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Cancer Surgery for Dogs Sumner WA

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.

Firgrove Veterinary Clinic
(253) 268-5444
14816 Meridian E
Puyallup, WA
Hours
Monday 7:00 AM - 8:00 PM
Tuesday 7:00 AM - 8:00 PM
Wednesday 7:00 AM - 6:00 PM
Thursday 7:00 AM - 6:00 PM
Friday 7:00 AM - 8:00 PM
Saturday 8:00 AM - 5:00 PM
Sunday 8:00 AM - 5:00 PM
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

Green River Veterinary Hospital
(253) 220-7993
4212 Auburn Way North
Auburn, WA
Hours
Monday 8:00 AM - 8:00 PM
Tuesday 8:00 AM - 6:00 PM
Wednesday 8:00 AM - 8:00 PM
Thursday 8:00 AM - 6:00 PM
Friday 8:00 AM - 6:00 PM
Saturday 9:00 AM - 12:00 PM
Sunday Closed
Services
Animal Flea Control, Animal Microchipping, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Euthanasia, Veterinary Surgery, Veterinary Vaccinations

VCA Pacific Avenue South Animal Hospital
(253) 655-7948
18715 Pacific Avenue
Spanaway , WA
Hours
Monday 7:00 AM - 8:00 PM
Tuesday 7:00 AM - 8:00 PM
Wednesday 7:00 AM - 8:00 PM
Thursday 7:00 AM - 8:00 PM
Friday 7:00 AM - 6:00 PM
Saturday 7:00 AM - 6:00 PM
Sunday Closed
Services
Animal Boarding, Animal Daycare, Animal Flea Control, Animal Grooming, Animal Microchipping, Exotic Animal Vet, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Euthanasia, Veterinary Medical Specialties, Veterinary Surgery, Veterinary Vaccinations

VCA Parkway Animal Hospital
(253) 254-7113
14107 Pacific Avenue
Tacoma , WA
Hours
Monday 8:00 AM - 7:30 PM
Tuesday 8:00 AM - 7:30 PM
Wednesday 8:00 AM - 6:00 PM
Thursday 8:00 AM - 6:00 PM
Friday 8:30 AM - 7:30 PM
Saturday 8:00 AM - 3:00 PM
Sunday Closed
Services
Animal Flea Control, Animal Grooming, Animal Microchipping, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Euthanasia, Veterinary Medical Specialties, Veterinary Surgery

Chambers Creek Veterinary Hospital
(253) 353-7456
7210 Bridgeport Way W
Lakewood, WA
Hours
Monday 7:00 AM - 6:30 PM
Tuesday 7:00 AM - 6:30 PM
Wednesday 7:00 AM - 6:30 PM
Thursday 7:00 AM - 6:30 PM
Friday 7:00 AM - 6:30 PM
Saturday 8:00 AM - 4:00 PM
Sunday Closed
Services
Animal Boarding, Animal Daycare, Animal Flea Control, Animal Grooming, Animal Microchipping, Declawing, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Euthanasia, Veterinary Medical Specialties, Veterinary Surgery

South Hill Veterinary Clinic
(253) 693-8995
620 39th Ave. SW
Puyallup, WA
Hours
Monday 7:00 AM - 8:00 PM
Tuesday 7:00 AM - 8:00 PM
Wednesday 7:00 AM - 8:00 PM
Thursday 7:00 AM - 8:00 PM
Friday 7:00 AM - 8:00 PM
Saturday 8:00 AM - 5:00 PM
Sunday Closed
Services
Animal Flea Control, Declawing, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Euthanasia, Veterinary Surgery, Veterinary Vaccinations

Crestwood Animal Hospital
(253) 235-9718
28822 Pacific Hwy S
Federal Way, WA
Promotion
Receive a complimentary exam for your pet's first visit with us. Call our office to schedule your appointment. We are excited to meet you!
Hours
Monday 9:00 AM - 6:00 PM
Tuesday 9:00 AM - 6:00 PM
Wednesday 9:00 AM - 7:00 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 Flea Control, Animal Microchipping, Declawing, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Euthanasia, Veterinary Surgery, Veterinary Vaccinations

Sacajawea Healthcare for Pets
(253) 293-5945
1530 S Dash Point Rd
Federal Way, WA
Hours
Monday 7:30 AM - 8:00 PM
Tuesday 7:30 AM - 6:00 PM
Wednesday 7:30 AM - 8:00 PM
Thursday 7:30 AM - 6:00 PM
Friday 7:30 AM - 6:00 PM
Saturday 8:30 AM - 2:00 PM
Sunday Closed
Services
Animal Flea Control, Animal Microchipping, Bird Vet, Declawing, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Euthanasia, Veterinary Surgery

VCA Pacific Avenue Animal Hospital
(253) 254-7528
10234 Pacific Ave
Tacoma, WA
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, Exotic Animal Vet, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Euthanasia, Veterinary Medical Specialties, Veterinary Surgery

VCA Kent Animal Hospital
(253) 234-1659
10834 SE Kent-Kangley Road
Kent, WA
Promotion
Small Animals, Reptiles, Dentistry, Pocket Pets

Hours
Monday 7:00 AM - 7:00 PM
Tuesday 7:00 AM - 7:00 PM
Wednesday 7:00 AM - 7:00 PM
Thursday 7:00 AM - 7:00 PM
Friday 7:00 AM - 7:00 PM
Saturday 8:00 AM - 5:00 PM
Sunday 9:00 AM - 4:00 PM
Services
Animal Boarding, Animal Flea Control, Animal Grooming, Animal Microchipping, Exotic Animal Vet, Reptile Vet, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Euthanasia, Veterinary Medical Specialties, Veterinary Surgery

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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