Introduction of Ricky Lee - non diabetic

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Cardinal1987

Member Since 2016
Hello

In advance, I am sorry for the length of this.

I am struggling with making a decision to have Ricky undergo abdominal surgery for the removal of a cyst (found on his liver and could be causing vomiting) and the biopsy of his intestines, liver and lymph nodes (to rule out IBD, SCL or other).

We saw 2 different surgeons and both advised there could be serious complication of leakage of intestinal contents that can occur at the biopsy site. She said this is reported up to 20% but her experience was lower. She said if this happened a 2nd surgery would be needed. She said Ricky may need to stay in the hospital 3-4 days, (he has not ever been away from home). He would be on pain medicine for 5 days. She said she does not expect discomfort for more than 5-7 days and uncomplicated recover is typically 2 weeks, she does not say anything about complicated recovery. She said he may have to be confined in a big dog crate for 2 weeks so he does not jump. The 2nd surgeon said if complications arise the outcome could be fatal, your pet may need an additional 5-7 days in the hospital and recovery is about 50%. Plus, some of the bowel may need to be removed.

I have been on other sites and opinions vary so I was hoping for more opinions on if your feline had abdominal surgery with biopsies.

I would appreciate anyone’s input on why they decided to do the biopsy, risk factors they were advised of, age of their kitty, did they need a 2nd surgery? Did you do the surgery right away or wait, if waited how long did you wait? How long did they have to stay in the hospital? How long did it take them to eat, drink, poop after surgery? Did the surgery site bother them, does having to wear the cone bother them? Did you have to keep them confined in a crate.? If the c word was found did you do chemotherapy and how did your kitty handle Chemo and anyone that did not do the biopsies and why they did not and if they regretted either decision. . Also did anyone’s kitty not survive the surgery or recovery and or get un-treatable news or inclusive news?

If you did not do a biopsy did your kitty go on steroids and or a chemo drug without getting a definitive diagnosis? If yes, how has your kitty’s empirical therapy been?

Ricky will be 15 on November 12th. The surgeon said age is Not a disease. But I am not convinced. Ricky’s last dental cleaning with removal of 2 teeth and removal of a growth by his ear was brutal on him and hell to watch him go through (the growth was diagnosed as mast cell tumor). He would not eat or take his medicine for 2 days. I vowed to him he would not have another dental cleaning and here I am contemplating abdominal surgery!

Also hoping to hear from anyone that had a liver mass removed and the outcome.

After re-reading our lengthy introduction (again sorry about that) the main reason for this posting is that I feel I am being selfish if I put Ricky through abdominal surgery where he could die during or after surgery and his recovery will be hell for him, maybe hell up to 14 days, and if he does have something very bad with no chance of therapy his last few days on Earth will be miserable instead of happy. So if anyone can advise the risks to have the cyst removed with the 3 biopsies are lesser then the reasons/risks I advised to not have the procedures done would be greatly appreciated! Any information would be greatly appreciated!

Healthy Regards

Ricky and Maria

PS Ricky is not a diabetic and hoping he will not become one from future steroid use. We are a member of your board and hope it was OK to post this, as we are just trying to gather as much information as we can to make the best decision for Ricky and do what Ricky would want and not what we want.
PPS I enclosed the IMS and surgery consultations and a picture of Ricky
 

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It is so hard, I know. It's cancer, and it's terminal. Surgery is too much of a risk, also biopsies, due to the sedation only as a high risk. Cortisone is the only option and to spend all your devoted time with him and all the calmness he can get. Two Hearts, beats as One.
:bighug:
 
WELCOME TO OUR FAMILY:bighug:
Sadly I have nothing to offer. I just wanted to say how sorry you and your beautiful Ricky are going through this. I guess it comes down to quality of life. I hope Wendy can share her journey, and give you some insight.
May God bless you both during this most difficult time.
jeanne
 
Actually, more than 1 kitty with small cell lymphoma now. Three. :banghead: First was a non diabetic - I tested him, the prednisolone did not make him diabetic. Number 3 also not diabetic on prednisolone. Neko was the more complicated one. We could not properly diagnose her because diagnosis methods (surgical biopsy or endoscopy) require anaesthesia, and her heart could not take it. So we went by best guess on imaging by the internal medicine vet. Number 3 had an endocopy which is faster to recover, came home the same day. Had a little throat irritation for a day, but other than a quieter meow, was fine. Endoscopy is only an option if the inflammation is in a place in the intestine that a scope can reach. Since your kitty needs surgery anyway, might as well get it all done. I belong to a Groups.IO group on feline small cell lymphoma. Have yet to hear of a cat having complications from the surgery, nor needing a second surgery.

I would absolutely recommend the chemo. Cats tolerate it better than us, and it's quite a mild chemo drug. Given once every two weeks on the new protocol which anti nausea meds just before and a couple days after. A very higher percent of cats on that protocol go into remission, some for years. My first cat passed of pancreatic cancer, he was in remission from small cell lymphoma at the time. Neko was very complicated, it wasn't the SCL that took her.

Have you though about engaging an internal medicine vet? I did for Neko, as I said, she was complicated.
 
I've had two cats that have gone through abdominal surgery to remove cysts from their liver and kindeys, I knew in advance that they were benign cysts sort to speak because they both had PKD and PLD one of them actually went through two surgeries one at the age of 9 and another at the age of 14, the other one has had one and she was 10 at the time of the surgery but the surgery did not involved the intestines

The surgery in itself was not that complicated nor was the recovery my girls don't do very well out of home so they went to surgery very early in the morning and got them back at home at night, the vet left the cateter in their leg (with bandages and properly covered ) the next day I took them to the vet again very early and they stayed most of the day and got some more intravenous fluids and I took them home at night again, andwith one it was going back just once with the other we did this for another extra day. They were allowed to eat and drink as much as they wanted when they got home since they were already out of the anesteshia and they did ate though they didn't drank much I guess they were not thirsty since they have been on fluids at the vet. As far as having them on a crated mine were allowed to move freely but thay may depend on the cat mine are not very active anyway


I didn't noticed the wound caused them any trouble at least not more than when they got neutred, they did seem a little bit less active bud odly enough they seemed more comfortable, which I think it was because they did felt more confortable since they got not one but several cysts removed and their liver numbers did improved a lot and they did appeared to have better digestion they started eating better and vomited less

I have some photos of the surgery if you want to see it, they are bit gross oviously but maybe they can be of some use to you
 
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Thank you everyone for the replies!! and yes Veronica if you can share the photos of the surgery please and thank you!
Would you like share on this thread or do you want to send privately?
 
Years ago I agreed to adopt Mario sight unseen. He as 15 and diabetic and was in Philadelphia. When I went up to pick him up he looked like death warmed over. After he started to get better there was a problem and the ER vet did an ultrasound which showed a problem with his bile duct. They did surgery for the bile duct and also took biopsies of the intestines and other organs. They also inserted a feeding tube. The biopsies showed small-cell intestinal cancer. He recovered fine and really did not need the feeding tube. He lived well for about two years while being treated with Chlorambucil for the cancer.

I wouod like to see the photos for the surgery.
 
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