Willie, male neutered cat almost 14, has been losing weight for a period of
over a year. His other symptoms are flatulence, possible diarrhea,
excessive hunger and thirst.
Because I was dealing with two other health crises in my pets, I put off
serious concern over Willie until this year. I did have bloodwork done last
year, and all was well except for a slightly elevated white blood cell
count.
He continued to lose weight and I had the bloodwork repeated and chest
x-rays done last week. Again, all was well. I got a referral to an
internist who felt abdominal masses and did an ultrasound. She saw 2 areas
and aspirated them. The pathology is inconclusive: one has lymphocytes
(was probably a lymph node from appearance on the ultrasound), but she said
there was an elevation of a particular kind of cell which is not
inconsistent with lymphoma.
The other aspirate showed fecal matter.
Thus, she recommended exploratory surgery.
Upon getting a quote, I decided to let my regular vet do the surgery,
because if I let the specialist do it, I wouldn't be able to afford further
treatment for the cat if it is indicated! What good is it to find out what
is wrong if you can't treat it????
Anyway, I love my regular vet. The problem is this: he says he is
perfectly comfortable with the surgery, and will be able to resect the
bowel. BUT he advocates putting the cat down while on the table if the
"intestine is riddled with nodules".
OK. So, I don't agree with this! Or do I? First question:
--is the nodular appearance how intestinal lymphoma presents?
--what are the treatments? What is the success rate for them?
This same vet told me that "cats don't respond well to chemo". With this
statement I disagree, but I didn't say so in front of him. My experience
has been the opposite (I just went through it with a breast cancer kitty)
and my reading has told me it isn't hard on cats at all. But maybe it is
different with lymphoma?
Anyway, I can and will say no. But I don't want to regret my decision by
having the cat die an agonizing death a week later.
Please help me with any advice, both scientific & anecdotal! I am really
quite distraught.
BTW, the kitty, although very thin right now, is eating well, drinking well,
pooping well and still very active and happy. He may not even know he is
sick :)
blkcatgal - 22 Jul 2004 04:42 GMT
Betsy,
I have no experience with intestinal lymphoma but I wish all the best for
your kitty.
I also have heard that cats tolerate chemo quite well so I'm not sure why
your vet said the opposite.
Good luck.
Sue
> Willie, male neutered cat almost 14, has been losing weight for a period of
> over a year. His other symptoms are flatulence, possible diarrhea,
[quoted text clipped - 48 lines]
> pooping well and still very active and happy. He may not even know he is
> sick :)
Betsy - 22 Jul 2004 15:32 GMT
Thanks, I'm hoping for the best!
> Betsy,
> I have no experience with intestinal lymphoma but I wish all the best for
[quoted text clipped - 66 lines]
> > pooping well and still very active and happy. He may not even know he is
> > sick :)
J. Martin - 22 Jul 2004 12:14 GMT
You won't have a diagnosis until the tissue samples have been examined by a
pathologist so I don't encourage euthanasia on the surgery table unless the
numerous intestinal resections are needed for food to move through the
intestines. An enlarged lymph node does not necessarily indicate lymphoma
as this can occur with inflammatory bowel disease. There are two main
subcategories of intestinal lymphoma in cats - large cell lymphoma and small
cell lymphoma. Large cell lymphoma often responds very well to oral
prednisone and chlorambucil with average survival times approaching 2 years.
Small cell lymphoma is more difficult and expensive to treat and requires
injectable chemotherapeutic agents for best remission times. Average
survival times are closer to 6 months with multiagent chemotherapy. My
experience with treating lymphoma in dogs and cats is that actual survival
times in individuals can be quite variable with some animals surviving much
longer than average (and some surviving much less than average). I never
push chemotherapy but if the owner is willing it is definitely worth a try
in most cases of lymphoma.
J.
> Willie, male neutered cat almost 14, has been losing weight for a period of
> over a year. His other symptoms are flatulence, possible diarrhea,
[quoted text clipped - 48 lines]
> pooping well and still very active and happy. He may not even know he is
> sick :)