Case Details
Bullwinkle by bannink
Hemangiosarcoma (splenic)
   

Signalment

  • Age: 9 years
  • Sex: male neutered
  • Breed: Newfoundland
  • Species: dog

Disease Notes

  • Certainty: confirmed
  • Comments: Splenectomy 1/24/12 - stage II HSA
  • Final Status: resolved as of day 933 of treatment

Treatment and Outcome


Treatments
Day 55

Notes:  Stages clean on abdominal ultrasound and thoracic radiographs.

Diet is largely canned or kibble

Acupuncture points were stimulated


Day 76

Notes: None submitted

Acupuncture points were stimulated


Day 97

Notes:  Digoxin started by cardiology 5/1/12 for persistent APCs. Stages clean on echocardiogram, abdominal ultrasound and thoracic radiographs.

Acupuncture points were stimulated


Day 131

Notes: None submitted

Acupuncture points were stimulated


Day 209

Notes:  Stages clean on thoracic radiograph and abdominal ultrasound

Acupuncture points were stimulated


Day 377

Notes:  Monthly rechecks for acupuncture have been pursued. This visit restaging was performed and staged clean on thoracic radiographs and abdominal ultrasound. Long standing rear leg weakness is unchanged overall and does respond favorably to acupuncture but owner has declined more frequent acupuncture visits.

Acupuncture points were stimulated


Day 412

Notes:  Abdominal ultrasound - no evidence of metastasis

Diet is largely canned or kibble

Acupuncture points were stimulated


Day 468

Notes:  Orthopedic consultation recommended due to worsening bilateral hip pain,and right hock effusion - difficult mobility. Thoracic radiographs and abdominal ultrasound show no evidence of metastasis. Bloodwork is within normal limits other than mild nonregenerative anemia (36.3% (37-55)). Urinlaysis within normal limits.

Acupuncture points were stimulated


Day 559

Notes:  Stages clean on thoracic radiographs and abdominal ultrasound

Acupuncture points were stimulated


Day 615

Notes:  Presented for staging prior to neuro consult for sudden worsening of hind limb lameness - needs sling support to walk. Thoracic radiographs and abdominal ultrasound within normal limits. Blood panel shows diabetes (BG 446; normal 60-125)), mild nonregenerative anemia (36.2%, normal 37-55). Normal T4. UA: 4+ glucose, 1+ ketones, no UTI.

Diet is largely canned or kibble

Acupuncture points were stimulated


Day 664

Notes:  Weakness improved dramatically after adding BZYQT to herbal treatments (YPY, BYHWT, Benefit Hips and Knees) but appetite decreased 1 week prior to this visit and herbs were stopped, other than occasionally receiving BZYQT. He had a UTI at that time and insulin was increased to 22 units BID, although he is eating only about 1/3 of his normal amount. Today much weaker. Thoracic radiographs clear. Abdominal ultrasound shows enlarged left external iliac lymph node (probably secondary to UTI), and a large sublumbar lymph node caudal to left kidney (1.69x4.91cm) consistent with hemangiosarcoma metastasis. Chemistry panel: glucose 277 (10-143), lipase 1974 (200-1800). CBC: HCT 35.2% (37-61). UA: USG 1.025, pH 9.0, glucose 1000IU/dL, negative for ketones. 1+ blood and cocci. Urine culture - no growth.

Acupuncture points were stimulated


Day 685

Notes:  Weakness is about 50% improved. All herbs were restarted on his last visit. External iliac lymph node measures normal (0.59x2.25), and metastatic sublumbar lymph node has decreased slightly in size (1.69cm x 4.27cm)

Diet is largely canned or kibble

Acupuncture points were stimulated


Day 748

Notes:  Progressive myelopathy. Only occasionally getting BZYQT. Enlarged sublumbar lymph node caudal to the left kidney now normal (in remission).

Acupuncture points were stimulated


Day 933

Notes:  Euthanasia due to poor mobility - progressive myelopathy.