- Age: 9 years
- Breed: Elkhound Mix
- Species: dog
- Certainty: confirmed
- Final Status: resolved as of day 1047 of treatment
Treatment and Outcome
- Elevated ALT: ALT=164
- Lung Mets: Metastasis secondary to anal gland tumor
One large met (8 mm), possibly few other smaller ones.
- Hoxsey-Like Formula
- Modified Persica and Achyranthes Combination
- Xin Yi San
- Yunnan Pai Yao
- Yunnan Bai Yao
- Four Marvels Combination
This initial visit was 3 weeks after the patient had "cyber knife" radiation therapies at specialist referral center.
He has also been started on a homemade diet with the direction of a board certified nutritionist, however the owner is adamant that she will adapt the diet as she sees fit based on readings regarding cancer nutrition.
Tongue: Light pink
Pulse: superficial, toned
Acupuncture points were stimulated
Brief visit. Dog is better overall and stable.
Owner reports dog seems polyuric / polydipsic.
Progress report from owner is overall favorable.
Dog is stable, without epistaxis for over a month now. No congestion, breathing is clear without stridor.
Tongue: pink, with only thin redness at tongue margins at tip.
Pulse: Moderate, normal.
Brief flare-up of soft stool.
Appetite is excellent.
Proteinuria is 1+, Microalbinuria=3.7, still abnormal, but slightly better than last visit.
Start Yunnan Baiyao, not for hemostasis, but for purported anti-neoplastic effects.
Bloodwork (CBC, Chem, T4) is all normal.
UA shows unchanged proteinuria, still slightly elevated.
The dog is having a mild recurrence of sneezing, clear nasal discharge and mild epiphora (mucoid).
Mild liver enzyme elevation (ALT), started on Denamarin.
Dog continues to do well with a minimum of symptoms.
Proteinuria continues. Monitoring for progression, but no clinical impact at this time.
*Hoxsey is continued, but not able to select in Prescriptions(?)
Dog had elevated Calcium at last bloodwork.
At referral, ultrasound of liver is normal, but they did detect an anal gland tumor.
Surgery performed at referral practice.
Notes: Started Piroxicam 7 mg PO SID
Notes: First occurrence of epistaxis since original diagnosis of nasal tumor
Notes: CT scan performed at referral, no evidence of nasal tumor
Notes: Several skin masses surgically excised, all are benign
Notes: Completed chemotherapy (carboplatin) for anal gland tumor at referral
Notes: Start Si Miao San to add additional COX-2 anti-inflammatory effect
Improvement in ALT and AST, just marginally elevated.
Recheck at referral hospital reveals new mass in ventral rectal floor, suspected to be recurrence of anal gland tumor in new location. Also subiliac lymph node enlargement.
Notes: Urine sample: UPC=0.5
Owner has briefly discontinued all supplements with food, since he was becoming more picky with eating. Has been re-introducing each one at a time to identify specific issues with each one.
Celebrating 2 years since was diagnosed with nasal carcinoma!
Intermittent liming LF - osteoarthritis
Chest radiographs reveal metastasis, likely from persistent and recurrent anal gland tumor