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angusPATIENT OF THE MONTH
Angus a 7 year old Cocker Spaniel came into our clinic as his owner Amanda noticed he was licking and chewing his hind left toe. There was a large lump in between two of his toes. On closer inspection and after clipping the hair away, Dr Link noticed a firm nodular 1.5cm diameter mass in between the 4th hind toe and was firmly attached to the underlying tissue
There was suspicion of a foreign body in the toe or more serious, a cancer. The best option was to take a biopsy of the lump and for it to be analysed at the laboratory. Angus went into surgery and had a small section of the lump taken out. A bandage was applied and Angus was given antibiotics while we awaited the results. Angus was not a very cooperative patient and was quite naughty managing to chew off his bandage and the remaining tumour !!
The biopsy results came back as an apocrine sweat gland andenocarcinoma (a sweat gland tumour) . The bad news was that this was a malignant one and needed to be removed. These type of tumours grow quite aggressively and can sometimes metastasize to the lymph nodes and lungs.
Surgery was the only option to remove the tumour and the surrounding area to ensure all the cancer was removed. Angus was given a sedative and pain relief prior to the operation. As he is an older dog, blood tests were carried out to ensure his vital organs were healthy enough to cope with an anaesthetic. All the results came back as normal. Angus was placed on Intravenous fluids and taken into surgery
The whole toe and an area of cm diameter surrounding the toe was removed. The area was stitched up and bandaged and Angus was given an anti-inflammatory and antibiotic injection when he woke up. This was to relieve any pain and prevent infection. Angus has a good recovery and was sent home on antibiotics
The entire area that was removed was placed in formalin to preserve the tissue and sent to the laboratory for analysis to ensure the entire cancer had been removed
The surgery was a success and luckily all the cancer had been removed. The report came back that the cancer was actually a basal cell carcinoma – a tumour generally recognized in older dogs that does not spread to other parts of the body. Angus is back to his normal self now and the removal of one toe has not affected his gait or movement.
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