Question Details
Oral Spindle Cell Tumor In A Dog
by landauvet - June 5, 2020    View Case Report
Hi Steve!
I started seeing this 4 month old Rhodesian Ridgeback unneutered male in April. As a 2 month old, he had a dime sized area of gingival hyperplasia on the roof of his mouth as a puppy of 12 weeks which continued to grow throughout the time since it was first seen. It was diagnosed as a malignant spindle cell tumor invading the bone of the maxilla just prior to seeing me for the first visit in April in hopes that I could get control over the growth. The mass was not ulcerated and took up a large part of the maxilla on the side of the tumor and seemed to surround his teeth.
On presentation, Marshall was healthy with no other physical issues besides the mass in his mouth. It was not painful and did not cause any issues with eating. He did seem to drool more on this side of his mouth.

Pulse: moderate and slippery
Tongue: pink and quite healthy

Acupuncture: GV-14, BL-13, BL-20, GB-34, GB-25, SP-6, LU-5

I did not get a great sense that these points changed the pulse but they did seem active.

I dispensed A/D3, Inositol Hexphosphate, XFHMY, XCHT. I also switched him from a dry food diet to a commercial raw frozen diet.

I saw him 30 days later. The mass clearly had grown and Marshall still seems not to care about it. On this visit, his pulse seemed thin and deep and his tongue a little pale. I switched out the XFHMY for mod XFZYT. I also added in a mushroom combination.
Blood Stasis/blood deficiency. The following points seemed to help the pulse: BH, GV-14, BL-13, LI-11, GB-34, SP-9.

I rechecked 30 days later and the same situation with the tumor clearly bigger and still not bothering him. This has been the case for the last 2 visits. Pulse is moderate with minimal in the way of active points.

What should I do differently? Such a young dog to have this problem and seemingly so healthy besides. Thanks for any guidance you can offer!!
Replies
by naturevet
June 9, 2020
Wow, that sucks! Poor little guy!

You'd naturally think that a young dog like this would be Blood or Wei Qi deficient, in which case I would have expected at least some improvement from the XFZYT and mushrooms. The pulse certainly suggests that should have been the case.

Nevertheless, if growth continues unabated, then you have to move away from Moving and Tonifying approaches and try a draining (i.e. internalizing) approach. This is often what is needed for oral tumors, given the rich source of blood they have access to from being in the mouth.

Hoxsey (alone or with Boneset) is one such internalizing option. Another that I have had success with is Qing Ying Tang. I recognize that neither is suggested by the pulse and tongue, but we have to give them a try. If they slow tumor growth great. Any side effects that are produced will tell us what the exact nature of the dog's deficiency might be, so we can add something in to address it, rather than guessing.

Hopefully one or both of those works for you

Steve
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