Shocking News From Vet

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unigeezer

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My beloved cat Morty has been my constant companion since 2002, when I adopted him at 10 months of age. That makes him near 17, but he's always been in great health, optimum weight, indoor only and he's just been the joy of my life. So I took him to the vet one Wednesday (6/28/17) for what I thought would be a routine teeth cleaning. But during the wellness check, the vet became concerned when palpating Morty's belly when she says he made an audible "whimper", although I didn't hear it. So she did an ultrasound scan and within seconds told me the devastating news that "he has a very large abdominal tumor". I was literally dumbfounded and couldn't believe my ears. After asking her if she was sure, she said she was and that it was too large to attempt removal and that it likely came on very quickly within the last month or so. I asked if anything could be done and she basically said that all I could do was keep him comfortable until I feel it's time to bring him back in to say goodbye, which she said could be in as little as 3-4 weeks. My eyes were pretty much blinded by tears at this point. Before leaving she gave me 6 syringes (one dose each) of buprenorphine to give Morty should he start having pain. When I got home I googled "abdominal tumor(s) in cats" to get more info and see what the major symptoms are. The top three are: "vomiting", "Diarrhea" and "weight loss".

I thought to myself, Morty doesn't have ANY of those symptoms, and if it is a cancerous tumor, especially one larger than an adult man's fist, that he would be having those symptoms. I called the vet and she said she was surprised that Morty wasn't having those symptoms. Well, as you can imagine, I am now quite confused and unsure of her diagnosis, not to be confused with denial. The other thing that's bothering me is that she didn't even recommend doing a biopsy to confirm it's malignant, benign or maybe something else entirely, like a large cyst...or even a hair ball!

She did say if I felt it necessary that I could get a second opinion, but that they would still likely do the same ultrasound test. So I said in that case, could I please have a copy of the test she did so I could show it to another vet for their opinion, without having to put Morty through the trauma of another visit to a vet unless absolutely necessary. Then she said that they don't have he ability to "record" the ultrasound tests, and that once it's done, it is not saved. And this is a cat-only hospital that have received 4.8 out of 5 stars on yelp. Would love to hear your thoughts and advice on this. As of now, Morty is home and I am watching him and just enjoying every moment with him, but now very aware that at some point we will have to say our final goodbyes. I think the hardest part will be knowing when that time will be. I don't want my need to keep him with me for as long as possible to outweigh his need to pass as peacefully and painlessly as possible.
 
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PushPurrCatPaws

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Oh no, not Morty! :hugs: :alright:

I've seen him galloping on his exercise wheel! I am so sorry to hear this.

I think a fine needle biopsy might be possible -- didn't the vet suggest trying that? This is less invasive than going in for a surgery on the abdomen, to get a better visual and biopsy. Morty is a very senior cat and if it were me, I am not sure if I myself would go for abdominal surgery to get a biopsy; I would try a needle biopsy.

Also... I thought that it was possible to take screenshots of ultrasounds so that a radiologist could also view part of the ultrasound later in time? Maybe I'm wrong...
 

MeganLLB

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I wouldn't trust everything you read online. Maybe within the next 3-4 weeks or maybe in the final days, then he might show those symptoms. And also at that age, you wouldn't want him going under anesthesia just to do a biopsy or even to remove it. That would be a very risky surgury.

Even if you got a second opinion, I really don't think there would be anything you could do unless you really wanted to risk him not waking up after anaesthesia. But thats just my opinion.

I'm very sorry to hear all that. 17 years is a good life. Ive had and lost many pets in my life and it never gets any easier to say goodbye. It sounds like youve given him a goid life.
 
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unigeezer

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Oh no, not Morty! :hugs: :alright:

I've seen him galloping on his exercise wheel! I am so sorry to hear this.

I think a fine needle biopsy might be possible -- didn't the vet suggest trying that? This is less invasive than going in for a surgery on the abdomen, to get a better visual and biopsy. Morty is a very senior cat and if it were me, I am not sure if I myself would go for abdominal surgery to get a biopsy; I would try a needle biopsy.

