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Cancer Surgery for Dogs Bethesda MD

The best time to obtain clean margins during surgical excision of a malignant tumor is the first time. The most aggressive, i.e. mitotically active, cells are not located in the main, visible or palpable mass, but within its "legs" or tentacles.

Palisades Veterinary Clinic
(202) 599-8486
5138 Macarthur Blvd NW
Washington, DC
Hours
Monday 8:00 AM - 7:00 PM
Tuesday 8:00 AM - 6:00 PM
Wednesday 8:00 AM - 6:00 PM
Thursday 8:00 AM - 6:00 PM
Friday 8:00 AM - 6:00 PM
Saturday 9:00 AM - 3:00 PM
Sunday Closed
Services
Animal Boarding, Animal Daycare, Animal Grooming, Animal Microchipping, Holistic Veterinary Medicine, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Euthanasia, Veterinary House Calls, Veterinary Surgery, Veterinary Vaccinations

Montgomery Animal Hospital
(301) 920-7517
12200 Rockville Pike
Rockville, MD
Promotion
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Hours
Monday 7:30 AM - 7:00 PM
Tuesday 7:30 AM - 7:00 PM
Wednesday 7:30 AM - 7:00 PM
Thursday 7:30 AM - 7:00 PM
Friday 7:30 AM - 6:00 PM
Saturday 8:00 AM - 3:00 PM
Sunday Closed
Services
Animal Boarding, Animal Daycare, Animal Flea Control, Animal Microchipping, Declawing, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Euthanasia, Veterinary Medical Specialties, Veterinary Surgery

VCA MacArthur Animal Hospital
(202) 644-9002
4832 MacArthur Blvd. N.W.
Washington, DC
Hours
Monday 7:30 AM - 7:30 PM
Tuesday 7:30 AM - 7:30 PM
Wednesday 7:30 AM - 7:30 PM
Thursday 7:30 AM - 7:30 PM
Friday 7:30 AM - 6:00 PM
Saturday 8:00 AM - 4:00 PM
Sunday Closed
Services
Animal Flea Control, Animal Grooming, Animal Microchipping, Declawing, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Euthanasia, Veterinary Medical Specialties, Veterinary Surgery

Seven Locks Animal Hospital
(301) 388-8759
7817 Tuckerman Ln
Potomac, MD
Hours
Monday 8:00 AM - 6:00 PM
Tuesday 8:00 AM - 6:00 PM
Wednesday 8:00 AM - 6:00 PM
Thursday 8:00 AM - 6:00 PM
Friday 8:00 AM - 6:00 PM
Saturday 8:00 AM - 12:00 PM
Sunday Closed
Services
Animal Flea Control, Animal Microchipping, Declawing, Emergency Veterinary Clinic, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Euthanasia, Veterinary House Calls, Veterinary Medical Specialties, Veterinary Surgery

Ballston Animal Hospital
(703) 988-4075
5232 Wilson Blvd
Arlington, VA
Hours
Monday 7:30 AM - 7:30 PM
Tuesday 7:30 AM - 7:30 PM
Wednesday 7:30 AM - 7:30 PM
Thursday 7:30 AM - 7:30 PM
Friday 7:30 AM - 5:30 PM
Saturday 8:00 AM - 1:00 PM
Sunday Closed
Services
Animal Flea Control, Animal Microchipping, Declawing, Holistic Veterinary Medicine, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Euthanasia, Veterinary Medical Specialties, Veterinary Surgery

Kenhaven Animal Clinic
(301) 363-7449
12311 Wilkins Ave
Rockville, MD
Hours
Monday 9:00 AM - 1:00 PM
Tuesday 9:00 AM - 1:00 PM
Wednesday 9:00 AM - 1:00 PM
Thursday 9:00 AM - 1:00 PM
Friday 9:00 AM - 1:00 PM
Saturday 9:00 AM - 1:00 PM
Sunday Closed
Services
Animal Boarding, Animal Flea Control, Animal Grooming, Animal Microchipping, Declawing, Emergency Veterinary Clinic, Exotic Animal Vet, Holistic Veterinary Medicine, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Euthanasia, Veterinary House Calls, Veterinary Medical Specialties, Veterinary Surgery, Veterinary Vaccinations

