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Pet Forum / Miscellaneous / Animal Health / May 2006



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L Boy update

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kate - 17 May 2006 18:07 GMT
Good news and wait and see news.

The tumor did not beyond the cartilage. However, the last paragraph of
the report needs explaining to the surgeon so he's going to call the
pathologist and then the oncologist.

"The submitted lymph node is hyperplastic with multiple secondary
follicles being evident. Several plasma cells are present within
trabecular sinuses. Focal cortical neutrophils are also present. A
single cluster of somewhat equivocal tumor cells is noted within a
subcapsular space."

The surgeon doesn't get what "somewhat equivocal" means.

Hopefully I'll know more in a day or so.

Kate
Gail - 17 May 2006 18:24 GMT
Thanks for the update, Kate. I'm not sure what it all means, but I hope the
news continues to be good.
Gail
> Good news and wait and see news.
>
[quoted text clipped - 13 lines]
>
> Kate
kate - 17 May 2006 20:53 GMT
> Thanks for the update, Kate. I'm not sure what it all means, but I hope the
> news continues to be good.
[quoted text clipped - 13 lines]
>>
>>The surgeon doesn't get what "somewhat equivocal" means.

After reading the comments (L Boy had his drain removed today and the
doctor had just received the fax so he read it quickly I guess. I've
read over the comments section and it sure doesn't sound good to me. :(

Comments: "The localized cluster of probable neoplastic cells within the
small area of lymph node warrants concern for possible metastasis
elsewhere. Only a few neoplastic cells were remaining at the site of the
 previous surgical biopsy and did not sufficiently differentiate to
enable fully characterizing the cell of origin. A natural border
surrounding the tumor cells offers some optimism that removal may have
been curative at the original tumor site."

It sounds to me like it's spread. Can I please be wrong?

Kate
buglady - 18 May 2006 12:43 GMT
> Comments: "The localized cluster of probable neoplastic cells within the
> small area of lymph node warrants concern for possible metastasis
[quoted text clipped - 5 lines]
>
> It sounds to me like it's spread. Can I please be wrong?

.........I think they don't know kate.  Sounds like they got a good margin,
but are worried  about some possible cancerous cells in the area that
couldn't be traced to origin as they were too *young* so to speak, so
they're hedging their bets.  They can only tell you what they see going on
with the tissue they got which isn't the whole story.  I don't know for
sure, but it might be more of a CYA thing than reality.  I don't think
there's any way to know for sure, even if they hadn't seen those cluster of
cells.  The way I would look at it is that either has or hasn't metastisized
and there's not much to do about it.  After too many instances of cancer in
family and pets, I finally realized that it's not in my power to change the
big picture.  You can do things to help the immune system cope, but the
final outcome is not really up to you.  Try to start every day fresh like
your kitty does and enjoy the presence of your friend every day.

Best of luck to you
buglady
take out the dog before replying
kate - 19 May 2006 16:49 GMT
>>Comments: "The localized cluster of probable neoplastic cells within the
>>small area of lymph node warrants concern for possible metastasis
[quoted text clipped - 23 lines]
> buglady
> take out the dog before replying

Thanks, Buglady. I haven't heard back yet but I'm switching the cats to
a high protein/low carb diet and am looking into other avenues of
supporting their entire bodies. They like the change of diet. :)

Peace,

Kate
buglady - 19 May 2006 21:23 GMT
I'm switching the cats to
> a high protein/low carb diet and am looking into other avenues of
> supporting their entire bodies. They like the change of diet. :)

..........cats who like change?  Lucky!

buglady
take out the dog before replying
kate - 19 May 2006 22:10 GMT
> I'm switching the cats to
>
>>a high protein/low carb diet and am looking into other avenues of
>>supporting their entire bodies. They like the change of diet. :)
>
> ..........cats who like change?  Lucky!

I should amend that - 2 out of 3 cats like more meat and fish. (L Boy is
 so bored he thinks if I don't let him out I should feed him whenever
he's awake.) Grace is annoyed that I'm changing the dry food to Innova -
she likes her Max and doesn't believe in food that is not dry. Go figure.

Kate - but then Bear likes pea pods but not the peas - works for both of us
kate - 24 May 2006 00:18 GMT
Nothing much new to report. The surgeon called today. The pathologist
said that if he hadn't been looking closely, he wouldn't have seen the
cells in the lymph node, they were that small. And that perhaps that was
all there were and removing the lymph node removed the cancer. He's now
waiting to talk to the oncologist, who he expects to say that if there's
any uncertainty, radiation is the way to go.

Opinions, anyone? L Boy gets his stitches out Thursday so I'll know more
then.

Peace,

Kate
buglady - 24 May 2006 12:12 GMT
. And that perhaps that was
> all there were and removing the lymph node removed the cancer. He's now
> waiting to talk to the oncologist, who he expects to say that if there's
> any uncertainty, radiation is the way to go.

........dunno kate, I guess I'd want to know that radiation had a chance of
doing something, not just doing something to be doing.  They usually don't
radiate just once, but multiple times.

buglady
take out the dog before replying
 
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