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Animal Osteosarcoma Treatment Goffstown NH

Muffin, an 8-year-old female Rottie, presents with a two-week history of right front leg lameness. The physical exam is within normal limits except for a firm mass on the distal forearm, which is painful on palpation. You suspect a tumor.

Northside Animal Hospital
(603) 296-0919
574 Arah Street
Hooksett, NH
Hours
Monday 8:00 AM - 5:00 PM
Tuesday 8:00 AM - 6:00 PM
Wednesday 8:00 AM - 5:00 PM
Thursday 8:00 AM - 6:00 PM
Friday 8:00 AM - 5:00 PM
Saturday 8:00 AM - 12:00 PM
Sunday Closed
Services
Animal Flea Control, Animal Microchipping, Bird Vet, Declawing, Exotic Animal Vet, Reptile Vet, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Euthanasia, Veterinary Medical Specialties, Veterinary Surgery

Manchester Animal Hospital
(603) 637-2566
1129 Hooksett Rd
Hooksett, NH
Hours
Monday 7:30 AM - 6:00 PM
Tuesday 7:30 AM - 6:00 PM
Wednesday 7:30 AM - 6:00 PM
Thursday 7:30 AM - 6:00 PM
Friday 7:30 AM - 6:00 PM
Saturday 8:00 AM - 12:00 PM
Sunday Closed
Services
Animal Flea Control, Animal Microchipping, Declawing, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Docking, Veterinary Euthanasia, Veterinary Medical Specialties, Veterinary Surgery, Veterinary Vaccinations

Weare Animal Hospital
(603) 736-7513
91 North Stark Hwy
Weare, NH
Hours
Monday 7:30 AM - 6:00 PM
Tuesday 7:30 AM - 7:30 PM
Wednesday 7:30 AM - 6:00 PM
Thursday 7:30 AM - 7:30 PM
Friday 7:30 AM - 6:00 PM
Saturday 8:00 AM - 12:00 PM
Sunday Closed
Services
Animal Boarding, Animal Daycare, Animal Flea Control, Animal Grooming, Animal Microchipping, Bird Vet, Declawing, Exotic Animal Vet, Holistic Veterinary Medicine, Reptile Vet, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Euthanasia, Veterinary House Calls, Veterinary Medical Specialties, Veterinary Surgery

Daniel Webster Animal Hospital
(603) 637-1911
3 Hawthorne Dr.
Bedford, NH
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 - 6:00 PM
Saturday 9:00 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 Docking, Veterinary Euthanasia, Veterinary Medical Specialties, Veterinary Surgery

Ponemah Veterinary Hospital
(603) 670-1284
199 Rte 101
Amherst, NH
Promotion
New Client Offer: $10 off first examination when you mention this ad. (new clients only)
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 - 5:00 PM
Saturday 8:00 AM - 12:00 PM
Sunday Closed
Services
Animal Flea Control, Animal Microchipping, Declawing, Emergency Veterinary Clinic, Exotic Animal Vet, Holistic Veterinary Medicine, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Euthanasia, Veterinary Medical Specialties, Veterinary Surgery

Goffstown Animal Hospital
(603) 965-7771
3 Roosevelt st.
Manchester, NH
Hours
Monday 8:00 AM - 5:00 PM
Tuesday 8:00 AM - 6:00 PM
Wednesday 8:00 AM - 7:00 PM
Thursday 8:00 AM - 6:00 PM
Friday 8:00 AM - 5:00 PM
Saturday 8:00 AM - 12:00 PM
Sunday Closed
Services
Animal Flea Control, Animal Microchipping, Declawing, Exotic Animal Vet, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Euthanasia, Veterinary Surgery

Exotic and Bird Clinic of New Hampshire
(603) 822-0944
91 North Stark Hwy
Weare, NH
Hours
Monday 7:30 AM - 6:00 PM
Tuesday 7:30 AM - 7:30 PM
Wednesday 7:30 AM - 6:00 PM
Thursday 7:30 AM - 7:30 PM
Friday 7:30 AM - 6:00 PM
Saturday 8:00 AM - 12:00 PM
Sunday Closed
Services
Animal Boarding, Animal Daycare, Animal Flea Control, Animal Microchipping, Bird Vet, Exotic Animal Vet, Holistic Veterinary Medicine, Reptile Vet, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Euthanasia, Veterinary House Calls, Veterinary Medical Specialties, Veterinary Surgery