A Cat Practice
(301) 244-8930
2816 Linden Ln
Silver Spring, MD
Hours
Monday 7:00 AM - 5:30 PM
Tuesday 7:00 AM - 5:30 PM
Wednesday 7:00 AM - 5:30 PM
Thursday 7:00 AM - 5:30 PM
Friday 7:00 AM - 5:30 PM
Saturday 8:00 AM - 4:00 PM
Sunday Closed
Services
Animal Flea Control, Animal Microchipping, Declawing, Holistic Veterinary Medicine, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Docking, Veterinary Euthanasia, Veterinary Medical Specialties, Veterinary Surgery

Cherrydale Veterinary Clinic
(571) 293-1652
4038 Lee Highway
Arlington, VA
Hours
Monday 7:00 AM - 9:00 PM
Tuesday 7:00 AM - 9:00 PM
Wednesday 7:00 AM - 9:00 PM
Thursday 7:00 AM - 9:00 PM
Friday 7:00 AM - 9:00 PM
Saturday 8:00 AM - 6:00 PM
Sunday 9:00 AM - 5:00 PM
Services
Animal Boarding, Animal Daycare, Animal Flea Control, Animal Microchipping, Declawing, Holistic Veterinary Medicine, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Euthanasia, Veterinary House Calls, Veterinary Medical Specialties, Veterinary Surgery

VCA North Rockville Animal Hospital
(301) 202-4096
1390 East Gude Drive
Rockville, MD
Hours
Monday 7:30 AM - 7:00 PM
Tuesday 7:30 AM - 7:00 PM
Wednesday 7:30 AM - 6:00 PM
Thursday 7:30 AM - 7:00 PM
Friday 7:30 AM - 7:00 PM
Saturday 8:00 AM - 2:00 PM
Sunday Closed
Services
Animal Boarding, Animal Daycare, Animal Flea Control, Animal Grooming, Animal Microchipping, Bird Vet, Declawing, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Euthanasia, Veterinary Medical Specialties, Veterinary Surgery

Falls Church Animal Hospital
(703) 662-5952
1249 W Broad St
Falls Church, VA
Hours
Monday 9:00 AM - 6:00 PM
Tuesday 9:00 AM - 6:00 PM
Wednesday 9:00 AM - 6:00 PM
Thursday 9:00 AM - 6:00 PM
Friday 9:00 AM - 6:00 PM
Saturday 9:00 AM - 2:00 PM
Sunday Closed
Services
Animal Boarding, Animal Daycare, Animal Flea Control, Animal Grooming, Animal Microchipping, Declawing, Holistic Veterinary Medicine, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Euthanasia, Veterinary House Calls, Veterinary Medical Specialties, Veterinary Surgery, Veterinary Vaccinations

Cancer Surgery Never as Good as First Time

Nasal fibrosarcoma in an 8-year-old German shepherd. Photo courtesy of Dr. Phil Zeltzman
Music critics claim that Sade’s song “Never as Good as the First Time” applies to personal relationships. We beg to differ. She was clearly referring to cancer surgery.

The best time to obtain clean margins during surgical excision of a malignant tumor is the first time. The most aggressive, i.e. mitotically active, cells are not located in the main, visible or palpable mass, but within its “legs” or tentacles. This is why it is so important to obtain clean margins the first time around.

Dirty margins will require radiation therapy, chemotherapy or a more aggressive excision to prevent a recurrence. Re-excision is always more complicated because it is difficult, if not impossible, to know how invasive we should be. The original tumor may have seeded cells in multiple tissue planes during the first attempt.

One easy way to think of the cancerous mass during the first excision is to consider it as grossly infected (read: covered in pus). Therefore, it shouldn’t come in contact with healthy tissues. Gloves, instruments and drapes should be changed before closing the surgical site.

It also is important to remove tumors en bloc. In other words, the main mass should not be shelled out with the intention of removing more tissue afterward.

Mast cell tumor on the hock of a 6-year-old boxer. Photo courtesy of Dr. Phil Zeltzman
The deep margin ofte...

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