Haemangiosarcoma

Re: Haemangiosarcoma

Joyce Whitehead — Sun, 08 Feb 2015 12:55:28 GMT

Yes we have a dog on metronomic chlorambucil and metacam that has done very well post removal of a very aggressive mammary tumour, so that would definitely be an option to consider. Thanks.

Re: Haemangiosarcoma

Lindsey Edwards — Sun, 08 Feb 2015 02:16:13 GMT

Would consider metronomic cyclophosphamide before giving up? Low incidence of side effects, minimally invasive?

Re: Haemangiosarcoma

Joyce Whitehead — Sat, 07 Feb 2015 10:34:15 GMT

Thanks both, that's more or less where I was heading myself. Sadly the owner lost her last Labrador to a very aggressive melanoma on a toe that metastasized before she realised there was a mass. It's always the nice dogs...

Re: Haemangiosarcoma

Braden Collins — Sat, 07 Feb 2015 08:09:40 GMT

Sounds like it would be a surgical referral case to remove something like that, but may need some advanced imaging to check extent of the mass. Before referring, I would be looking for primaries or secondaries with full abdo and cardiac ultrasound plus chest rads - no point in surgery if this is a secondary or if it's metastesised. So my approach would be to start with determining if referral for Sx an option with possible adjunctive chemo. If not, maybe the best thing for you to do would be to paliate as best you can with meloxicam or similar and otherwise let it run its course.

Re: Haemangiosarcoma

Emily Rainbow — Sat, 07 Feb 2015 07:55:23 GMT

A colleague had a similar case recently, skin mass removed a few years ago and not sent for histo that had grow back... FNA as haemangiosarc. We found what we presume to be the primary in its spleen with mets to liver too. Dog was PTS. I think you need to find out if there are any more then have a frank discussion with the owners over what you do next if anything.