https://www.vetsurgeon.org/f/clinical-questions/31207/pyometra-shall-i-operate Hello everyone. My auntie&#39;s Malinois (10y intact female) was diagnosed with B cell lymphoma grade IV 4 weeks ago. In the meantime, like it was not enough and while my family members were choosing the most appropriate chemoterapeutical approach (sinceen-USTelligent Community 10https://www.vetsurgeon.org/thread/247482?ContentTypeID=1Tue, 15 Jul 2025 21:45:18 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:400cc760-56bf-402a-8636-89ef8af81d85David Mills<p>Operate.</p> <p>Anxious dog - why put it through chemo that involves weekly vet visits and IV injections etc? Maximise quality. Start preds 2w after surgery. Enjoy the time left.&nbsp;</p> <p>As an aside there has been no improvement in chemo protocols for lymphoma since I qualified? Anyone want to guess why?</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/247477?ContentTypeID=1Tue, 15 Jul 2025 08:54:51 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:f4a12c0d-b3ae-40b2-9582-d81410d2bf85Clive Ansell<p>I would spay as soon as I could.&nbsp;</p> [quote userid="15580" url="~/f/clinical-questions/31207/pyometra-shall-i-operate"]Would a surgical approach solve the issue faster so we can go into chemotherapy asap?[/quote] <p>I would think so, yes.&nbsp;</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/247471?ContentTypeID=1Mon, 14 Jul 2025 10:27:35 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:c399d5de-c9dd-4c8b-bc5b-2b5ad19e5be2janine redman<p>I think I would spay , as the pyo is life threatening but euthanasia is an option if the dog is likely to suffer&nbsp;</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/247467?ContentTypeID=1Sun, 13 Jul 2025 21:17:07 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:a8904056-a35f-4225-8cdd-22fc13eb101eMichael Woodhouse<p>I&#39;d spay, give 2 weeks and start steroids. 10&#39;s a decent age.&nbsp;</p><div style="clear:both;"></div>