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Cancer Treatments for Pets Salem VA

Every tumor, every situation, every patient is different. That's why universal guidelines for the management of cancer patients are difficult to define. But let’s try to define five general rules anyway.

Hanging Rock Animal Hospital
(540) 632-1904
1910 Loch Haven Dr
Roanoke, VA
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Hours
Monday 8:00 AM - 6:00 PM
Tuesday 7:00 AM - 6:00 PM
Wednesday 7:00 AM - 6:00 PM
Thursday 8:00 AM - 6:00 PM
Friday 8:00 AM - 6:00 PM
Saturday 8:00 AM - 6:00 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

Pet Health Clinic
(540) 632-1960
840 Roanoke Rd
Daleville, VA
Hours
Monday 7:30 AM - 7:00 PM
Tuesday 7:30 AM - 6:00 PM
Wednesday 7:30 AM - 6:00 PM
Thursday 7:30 AM - 7:00 PM
Friday 7:30 AM - 6:00 PM
Saturday 8:00 AM - 1:00 PM
Sunday Closed
Services
Animal Flea Control, Animal Microchipping, Declawing, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Docking, Veterinary Euthanasia, Veterinary House Calls, Veterinary Surgery

Companion Pet Care Clinic
(540) 375-0350
29 Wildwood RD
Salem, VA
Services
Full service veterinary clinic
Hours
M-F 8-6, Sat 8-12

Big Lick Veterinary Svc
(540) 776-0700
7777 Bent Mountain Rd
Roanoke, VA

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Emergency Veterinary Svc
(540) 563-8575
4902 Frontage Rd NW
Roanoke, VA

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Vinton Veterinary Hospital
(540) 632-1938
1309 E. Washington Avenue
Vinton, VA
Hours
Monday 8:00 AM - 7:30 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 - 1:00 PM
Sunday Closed
Services
Animal Boarding, Animal Microchipping, Veterinarians, Veterinary Dentistry, Veterinary Euthanasia, Veterinary Surgery, Veterinary Vaccinations

Sandra Diaz, DVM, MS, Dipl. ACVD
(540) 231-4621
Duck Pond Drive (0442)
Blacksburg, VA
Hours
M-F by appointments

Cave Spring Veterinary Clinic
(540) 989-8582
4538 Old Cave Spring Rd
Roanoke, VA

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Henson, Erika, Dvm - Brambleton Veterinary Hospital
(540) 774-5236
3528 Brambleton Ave
Roanoke, VA

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Hodges, Lucinda R, Dvm - Harris Animal Hospital
(540) 362-3753
6805 Peters Creek Rd
Roanoke, VA

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Manage Cancer Patients in 5 Steps

Universal guidelines for the management of cancer patients are difficult to define. Clearly, every tumor, every situation, every patient is different. But let’s try to define five general rules anyway.

Step 1

A nerve sheath tumor in a 10-year-old Sheltie.

The first challenge is to suspect or recognize cancer. It may seem straightforward with a skin mass, but it can be much more challenging in the intestine or the bladder. Confirming the suspicion is the next step, and it usually involves a fine needle aspirate (FNA) or a biopsy.

Let’s simplify and only consider skin masses. There are two main FNA techniques: aspiration and trephination.

The traditional aspiration technique requires a needle and a syringe. The needle is introduced into the tumor in various directions, while negative pressure is applied to the syringe. “The microtrauma created may cause bleeding, which will lead to hemodilution of the sample,”

xplains Ken Mero, DVM, Ph.D., a pathologist at Histology of Stone Ridge in Stone Ridge, N.Y.

Another method is the trephination technique, which doesn’t involve negative pressure and reduces the risk of hemodilution. Tiny cores of the mass are harvested without using negative pressure, which may allow a higher cellular yield by avoiding hemodilution.

Incisional biopsy techniques include Tru-Cut, wedge or punch biopsy. Excisional biopsy is a fancy synonym for “trying to remove a tumor entirely,” i.e. with clean margins.

The results of an FNA and a biopsy have two important differences. An FNA sometimes will provide an actual diagnosis (e.g. mast cell tumor) and often will include several rule-outs. A good biopsy will typically provide a definite diagnosis and the grade of the tumor, when applicable. In addition, the pathologist can study the architecture of the sample and visualize cells in their original microstructure. Last but not least, an excisional biopsy helps with assessing the surgical margins—“clean” or “dirty.”

“Grading is a complex and subjective endeavor. Grading a tumor involves describing how differentiated or aggressive it is. The pathologist will describe a tumor as being low, moderate or high grade. Another description is a poorly, moderately or highly differentiated tumor,” Dr. Mero explains.

A mast cell tumor is somewhat easier to grade—1, 2 or 3, with 3 being the most aggressive.

For a variety of medical or financial reasons, an FNA or an incisional biopsy may not be performed.

Step 2

A mammary spindle cell sarcoma in an 11-year-old Maltese.
The second step is staging a tumor, which helps specify whether it has metastasized. The tests involved can include:

  • Simple palpation, such as of the peripheral lymph nodes.
  • Radiographs—thoracic or abdominal.
  • Ultrasound—thoracic or abdominal.
  • CAT scanner, most often of the thorax.MRI, possibly adequate for the abdomen but usually not for the thorax because of the constant motion of the heart and lungs...

Copyright 2009 BowTie Inc.

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