Subscribe to VETERINARY PRACTICE NEWS   SUBSCRIBER SERVICES   
VPN Logo   
 Home   About Us   Contact Us
 

Animal Osteosarcoma Treatment Roy UT

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.

Millcreek Animal Hospital
(801) 690-7039
1920 W 250 N # 19
Ogden, UT
Hours
Monday 8:30 AM - 5:00 PM
Tuesday 8:30 AM - 5:00 PM
Wednesday 8:30 AM - 5:00 PM
Thursday 8:30 AM - 5:00 PM
Friday 8:30 AM - 5:00 PM
Saturday Closed
Sunday Closed
Services
Animal Boarding, Animal Daycare, Animal Flea Control, Animal Grooming, Animal Microchipping, Bird Vet, Declawing, Emergency Veterinary Clinic, Equine Vet, Exotic Animal Vet, Holistic Veterinary Medicine, Large Animal Vet, Reptile Vet, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Docking, Veterinary Euthanasia, Veterinary House Calls, Veterinary Medical Specialties, Veterinary Surgery, Veterinary Vaccinations

Bayview Animal Hospital
(801) 917-6664
677 West Shepard Ln
Farmington, UT
Hours
Monday 7:00 AM - 6:00 PM
Tuesday 7:00 AM - 6:00 PM
Wednesday 7:00 AM - 6:00 PM
Thursday 7:00 AM - 6:00 PM
Friday 7:00 AM - 6:00 PM
Saturday 9:00 AM - 1:00 PM
Sunday Closed
Services
Animal Flea Control, Animal Microchipping, Declawing, Emergency Veterinary Clinic, Exotic Animal Vet, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Docking, Veterinary Euthanasia, Veterinary House Calls, Veterinary Medical Specialties, Veterinary Surgery, Veterinary Vaccinations

The Pet Vet Animal Hospital
(801) 776-4507
1499 So State Street
Clearfield, UT
 
Central Weber Animal Hospital
(801) 394-4208
1689 W 2550 S
Ogden, UT

Data Provided by:
Kayscreek Veterinary Clinic
(801) 544-3552
1010 S Angel St
Layton, UT

Data Provided by:
Kaysville Veterinary Clinic
(801) 882-7669
66 South Main St. suite 7
Kaysville, UT
Promotion
50% off a heartworm test with corresponding purchase of heartworm medicine.
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 Closed
Sunday Closed
Services
Animal Microchipping, Bird Vet, Declawing, Exotic Animal Vet, Reptile Vet, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Docking, Veterinary Euthanasia, Veterinary House Calls, Veterinary Surgery, Veterinary Vaccinations

Parrish Creek Veterinary Clinic
(801) 872-8955
86 N 70 W
Centerville, UT
Promotion
Avian Care at Parrish Creek -


We have the only 2 Board Certified Avian Vets in the state of Utah!

Dr. Folland has worked with birds for over 20 years. He is Board Certified as an Avian Specialist by the American Board of Veterinary Pract
Hours
Monday 8:00 AM - 6:00 PM
Tuesday 8:00 AM - 6:00 PM
Wednesday 9:00 AM - 6:00 PM
Thursday 8:00 AM - 6:00 PM
Friday 8:00 AM - 6:00 PM
Saturday Closed
Sunday Closed
Services
Animal Boarding, 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 Medical Specialties, Veterinary Surgery

Johnston Animal Hospital
(801) 393-7387
2454 Monroe Blvd
Ogden, UT

Data Provided by:
Darcey, Annette, Dvm - Banfield The Pet Hospital
(801) 336-4739
859 W Hill Field Rd
Layton, UT

Data Provided by:
Ben Lomond Animal Clinic
(801) 782-9679
1380 N Highway 89
Ogden, UT

Data Provided by:
Data Provided by:

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...

Copyright 2009 BowTie Inc.

Click here to read the rest of this article from Veterinary Practice News