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Intestinal Adenocarcinoma In A Cat

by Dreudog - January 13, 2020 View Case Report

Hi all,

This cat is a 13 yr old. DSH; she had an intestinal adenocarcinoma removed March of 2019 w/ clean margins, no obvious mets.

I met Alice in April and changed her to canned diet form dry. On exam she was overweight, calm and sweet, had some creamy ear d/c, well hydrated. She had been previously healthy.

I started Li jun zi tang . She has remained stable w/ no recurrence of the mass, planned weight loss (still sl. pudgy).

At her 1/8/20 exam, she had developed a tiny cystic skin mass below and caudal to her ear. (GB meridian?). She also has developed some mild constipation. Her minor ear discharge persists, is asymptomatic.

With these minor imbalances popping up, it seemed like a good time to post her case.

Thnx,

Cathy L

by naturevet

January 21, 2020

Hi Cathy,

I wouldn't rock the boat and stop the LJZT, but I would probably add in something for Dampness (wt. gains, cystic growths, ear discharge, processed diet). San Ren Tang addresses that as well as the constipation. I'd be tempted to try it first and cats tolerate it well, especially the liquid Kan version. It's quite compatible with the LJZT, too.

Since chronic GI inflammation can trigger tumor formation, it's one more reason to use an anti-Damp formula. I've used San Ren Tang successfully to hold even more severe IBD changes at bay, although a real food diet helps tremendously.

Lastly, SRT sensitizes the body to insulin such that it circulates at lower levels, perhaps lessening the secondary development of insulin-derived growth factors that can drive tumor formation.

You can certainly make a case for XCHT as well, but given the weight gains and use of a processed diet, SRT seems a more likely choice, especially in a cat.

Steve

San Ren Tang

by Dreudog

January 24, 2020

Steve,

It's been a struggle to even get this owner off dry food for her cats. And, to be honest, I'm personally not quite as enamored w/ raw diets for cats. I've had 2 or 3 families of cats break w/ cholangiohepatitis at the same time. I've seen so many cats live to ripe, old ages on warmed canned diet, I've gotten remiss about discussing fresh diets in cat clients. But I work doggedly to get them off dry food.

My personal bias, I guess......

We'll add in SRT for this kitty.

Cathy

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