eosinophilic granuloma in cocker spaniel

Re: eosinophilic granuloma in cocker spaniel

Richard Fox — Fri, 10 Feb 2012 15:06:05 GMT

The only other thing I thought of was eosinophillic folliculitis and furunculosis? I never say never but wonder if they went away by themselves rather than the Ab? But you never know :) I'd keep an eye on them though :)

Re: eosinophilic granuloma in cocker spaniel

Ruta — Fri, 10 Feb 2012 15:01:00 GMT

Hello, everybody,

I called to the owner and have heard that lumps stopped to grow and today are smaller than previously. After the last visit I start with cephaleksine and that's it. Maybe somebody have explanation of this? :)

So, of course the owners doesn't want surgery. Happy owners, happy me. :)

Ruta

Re: eosinophilic granuloma in cocker spaniel

Richard Fox — Thu, 09 Feb 2012 09:47:26 GMT

Yes good luck with it - You may very well be right but if the lesions are progressive and the owner is compliant and can afford biopsy then that would be my choice as MCT are far more common than EG :)

Re: eosinophilic granuloma in cocker spaniel

Niall Taylor — Wed, 08 Feb 2012 18:41:39 GMT

Keep us posted on how it turns out.

Good luck persuading the owners

Cheers,

Niall

Re: eosinophilic granuloma in cocker spaniel

Ruta — Wed, 08 Feb 2012 14:33:28 GMT

Thank you for all answers. I will suggest surgery for the owners. At least we will know with who we are dealing. :)

Ruta

Re: eosinophilic granuloma in cocker spaniel

Niall Taylor — Wed, 08 Feb 2012 08:08:46 GMT

[quote user="Ruta"]should I start with biopsy?[/quote]

Yes, no question about it.

Niall

Re: eosinophilic granuloma in cocker spaniel

Clive Ansell — Tue, 07 Feb 2012 11:41:01 GMT

If the lumps are not too big, why not excise with good margins, and send for histology, in one go and under one anaesthetic rather than sedate/ga biopsy then have to re ga and excise later?

Re: eosinophilic granuloma in cocker spaniel

Anne Pietersma — Tue, 07 Feb 2012 10:50:32 GMT

In discussing treatment of eosinophilic granulomas (we still do not know it's this for the case in this thread) has anyone used omage3 oil supplements (EPA) as this seems to help reduce the steroid dose needed for their control? I had my mom's cat with EG and have been using it but hard to tell if it's helping (an n =1 being far from a double-blind randomised study...).

Re: eosinophilic granuloma in cocker spaniel

Anne Pietersma — Tue, 07 Feb 2012 10:46:22 GMT

Best to go for incisional biopsy/punch of all lesions first because if it is a mast cell tumour (as previously rightly pointed out) excisional surgery with narrow margins might make resurgey less effective and the tumour(s) harder to manage which may affect prognosis if a higher grade tumour is involved. Once you have a definitive diagnosis, you'll be better placed to explore how to best manage it!

Re: eosinophilic granuloma in cocker spaniel

Ruta — Tue, 07 Feb 2012 07:32:21 GMT

Hello,

The other lump just appear on the upper lip. Remove the mass might be an option but I need to find the reason why they are growing. Now the lumps are only on the chin and upper lip, after few weeks more lumps I could find in another place. So, what could be done to stop it?

Any ideas? Or should I start with biopsy?

I would appreciate any tips.

Ruta

Re: eosinophilic granuloma in cocker spaniel

Niall Taylor — Mon, 06 Feb 2012 17:31:08 GMT

I would agree with Richard, you don't really have a difinitive diagnosis as yet, particularly since this patient isn't in an at risk group for straight forward eosinohilic granuloma.

The best bet would be a quick incisional biopsy - sedate, jab of local & a 6mm punch biopsy from the mass. That way you will be able to make an informed decision. If cost is a factor I have occasionally with this type of case removed the mass with narrow margins and sent the whole mass for analysis. That way if it's benign (eg histiocytoma) then you have done enough, however you need to prepare the owners for the possibility that repeat surgey might be needed if indicated by the lab report (eg mast cell yumour).

Cheers,

Niall

Re: eosinophilic granuloma in cocker spaniel

Richard Fox — Mon, 06 Feb 2012 15:20:51 GMT

Might I suggest a biopsy - some mast cell tumours have a very heavy infiltrate of eos? CKCS are also prone to eosinophillic diseases such as stomatitis and bronchitis but I am unaware of them being predisposed to EG's? If they are EG then pred would be my choice but I am a pathologist and so have limited experience with results. Also look into trigger factors i.e. fleas if they are EGs?