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Date:   27 February, 2013  
 
Focus: Small animals - dogs, cats, hamsters, guinea pigs & rabbits
The old dog had a cancerous leg  
Dr Sing Kong Yuen, BVMS (Glasgow), MRCVS
Date:   27 February, 2013  
toapayohvets.com 
Be Kind To Pets
Veterinary Education
Project 2010-0129

1397. Follow up on the dog with a cancerous leg

EMAIL FROM DR SING DATED FEB 27, 2013

It is very difficult to diagnose based on emails as what you write may not be what I think as regards "dead space." The "success of surgery" is not a guarantee in any surgery as there are many risks and complications involved especially in an older patient with poor health. Old age and poor health delay in wound healing in people as well as in animals.

Pl understand that some old aged patient undergoing surgeries have post-operation complications like bleeding and infections especially when the dog was not in good health (e.g old age, cancer, delay in seeking treatment, spreading of cancerous cells).

I will advise you bringing the dog to me or your vet for examination and treatment of the post-operation complications in your older dog which nearly did not survive the general anaesthesia during the amputation of the cancerous leg.

Best wishes.


EMAIL TO DR SING DATED FEB 26, 2013
On Tue, Feb 26, 2013 at 2:31 PM, S@hotmail.com> wrote:
 
Hi,
By the way, I read that with that dead space the dog's wound will heal much slower. Does this mean that the surgery was not successful? What can be done to increase the healing process?
 
Thanks.
 

EMAIL TO DR SING DATED FEB 25, 2013

Sent: Monday, February 25, 2013 10:23 PM
Subject: Re: X-rays and blood test report for xxx (Appt 15 Feb 2013, 9.30am)
 
Hi,
 
There seems to be a dead space as liquid keeps flowing out of the wound. I have cleaned the dog's wound and squeezed out the liquid in his leg. Other then that his wounds seems fine.
Thanks.
 
EMAIL FROM DR SING DATED FEB 25, 2013
 
Sent: Monday, February 25, 2013 6:10 AM
To: S
Subject: Re: X-rays and blood test report for bobby (Appt 15 Feb 2013, 9.30am)

How is the dog now? Is his wound healing well?

 

BACKGROUND OF CASE

An old dog with a non-healing ulcerated skin wound on the left hind leg. Vet 1 diagnosed skin cancer. Vet 2 did an X-ray and skin biopsy and advised leg amputation but did not do it. The biopsy showed squamous cell carcinoma. The X-ray showed bone involvement around the hock area. The owner consulted me.

EMAIL TO DR SING DATED FEB 14, 2013

On Thu, Feb 14, 2013 at 6:42 PM, S@hotmail.com> wrote:
Hi,
 
I am S... I made an appointment for 15 Feb 2013 at 9.30am for my dog to undergo surgery to amputate his leg due to cancer. I have attached the relevant information to this email for your reference.
 
Thanks.
 

The dog was operated at Toa Payoh Vets and I followed up on Feb 25, 2013, around 10 days after the amputation of the left hind leg above the knee joint by Dr Daniel of Toa Payoh Vets. It was a very high anaesthetic risk case as the dog was not in good health.

tpvets_logo.jpg (2726 bytes)5965. Squamous cell carcinoma spreads to bones. Leg amputation is done Video: Squamous cell carcinoma (skin cancer)
 
Updates will be on this webpage:
www.bekindtopets.com/animals/20130227leg_bone_squamous
_cell_sarcoma_toapayohvets.htm

More info at:
Dogs or Cats
To make an appointment:
e-mail judy@toapayohvets.com
tel: +65 9668-6469, 6254-3326
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