Signalment
- Age: 9 years
- Breed: Elkhound Mix
- Species: dog
Disease Notes
- Certainty: confirmed
- Final Status: resolved as of day 1047 of treatment
Treatment and Outcome
Problem Notes
- Elevated ALT: ALT=164
- Lung Mets: Metastasis secondary to anal gland tumor
One large met (8 mm), possibly few other smaller ones.
Treatments
- Hoxsey-Like Formula
- Modified Persica and Achyranthes Combination
- Xin Yi San
- Yunnan Pai Yao
- Denamarin
- Yunnan Bai Yao
- Four Marvels Combination
Notes:
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
Notes:
Brief visit. Dog is better overall and stable.
Owner reports dog seems polyuric / polydipsic.
Notes:
Urinalysis recheck.
Progress report from owner is overall favorable.
Notes:
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.
Notes:
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).
Notes:
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(?)
Notes:
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
Notes:
Bloodwork performed.
Improvement in ALT and AST, just marginally elevated.
Notes:
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.
Started Palladia.
Notes: Urine sample: UPC=0.5
Notes:
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!
Notes:
Intermittent liming LF - osteoarthritis
Chest radiographs reveal metastasis, likely from persistent and recurrent anal gland tumor