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

Animal Osteosarcoma Treatment Wendell NC

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.

VCA Triangle Tower Animal Hospital
(919) 675-2901
1300 Corporation Pkwy
Raleigh, NC
Hours
Monday 7:30 AM - 6:00 PM
Tuesday 7:30 AM - 8:00 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 - 2:00 PM
Sunday Closed
Services
Animal Boarding, Animal Daycare, Animal Flea Control, Animal Grooming, Animal Microchipping, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Euthanasia, Veterinary Medical Specialties, Veterinary Surgery

Animal Hospital at Brier Creek
(919) 627-1957
10500 Little Brier Creek Ln
Raleigh, NC
Promotion
New client receive $25 off first physical exam. Please see photo section to print off coupon. Must be presented at time of visit.
Hours
Monday 7:30 AM - 5:30 PM
Tuesday 7:30 AM - 7:00 PM
Wednesday 7:30 AM - 12:00 PM
Thursday 7:30 AM - 5:30 PM
Friday 7:30 AM - 5:30 PM
Saturday 8:00 AM - 12:00 PM
Sunday Closed
Services
Animal Flea Control, Animal Grooming, Animal Microchipping, Declawing, Holistic Veterinary Medicine, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Euthanasia, Veterinary House Calls, Veterinary Medical Specialties, Veterinary Surgery

Quail Corners Animal Hospital
(919) 867-0289
1613 E Millbrook Rd
Raleigh, NC
Promotion
Call Quail Corners Animal Hospital to schedule your pet an appointment today!
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 Flea Control, Animal Grooming, Animal Microchipping, Declawing, Emergency Veterinary Clinic, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Euthanasia, Veterinary Medical Specialties, Veterinary Surgery

VCA Durant Road Animal Hospital
(919) 576-9993
10220 Durant Rd
Raleigh, NC
Hours
Monday 7:30 AM - 6:00 PM
Tuesday 7:30 AM - 8:00 PM
Wednesday 7:30 AM - 6:00 PM
Thursday 7:00 AM - 8:00 PM
Friday 7:30 AM - 6:00 PM
Saturday 7:30 AM - 2:00 PM
Sunday 5:00 PM - 6:00 PM
Services
Animal Boarding, Animal Daycare, Animal Flea Control, Animal Grooming, Animal Microchipping, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Euthanasia, Veterinary Medical Specialties, Veterinary Surgery

Ansede Animal Hospital
(919) 576-1646
3535 S Wilmington St
Raleigh, NC
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 8:00 AM - 12:00 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 House Calls, Veterinary Medical Specialties, Veterinary Surgery

Healthy Paws Animal Hospital
(919) 238-9929
3122 Heritage Trade Dr
Wake Forest, NC
Promotion
$20 Off your first exam. New Client's only. One coupon per family.
Hours
Monday 8:00 AM - 5:00 PM
Tuesday 8:00 AM - 5:00 PM
Wednesday 12:00 PM - 7:00 PM
Thursday Closed
Friday 8:00 AM - 5:00 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, Veterinary Vaccinations

Healthy Paws Animal Hospital of Brier Creek
(919) 295-0992
9108 Glenwood Ave
Raleigh, NC
Promotion
$20 Off Your First Exam. New Client's only. One coupon per family.
Hours
Monday 8:00 AM - 5:00 PM
Tuesday 8:00 AM - 5:00 PM
Wednesday 12:00 PM - 7:00 PM
Thursday Closed
Friday 8:00 AM - 5:00 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, Veterinary Vaccinations

Armadale Animal Hospital
(919) 576-1345
10018 Strickland Road
Raleigh, NC
Promotion
First time clients receive $20 off of your first exam. Come and meet our veterinarians... we know you and your pets will love it here!
Hours
Monday 7:30 AM - 5:30 PM
Tuesday 7:30 AM - 5:30 PM
Wednesday 7:30 AM - 5:30 PM
Thursday 7:30 AM - 5:30 PM
Friday 7:30 AM - 5:30 PM
Saturday 8:00 AM - 12:00 PM
Sunday Closed
Services
Animal Flea Control, Animal Microchipping, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Surgery, Veterinary Vaccinations

The Purr And Bark Veterinary Mobile Doctor
(919) 576-1516
NULL
Raleigh, NC
Hours
Monday 7:00 AM - 5:00 PM
Tuesday 7:00 AM - 5:00 PM
Wednesday 7:00 AM - 5:00 PM
Thursday 7:00 AM - 5:00 PM
Friday 7:00 AM - 5:00 PM
Saturday 8:00 AM - 2:00 PM
Sunday Closed
Services
24-Hour Vet, Animal Daycare, Animal Flea Control, 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 Euthanasia, Veterinary House Calls, Veterinary Medical Specialties, Veterinary Surgery

Hidden Valley Animal Hospital
(919) 706-1009
2315 Lynn Rd
Raleigh, NC
Promotion
Refer a friend, and after their first visit receive a $25.00 credit.
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 8:00 AM - 1:00 PM
Sunday Closed
Services
Animal Boarding, Animal Flea Control, Animal Grooming, Animal Microchipping, Declawing, Emergency Veterinary Clinic, Holistic Veterinary Medicine, Small Animal Vet, Spaying/Neutering, Veterinarians, Veterinary Dentistry, Veterinary Docking, Veterinary Euthanasia, 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...

Copyright 2009 BowTie Inc.

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