Prostatic neoplasia

RE: Prostatic neoplasia

Kate Richardson — Mon, 14 Nov 2016 21:13:01 GMT

Of the 2 cases I have dealt with yes they did have some laxatives. Biggest problem is pain. Ultimately euthanased because we couldn't manage it. Both neutered.

RE: Prostatic neoplasia

Luca Poddighe — Mon, 14 Nov 2016 16:03:23 GMT

Just curious, in those cases do you provide some laxative as well in the palliative care or not? I was thinking that with a prostate 4 times bigger than normal, he may easily have some troubles passing motions...

RE: Prostatic neoplasia

Karen Eggleton — Sun, 13 Nov 2016 23:15:34 GMT

Thank you all! All replies very much appreciated. Thanks for thoughts and info.

RE: Prostatic neoplasia

Gerry Polton — Thu, 10 Nov 2016 11:08:00 GMT

I doubt the liver changes are related to the prostate, though await the further report with interest. Simplest palliation for PCA is NSAID therapy alone. There are much more involved "treatments" which achieve nothing more than palliation including: cytoreductive surgery, stent placement, radiotherapy, tyrosine kinase inhibitor therapy, combination chemotherapy. As a very basic general rule in these cases, everything other than NSAID therapy alone is expensive and confers a moderate degree of risk with a relatively slim likelihood of a marked improvement in length or quality of life. That is a sweeping generalisation and the motivated owner should still be given the opportunity to discuss all of these but I would always emphasise to a referring vet that there isn't a brilliant treatment option.

Hope that helps

Gerry

RE: Prostatic neoplasia

Hannah Wynne Richards — Thu, 10 Nov 2016 09:55:44 GMT

I don't think I would have automatically done a rectal on that one either.

Wynne

RE: Prostatic neoplasia

Martin Atkinson — Thu, 10 Nov 2016 09:50:21 GMT

If nothing else it shows the danger in making assumptions based on blood tests. But don't beat yourself up about it we'd all be better off with a retrospectoscope!

I had a not dissimilar case a couple of years back albeit I was on the right track with the prostate. The dog had a prostatic cyst which I drained and omentalised, a biopsy at the time showed no signs of neoplasia, and castrated. A few months later the dog started showing signs of prostatic disease again, the prostate was enlarged but a cPSE was negative. It was referred to the RVC for FNA and it was prostatic neoplasia. It died a few months later from metastatic disease.

Another odd one was also a prostatic cyst which I treated in a cryptorchid dog which I also castrated and many months post op developed another prostatic swelling. When that was resected it turned out to be......a normal testicle. Yes this dog actually had 3 balls. After that all its prostatic problems cleared up.

RE: Prostatic neoplasia

Emily Rainbow — Thu, 10 Nov 2016 07:34:55 GMT

Is this guy castrated or entire?