Lockridge Animal Hospital
(603) 822-4361
1153 Hanover St
Manchester, NH
Promotion
New Clients Welcome! Call for an appointment
Hours
Monday 8:00 AM - 6:00 PM
Tuesday 8:00 AM - 7:00 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, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Euthanasia, Veterinary Medical Specialties, Veterinary Surgery

South Willow Animal Hospital
(603) 637-1917
373 South Willow Street
Manchester, NH
Promotion
New Clients will receive 10% Off Their First Wellness Exam! ********************* Ask About Our Wellness Plans That Allow You to Make Monthly Payments For Your Pet's Wellness Care!
Hours
Monday 8:00 AM - 5:00 PM
Tuesday 8:00 AM - 7:00 PM
Wednesday 8:00 AM - 7:00 PM
Thursday 8:00 AM - 6:00 PM
Friday 8:00 AM - 5:00 PM
Saturday 8:00 AM - 3:00 PM
Sunday Closed
Services
Animal Microchipping, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Euthanasia, Veterinary Medical Specialties, Veterinary Surgery

Merrimack Veterinary Hospital
(603) 637-2033
235 Daniel Webster Hwy
Merrimack, NH
Hours
Monday 7:30 AM - 8:00 PM
Tuesday 7:30 AM - 8:00 PM
Wednesday 7:30 AM - 6:00 PM
Thursday 7:30 AM - 8:00 PM
Friday 7:30 AM - 6:00 PM
Saturday 8:00 AM - 1:00 PM
Sunday Closed
Services
Animal Boarding, Animal Daycare, Animal Flea Control, Animal Grooming, Animal Microchipping, Declawing, Emergency Veterinary Clinic, Holistic Veterinary Medicine, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Euthanasia, Veterinary Medical Specialties, Veterinary Surgery

Managing Animals with Osteosarcoma

Muffin, an 8-year-old female Rottie, presents with a two-week history of right front leg lameness. The physical exam is within normal limits except for a firm mass on the distal forearm, which is painful on palpation. You suspect a tumor.

How would you approach this case? What are your rule-outs?

A: A suspicious lesion in the right radius of Muffin, an 8-year-old female Rottie. Photo by Dr. Phil Zeltzman
Radiographs of the distal radius and ulna are the next logical step. They reveal a lytic and proliferative lesion with soft-tissue swelling (see photo A). Malignant long bone tumors include osteosarcoma (about 85 percent of the time), chondrosarcoma (5 percent), fibrosarcoma (5 percent) and hemangiosarcoma (5 percent). There is a small chance of a metastatic lesion. If this were a benign lesion, it could be an osteoma, chondroma or bone cyst. It also could be osteomyelitis from a bacterial or fungal infection.

Euthanasia offered as a sole treatment option is not ethically acceptable and medically recommended in 2010. Primary bone cancer is a treatable condition that requires a thorough work-up before irreversible decisions are made.

A standard work-up should include:

  • CBC and chemistry. An increased alkaline phosphatase may be correlated with a poorer prognosis in cases of osteosarcoma. (See JAVMA, 1998, Vol. 213.)
  • Three views of the thorax, to detect visible metastasis (macro-metastasis).
  • A bone biopsy.
  • Fungal and bacterial cultures of the bone.

The timing of bone biopsy is debatable. If the clinician is convinced that the lesion is consistent with osteosarcoma, or if the client has financial constraints, an open discussion should take place about the pros and cons of performing an amputation without the benefit of a prior biopsy.

If amputation is elected, then a biopsy and cultures should be harvested afterward to confirm the suspicion. This is a huge leap of faith for the client, so it is important to document what was discussed and what the client chose.

How It’s Done

Should a biopsy be preferred first, then the surgery site is shaved, scrubbed and draped. A stab incision is performed in the skin. A hemostat or periosteal elevator is used to approach the bone. Several cores of bone are sampled with a Jamshidi needle (see photo B) or a Michelle trephine.

It is prudent to use the smallest needle possible to decrease the chances of a pathological fracture of the bone. This is why most surgeons prefer Jamshidi needles. They are available from a variety of manufacturers. A 4-inch, 8 to 11 G needle is often used.

The needle and its sharp stylet are placed on the bone and a small indentation is made. The stylet is removed, and cores of bone are harvested using a rotational motion in various directions. The first cortex and the entire medullary cavity are biopsied.

Maintain Bone’s Strength

B: Bone biopsy with a Jamshidi needle in a 4-year-old Labrador with osteo...

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