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Pet Forum / Miscellaneous / Animal Health / June 2006



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Cat "diagnosed" with liver tumour

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Deep Thought - 15 Jun 2006 16:48 GMT
Looking for some advice in respect of a relative's 17yr old ginger tom...
approx 3 weeks ago it was noticed that his urine was becoming "fizzy" or
"frothy" (owner's words)... took to vet about a week ago who diagnosed liver
tumour on basis of simply feeling the cat's abdomen - said in fact it was
quite large. No other tests. A urine test was carried out of the request of
the owner - all was apparently o.k. except the vet stated some elevated
white blood cell levels found which indicated the cat was "definitely
fighting something". Other aspects of the urine sample apparently normal.
I have to ask one question - are we all swinging in the wind on the basis of
the "magic fingers" of this particular vet and his accompanying ego?
He offered a blood test if required but stated would not really provide any
more data than the vet believed he already had...
The cat is not displaying any jaundice or symptoms I would traditionally
relate to liver problems (maybe I could be confusing liver "disease" with a
liver "tumour" when expecting to see those particular signs?). The cat has a
very strong heart - to the extent that it has been commented on by vets when
carrying out routine checks previously and in fact his heart is still
"strong" - but to put even more of a dampener on the situation they advised
the owner that this might count against him when fighting the advanced stage
of the disease as would possibly lead to fitting in the later stages. Not
the sort of thought his elderly human mother can sleep on easily.
I cannot help wondering, in the absence of any full and proper diagnosis,
whether this large tumour is not directly attached to an organ and therefore
could be surgically removed? Or am I being ignorant - i.e. do ALL tumours
need an organ to feed off?
Finally, assuming it is a liver tumour as suggested - do I assume it is
inoperable?
buglady - 16 Jun 2006 02:37 GMT
>17yr old ginger tom...
took to vet about a week ago who diagnosed liver
> tumour on basis of simply feeling the cat's abdomen - said in fact it was
> quite large. No other tests. A urine test was carried out of the request of
[quoted text clipped - 3 lines]
> I have to ask one question - are we all swinging in the wind on the basis of
> the "magic fingers"

........I don't believe in magic fingers.  Certainly he can make a good
guess at what's going on if he's been in practice for a long time, but since
it's dark inside a cat I don't see how he can say positively that's the
case.  Personally I'd find a vet who'd run some bloodwork and perhaps get an
ultrasound if that's called for.  Maybe even an X-ray would show something.
I would think that if there were liver problems there would have been some
bilirubin in the urine.  I would imagine that this vet would perform the
bloodwork if asked, but I don't know if this is a vet I would want to
euthanize my animal.

buglady
take out the dog befor replying
Kay Lancaster - 16 Jun 2006 03:42 GMT
> Looking for some advice in respect of a relative's 17yr old ginger tom...
> approx 3 weeks ago it was noticed that his urine was becoming "fizzy" or

Went through this a few years ago with one of my elderly cats... vets picked
up the enlarged liver on physical exam, confirmed by xray, and a biopsy
confirmed it was cancerous.   They sent the x-rays and the path report to a
veterinary oncologist, and she advised that "debulking" the tumor was
possible, but the extent of the tumor was such that there was no chance
for true recovery.    We chose not to debulk the tumor (it's a pretty
massive surgery) or go the chemotherapy route, and simply gave supportive
care for the next eight months; after consulting with our vets, we decided
that course would probably give him the best quality of life for the last
few months, and up till the last week, he seemed comfortable.
We chose euthanasia when it was apparent we could no longer keep him
comfortable.

I'd urge you to explore the situation more thoroughly if that would help
everyone make a better decision.

I'm sorry; it's always tough to lose an old friend.

Kay
 
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