Denney
Dr. Meghan Denney
Doctor of Veterinary Medicine
Doctorate of Veterinary Medicine
1,852 satisfied customers
Our 6 month female syrian hamster has a black spot like a
our 6 month female syrian hamster has a black spot like a mole on her skin. no fur loss, but the fur is parted in a circle where the spot is. … read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
DVM
3 satisfied customers
My rabbit ate half of a Tylenol that was on my floor but i
my rabbit ate half of a Tylenol that was on my floor but i managed to get it from him … read more
PitRottMommy
PitRottMommy
Veterinary Nurse
Associate Degree
9,162 satisfied customers
My goat licked antizreeze and is acting wierd about a hour
my goat licked antizreeze and is acting wierd about a hour ago … read more
Kelly Jones
Kelly Jones
Doctorate of Veterinary Medicine
248 satisfied customers
My dwarf hamster has a red lump on its bum and he's limping
hi my dwarf hamster has a red lump on its bum and he's limping on his back legs. he also looks like he lost a lot of his weight and seems a lot less energetic than usual … read more
PitRottMommy
PitRottMommy
Veterinary Nurse
Associate Degree
9,162 satisfied customers
Already told you and already paid. Should I start over? My
Already told you and already paid. Should I start over? … read more
Rebecca
Rebecca
Veterinarian
Doctoral Degree
445 satisfied customers
My daughter had dropped her ginnea pig and she thinks it
My daughter had dropped her ginnea pig and she thinks it broke it's leg. … read more
Joan
Joan
Private
355 satisfied customers
I have for the first time three baby canaries, after several
I have for the first time three baby canaries, after several trials the mother seemed to learen the job and both parents have managed to raise the three babies very well...they have about three weeks … read more
Kelly Jones
Kelly Jones
Doctorate of Veterinary Medicine
248 satisfied customers
Our baby princess yorkie (4 lbs) started on Wednesday night
Our baby princess yorkie (4 lbs) started on Wednesday night with diarrhea, by Thursday morning she had diarrhea with blood, so we decided to take it to the Dr. They identified illness-vomiting/diarrhe… read more
Dr. Schmidt
Dr. Schmidt
Associate Veterinarian
DVM
489 satisfied customers
I can't tell if my sun conure is sneezing or is just making
I can't tell if my sun conure is sneezing or is just making a sweeking noise should I be concerned he flies around plays a lot eats fine weighs consistently the same dry nosteriols… read more
Kelly Jones
Kelly Jones
Doctorate of Veterinary Medicine
248 satisfied customers
My cow is 1 year and 3 weeks old. Just yesterday I saw poop
Hi, my cow is 1 year and 3 weeks old. Just yesterday I saw poop on here tail and she does not want to eat. She also seems very sluggish. … read more
Kelly Jones
Kelly Jones
Doctorate of Veterinary Medicine
248 satisfied customers
My cockatiel is 12. My friend could no longer take care of
my cockatiel is 12. My friend could no longer take care of him so I took him. this is the 2nd time he's had dried feces stuck to feathers and stuck on his anus. Last time I took him to the bathroom si… read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
DVM
3 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x