Bladder mass/tumour feline- piroxicam

RE: Bladder mass/tumour feline- piroxicam

Anthony Dennison — Fri, 07 Apr 2017 08:39:17 GMT

[quote user="Kate Richardson"]When I first started scanning several years ago, I 'diagnosed' a bladder tumour in a dog, rebooked a week or so later with the specialist to confirm and was very embarassed that the tumour had disappeared- lesson learnt- twas a blood clot. [/quote]

I know of a case where a stone/tumour was suspected, a cystotomy was performed and it was only a blood clot that was pulled out of the bladder.

RE: Bladder mass/tumour feline- piroxicam

Kate Richardson — Thu, 06 Apr 2017 12:55:19 GMT

[quote user="Anthony Dennison"]

Also, it may not be neoplastic. Anecdote and n=1 I realise, but I treated a cat with a proliferative bladder wall mass on ultrasound scan with meloxicam and antibiotics, and after 3 weeks of treatment it had gone! My thoughts were a nasty haemorrhagic cystitis with adherent clots?

[/quote]

When I first started scanning several years ago, I 'diagnosed' a bladder tumour in a dog, rebooked a week or so later with the specialist to confirm and was very embarassed that the tumour had disappeared- lesson learnt- twas a blood clot.

RE: Bladder mass/tumour feline- piroxicam

Matt Hilary — Wed, 05 Apr 2017 18:00:10 GMT

[quote user="Anthony Dennison"]Also, it may not be neoplastic. Anecdote and n=1 I realise, but I treated a cat with a proliferative bladder wall mass on ultrasound scan with meloxicam and antibiotics, and after 3 weeks of treatment it had gone! My thoughts were a nasty haemorrhagic cystitis with adherent clots?[/quote]

Polypoid cystitis?

RE: Bladder mass/tumour feline- piroxicam

Rob Loxley — Tue, 04 Apr 2017 21:17:47 GMT

[quote user="Beats"]

[quote user="robloxley"]I'd consider FNA of the mass to try and get a diagnosis[/quote]

no worries about seeding tumour if TCC?

[/quote]

I presuppose that if biopsy is off the cards then surgery is off the cards so seeding is less of a concern (and how much of a real concern I'm not sure).

RE: Bladder mass/tumour feline- piroxicam

Anthony Todd — Tue, 04 Apr 2017 20:08:11 GMT

Surely you can explain to the owner how to get a non-invasive, minimal cost, urine sample which is very likely to give you an answer?

RE: Bladder mass/tumour feline- piroxicam

Beats — Tue, 04 Apr 2017 19:41:27 GMT

[quote user="robloxley"]I'd consider FNA of the mass to try and get a diagnosis[/quote]

no worries about seeding tumour if TCC?

RE: Bladder mass/tumour feline- piroxicam

Rob Loxley — Tue, 04 Apr 2017 19:38:32 GMT

[quote user="Adrienne McPartland"]owners do not wish to biopsy[/quote]

I'd consider FNA of the mass to try and get a diagnosis, may not affect treatment but knowing what it is allows us to better advise on prognosis and treatment options. If not I'd probably go for metacam

RE: Bladder mass/tumour feline- piroxicam

Anthony Todd — Tue, 04 Apr 2017 10:47:54 GMT

[quote user="Adrienne McPartland"]Any other suggestions excepting surgery ?[/quote]

I suppose you've looked at a spun urine for cells?

RE: Bladder mass/tumour feline- piroxicam

Beats — Mon, 03 Apr 2017 19:57:03 GMT

I'd use metacam personally.

RE: Bladder mass/tumour feline- piroxicam

Anthony Dennison — Mon, 03 Apr 2017 19:24:39 GMT

RE: Bladder mass/tumour feline- piroxicam

Anthony Dennison — Mon, 03 Apr 2017 19:23:01 GMT

When speaking to Iain Grant about this a while ago, he said to just use meloxicam. His explanation was US/European oncologists prefer it but it has more side effects than meloxicam so better to just stick with that.

RE: Bladder mass/tumour feline- piroxicam

Martin Atkinson — Mon, 03 Apr 2017 18:33:38 GMT

[quote user="Stephen Putnam"]

Could try meloxicam, it's supposed to have the same effect as piroxicam on tumours.

[/quote]Which IME is sweet FA!

RE: Bladder mass/tumour feline- piroxicam

Stephen Putnam — Mon, 03 Apr 2017 18:31:28 GMT

Could try meloxicam, it's supposed to have the same effect as piroxicam on tumours.