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Cancer Surgery for Dogs Makawao HI

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.

Wayne Rosenkrantz
(808) 295-3385
4640 Lower Kula Road
Kula, HI
Hours
Call for information on schedule.

Miller, Marc, Dvm - Makawao Veterinary Clinic
(808) 572-9003
444 Makawao Ave Ste A
Makawao, HI

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Kihei Veterinary Clinic
(808) 879-5777
1476 S Kihei Rd
Kihei, HI

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VCA Kaneohe Animal Hospital
(808) 457-1140
45-608 Kamehameha Hwy
Kaneohe, HI
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 7:00 AM - 9:00 PM
Sunday 7:00 AM - 9:00 PM
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Animal Boarding, Animal Daycare, Animal Flea Control, Animal Grooming, Animal Microchipping, Bird Vet, Exotic Animal Vet, Reptile Vet, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Euthanasia, Veterinary Medical Specialties, Veterinary Surgery

Surf Paws Animal Hospital
(808) 672-2213
6600 Kalanianaole Hwy
Honolulu, HI
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Hours
Monday 8:00 AM - 5:00 PM
Tuesday 8:00 AM - 7:00 PM
Wednesday 8:00 AM - 4:00 PM
Thursday 8:00 AM - 7:00 PM
Friday 8:00 AM - 5:00 PM
Saturday 8:00 AM - 2:00 PM
Sunday Closed
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Animal Daycare, Animal Flea Control, Animal Microchipping, 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

Wayne Rosenkrantz
(808) 295-3385
300 Ohukai Road Suite C-108
Kihei, HI
Hours
Call for information on schedule.

Bumpus, Sally, Dvm - Central Maui Animal Clinic Inc
(808) 893-2380
45 Hookele St
Kahului, HI

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South Shore Veterinary Clinic
(808) 874-3422
1280 S Kihei Rd
Kihei, HI

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VCA Family Animal Hospital
(808) 457-1483
98-1254 Kaahumanu St
Pearl City, HI
Hours
Monday 24 Hours
Tuesday 24 Hours
Wednesday 24 Hours
Thursday 24 Hours
Friday 24 Hours
Saturday 24 Hours
Sunday 24 Hours
Services
24-Hour Vet, Animal Boarding, Animal Daycare, Animal Flea Control, Animal Grooming, Animal Microchipping, Bird Vet, Declawing, Emergency Veterinary Clinic, Exotic Animal Vet, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Medical Specialties, Veterinary Surgery

Animal Clinic Of Honolulu
(808) 377-4131
1048 Koko Head Ave
Honolulu, HI
Hours
Monday 8:00 AM - 5:30 PM
Tuesday 8:00 AM - 5:30 PM
Wednesday 8:00 AM - 5:30 PM
Thursday 8:00 AM - 5:30 PM
Friday 8:00 AM - 5:30 PM
Saturday 8:00 AM - 4:00 PM
Sunday Closed
Services
Animal Boarding, Animal Daycare, Animal Flea Control, Animal Microchipping, Declawing, Emergency Veterinary Clinic, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Docking, Veterinary Euthanasia, Veterinary House Calls, Veterinary Medical Specialties, Veterinary Surgery, Veterinary Vaccinations

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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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