My pet has the following symptoms:
Cancerous Cells In Left Lymph Nodes
Hi I would love a second opinion for my cat, Isha. About 2 months ago I noticed a lump under one of her left nipples. I took her to the vet who advised a lumpectomy and analysis of the lump. It came back as mammary carcinoma.
The good news was they felt they got all of the tumor as the surrounding cells were normal. I was then advised to opt for a left sided masectomy to prevent the change of spread as breast cancer is so aggressive in cats. However, I did not like the idea of doing preventative surgery when I wasn't 100% sure Isha was cured of cancer.
My vet advised a CT scan, which came back with 2 areas of slight concern (some cells in the spleen and some in the lungs) but the general deduction was that these were not metastasized tumors, but likely to be age related scar tissue (they did state that even the best CT scans cannot state 100% free of cancer, but it was likely that these 2 areas were not cancerous).
On this result, I went ahead with a left sided masectomy. Isha recovered extremely well after surgery, and the removed strip and lymph nodes were sent to histopathology.
I've just had the results back from the lab, and I'm devastated to find the removed lymph nodes have signs of cancer. Therefore she likely has cancerous cells in her right now. Because of this result, my vet has advised me to cancel plans to do a preventative right sided masectomy, and instead decide whether I opt for chemotherapy or not.
My main worry is that my vet is being very vague with me on what we could do in Isha's best interests. I was told by them the CT scan came back clear apart from 2 slightly suspect areas, as explained above. Not once was there any suspicion of any issues on the left breast tract. And yet now I find Isha has cancerous cells in the very area where she had the tumor. Isn't the point of a CT scan to see if the cancer has spread before doing any preventative surgery? It would make sense if it came back that one of the 2 suspect areas (lungs or spleen) was the culprit, but it wasn't! I almost feel the CT scan was practically useless.
The second issue is whether I should opt for chemotherapy. My vet tells me that there isn't enough studies to show that chemotherapy even helps extend life in cats, but at the same time, it is 'recommended.' Again this doesn't make sense. I know the decision is mine to make, but when I'm given only one option for treatment, and then told that there's no previous data to say it actually is of any benefit, it does not seem like much of a choice!
Money isn't an issue here, I'll happily pay for ongoing chemo, but of course I don't want to put Isha through the rigors of monthly chemo for no reason.
I know that no vet, no matter how eminent, can give a 100% 'correct' treatment plan, and there's a lot of grey area here. But my vet is really not instilling much confidence in me (perhaps they are worried about the current 'sue everyone at the drop of a hat' culture we're in, and are staying as vague as possible to ensure there are no litigation issues in the future - I'd never sue a vet, by the way.....you guys do an amazing job and you're allowed to get things wrong sometimes, you're only human)
So sorry for such a lengthy post, but I'm now starting to have sleepless nights worrying abut whether I'm doing the best by Isha. It's not so much her possible death that hurts me, we all die.... it's the not knowing what course of action to take that's in her best interests which is really making me anxious. I hope you will be able to give me a much needed second opinion.