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SachansMom |
Radiation for nasal adenocarcinoma |
Lead | |
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I would like any information on anyone who has gone through radiation for nasal adenocarcinoma. My appointment with the oncologist is Friday and I am facing some really tough decisions. Knowing what other have gone through would be of great help.
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Unregistered(d) |
sites that may be helpful | ||
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I don't know anything about this particular type of cancer but can refer you to a site that may provide you some help. It is "theperseusfoundation.org" they have a resource guide that I found really helpful when my dog first got her diagnosis. There is information on protocols, drugs used and expected reactions, types of cancer, etc.
Also, check with the Animal Cancer Institute they may be able to point you to appropriate resources for the particular type of cancer you are dealing with. Hope this is helpful and best of luck with your puppy. Please keep this site informed as to your pups progress. |
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dragondawg |
From the information available | ||
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The primary treatment is radiation, with possibly the radioactive beads I mentioned in the other thread as being the latest and most effective treatment. Although depending on the region of the country the bead treatment may not be available. The exterior radiation is a hard decision to make. The Gulf Coast site also recommends radiation as the primary treatment, or Chemo with Cisplatin for pallative relief. Gulf Coast on Nasal Adenoma Note Cisplatin is one of the more expensive Chemo drugs, and is almost guaranteed to cause nausea without supportive drugs. You would need to pre&post-treat with Zofran to minimize nausea. If you don't know yet as to how you feel about the radiation, then the Cisplatin might give you more time to think about it. Best wishes in making your decision. |
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SachansMom |
Struggling with radiation decision | ||
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I saw the vet yesterday. After all the research (thank you for the many site suggestions), the vet was consistent with most of what I had read. I am confident with my vet of choice; she feels Sachan is a good candidate for therapy & she is recommending 18-20 treatements of radiation. I am just so torn due to the many unknowns..mostly about side effects. The vet indicates most dogs tolerate well & side effects are minimal. Then I read Ally's story on CIC & I don't know what to do! My girl is 13 1/2 years old & I want to do what is best for her...I just can't get a grip on what that is. What have others' experiences been with making this awful decision?
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Dingbatdee |
Re: Nasal Adenocarinoma | ||
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[font face=times new roman]My 11 year old Norwegian Elkhound was diagnosed today with this terrible disease. Our vet has been with her since we got her as a puppy. He gave us all the infornmation as to treatments, chemotherapy, radiation, etc, and even with these, might not extend her life beyond 6 months and she would be very uncomfortable with the chemno. Having a husband that died of cancer and being a cancer survivor myself, I did not want to see my baby go through chemo with not much addition of time/quality to her life. I began looking for information on this disease tonight and happened on your website. I would love any sites with information that you have come across! [/font]
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dragondawg |
Re: Nasal Adenocarinoma | ||
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You still might want to try the Chemo pre-treating with Zofran. If it still doesn't prevent the nausea then you can always back off. The radiation is a rough option no doubt. Here is a recent article that describes a protocol alternating between Cisplatin, Doxorubicin, and Piroxicam. Multiple Drug Therapy for Nasal cancer The Doxorubicin will not cause problems if the dog is pre-treated with an acid blocker (e.g. cimetidine, rantidine) and Metoclopromide (less expensive than Zofran). The Piroxicam is an anti-inflamatory that can easily cause ulcers. This can be avoided by administering an acid blocker. Again where you would have the most problems is with the Cisplatin, which might be controlled by the more expensive Zofran. The article sounds encouraging and you should see if your Oncologist has read it. The only catch at least in the abstract is that they do not indicate which of the nasal cancers they were treating and how each type responded. Your Oncologist should be able to access the complete article, and find out if this protocol would work for your puppy's case. Good luck. |
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chloescancer |
nasal adenocarcinoma | ||
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I have the same story as everyone above a 10year old yellow lab healthy as a horse fit, great appetite, great energy. And all of the sudden $2000 later the official diagnosis of nasal adenocarcinoma. Over the last 24hrs I have looked high and low and there has been nothing that has encouraged me to use traditional treatment. Has anyone spoken with or heard about a dog actually doing well with a radiation combo. I have continually hit dead ends and reports of owners feeling as though the treatment was not worth the suffering their babies are going through. She is so healthy! My vet said w/o tx 1-3mos tops. All of you seem to have had over a year now with yours. Has anyone tried acupuncture? doing the diet thing right now going to get the PolyMVA- has anyone tried that...Help I am soooo sad. Thanks
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mollie |
nasal adenocarcinoma | ||
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I am so sorry that your dog has been diagnosed with this horrible disease. I was in exactly the same position as you, a beautiful fit, happy energetic 8 year old yellow lab. She was diagnosed in November 04 and I took the decision for her to have no invasive treatment and only take prednisone in the final weeks. She was disfigured by the disease but she did not suffer and had a wonderful happy final 7 months. To this day I know I took the right decision and when the time came I knew she had , had enough even though it still breaks my heart when I think about her. But she had a great life and brought joy to everyone who knew her. You must do what you think is best for your dog but I believe whatever time they have left their quality of life should be a good as we can make it for them.Good luck.
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winky72 |
Re: Radiation for nasal adenocarcinoma | ||
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Gee....when u have an issue that u think is rare, u find that many folks have the same situation with cancer of thier pets. My 11 yro, robust, energic, lab just had a dorsal rhinotomy and the tumor was removed..doagnois came back adenocarcinoma....the bony structures at the rear by brain are intact and no other areas of the body show cancer...swallon neck lymph nodes negative for cancer....my lab is resting well and breathing is ok as soonnas the sinuse cavity is clear of the blood/mucus...the question i have is the benefits of radiation in combo with the surgery and the life expectancy. like all who have written....i want my girl to be comfortable and live a good life for as long as possible...we are looking ay going to the U of Wisconsin. i will be meeting with the Oncology Vet soon for treatment options...and any idea of cost? The surgeon at Iowa State U said a complet treatment may cost $3000. So it comes down to cost benefits.....damn u fall in love with these guys and this happens...thanks for any replies. mike
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dragondawg |
Radiation | ||
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The success rate will be dependent on the surgery and whether or not they could get clean margins. You might ask if anything was indicated in the Pathology report on margins. Ideally the surgery removed 99.99% of it, with the radiation being used to clean up what was missed.
Probably a combination of radiation and follow up Chemo (Doxorubicin alternating with Cisplatin) would give even a longer remission. Note a Chemo drug such as Cisplatin will require Zofran to prevent nausea. Metoclopromide can be used to prevent nausea associated with Doxorubicin. If you go the Chemo route, ask the Vets for the supporting drugs to prevent nausea. The main problem with the nasal cancers is the difficulty of surgically being able to remove it all. Typically radiation plus Chemo follow up to surgery has been giving a year of remission. Some times more. You might ask about the option of implanting radioactive beads on the tumor/surgery site. Typically they are left in 90-180 hrs, during which time the dog is considered "radioactive", and the owner can not even visit their puppy. The research articles claim it's tolearated well - what ever that may mean. The benefits are local application of the radiation, without the wide spread damage to surrounding tissues or even the eyes. The downside would be probable higher costs. This assumes that Wisc. has this procedure available at their clinic. The $3K radiation costs are probably in line with the going rate. |
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