Also... I thought that it was possible to take screenshots of ultrasounds so that a radiologist could also view part of the ultrasound later in time? Maybe I'm wrong...
I had asked about doing a needle biopsy, and she didn't recommend it, and to be honest, at this point, I don't want to subject Morty to the terrible stress and fear he has just going to the vet.
 

arouetta

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Not the same, but I had a hamster with either an abdominal or chest tumor. The vet told me that if it's a fast growing tumor it doesn't matter if it's malignant or benign. If it's a benign tumor that's fast growing, the inside's going to die and gangrene pretty fast. That might explain the lack of a needle biopsy. A regular biopsy would involve surgery, something not to be taken lightly in a 17 year old cat. They would have to open the abdomen up and take out a piece.

However there is something that doesn't make sense, and I hope the other people here can help me out. I would think that an ultrasound machine is a pretty generic piece of equipment, that there's not a "human only" machine and an "animal only" machine. If it's generic and not species specific I would think that a record function would automatically be built in. I just had an ultrasound done, and the recording function was clearly a part of the machine.

I do think a second opinion would be good though.

I am so sorry that you are going through this. :alright:
 

weebeasties

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I am so very sorry to hear this sad news. My heart goes out to you. If financially able, I would get a 2nd opinion. With all you are going through you don't need the extra agony of not knowing for sure. As another poster mentioned, I think that most places can make a copy of an ultrasound. Many years ago they did one of Keith's heart and put it on a cd for me.
Please know that there are lots of people thinking of you and your Morty. Hugs.:grouphug:
 
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unigeezer

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Now I'm reading that a "FNA" (fine needle aspiration") which they say is well tolerated by cats and does not require sedation. Not 100% accurate but could be another tool to help confirm whether it's malignant or not. But as arouetta said, if it's benign and fast growing, as this one appears to be, the news is just as bad. it's a very helpless feeling when you want desperately to help but don't know how.
 

babiesmom5

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I am so very sorry. I know you are in shock right now as anyone would be. If it was me, I would get a second opinion. For better or worse, I would want to know the diagnosis. It is very strange they do not have the ultrasound on a disk. I have had several ultrasounds done on cats and each time was given a copy of the disk.

I would get a consult with an Internal Medicine Specialist to start. I would ask them about a fine needle aspiration at least. It may or may not be cancer, but you need to know for peace of mind. Based on findings, you may want to consult with an Oncologist.

I would definitely get a second, more comprehensive opinion from a specialist before giving up hope. I think you need another set of eyes.
 

MDad1234

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So very sorry to hear this news. As others have said, if you are able, see if you can get a second opinion or get a fine needle biopsy without sedation. I know the vet specialists/hospital treating my cat's current issues participates in Care Credit, which is basically a payment plan/credit program that works like a credit card. You may only have to pay $200/month or whatever you are able to work out with them. I looked into it when my kitty ran up a $2600 bill recently, and it sounds like, as long as you can make the pre-set minimum payments, it would be worthwhile in easing the financial burden (the interest rate is insane, 26% or something, so you want to set payments you can handle).
 

arouetta

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It is very strange they do not have the ultrasound on a disk. I have had several ultrasounds done on cats and each time was given a copy of the disk.
Admittedly I'm paranoid delusional, but this did hit me right away. It's like as if the vet is trying to keep unigeezer from getting a second opinion by throwing up financial roadblocks.
 

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What shock for you! I am so sorry to read all this.

From reading the other posts, it seems you have a few options at this point:
1. wait and see how things go
2. get a second opinion with another vet
3. get a second opinion with a vet specialist - Internal Medicine.

Did Morty get his dental work done, or did that get put on hold?

Remember that cats are very good at hiding the fact that they don't feel well. For a cat of this age, I think (not positive, but 75%) that I would opt for #1 above. Because at age 17 years, there is not much I would be willing to do if the diagnosis is confirmed. Putting a cat that age through most any of the treatment options would be highly risky.

Sending you hugs and prayers for calm as you work through this and figure out your next step.
 

babiesmom5

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When thrown a bad curve as you have been, try to remain calm, think through your options, and think positive. Let's first consider the BENIGN scenarios.

It could be an abscess; a walled off infection that can form if something is swallowed that perforates the intestines such as a fish bone. An abscess can also form if there is an infection that climbs up the bile ducts from the intestines.

It could be a cyst; a fluid filled pocket that can form in the liver or other organs.

It could be a seroma, a pocket of serum (clear fluid leftover when blood clots) or a hematoma, a pocket of blood; basically a blood blister. It could occur if the cat fell off a bed or couch and it caused internal bleeding.

Did your Vet mention any of these possibilities to you?

The ultrasound should have revealed what the mass was attached to. What organ(s) was it close to or attached to?

Is it filled with fluid (such as a cyst or abscess) or solid, like a tumor?

Is there visible vasculature; ie, blood vessels in and around it or not?

A good radiologist can pick up clues such as the above which could suggest possible diagnosis, or at least a plausible starting point for further testing.

If I were in your shoes, I would want more answers.
 
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unigeezer

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I have an appointment for this Monday am at another vet for a second opinion. In lieu of non-recorded/saved images of the ultrasound, I will be taking in the vet's detailed report, and also having the new vet take a fine needle biopsy and blood panel. I want the second opinion and possible options, but what I don't want is to put Morty through the fear and stress of being taken from his home environment any more than absolutely necessary. Will post results and or recommendations made by the new vet on Monday. Thank you all so much for your concern and thoughtful advice! :)
 
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unigeezer

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I just recorded Morty on his wheel, using his favorite treats to motivate him a bit. He hasn't been using his wheel on his own lately, and I don't want it to cause him pain, but he seemed ok just walking on it, and it was great to see him on his wheel again. Right now he's just chilling out on my lap, as always!

 

sarah ann

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When my dog passed away from kidney failure, the vet said he felt a baseball sized mass in his abdomen. We did a necropsy to determine the cause. No mass was found. He had an infection that destroyed his kidneys.

Vets do make mistakes. My cat has a lump on her tongue. The first vet said it looked like cancer. The second vet thought it was an eosinophilic granuloma. I think it is the second. It shrunk with steroids. Returned and stayed the same size for 2 years... She is 12 this year.
 

darkhorse321

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This is when you have to trust your gut. If he had a mass that large, one would think he would be showing signs of discomfort/pain. However, many cats are great at masking their illnesses and some may just have a higher tolerance for pain. My feeling is this: If he's not symptomatic and showing zero signs of illness, I would get a second opinion. That, to me, would be the top on my list. Simple put, if she did make an error--and vets are people too--they make mistakes---then at least you will know. If they DO come up with the same diagnosis, I would then request a biopsy. He's obvious in good condition and would handle this very well.

The bigger question though, is what will you do with this information? If it is cancer that is. At his age, this is when the fine line of quality vs quantity comes into play and I just went through this twice within a four month period. My two went down hill and they were the picture of health regarding blood work and xrays. I chose not to get ultrasounds, because the reality was, even if they had cancer, I would not put them through chemo. There would be no point. So, I managed them and they let me know when it was time. And, it was the worst moments of my life. I lost Bandit in November and Skye in March. They were blood siblings. I miss them so much, but I am happy with how I managed their senior years. That, when it comes down to it, is the biggest thing you need to decide. If he does go downhill fast, you may agonize over not getting a second opinion or not asking for a biopsy.

Hugs to you!!!
 

mewcatmew

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I second the fine needle aspirate. It is a very minimally invasive procedure and you should have answers from it in a few days. It could be something benign or something treatable.
 
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unigeezer

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Thanks again for the advice, and on Monday Morty will see a new vet for a second opinion. finger's crossed.
 
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