We just got the call for our kitty's PARR results. It was negative for cancer DNA. But the vet said it's correct in 60% of cases. (Though when we were there she told us it was 90% accurate)
Now she's recommending surgical biopsy, and we're torn on whether we want to put her through that.
I'm already frustrated it took so long to get these results only to be told it's a tad more than half accurate. And my vet sent us to a specialist to get faster results, which has now cost is 2 weeks.
She suspects IBD or Small Cell Lymphoma.
She said the treatment is very similar, but the prognosis is the difference. And that if the treatment we do doesn't work, it's much more difficult to go in after treatment is started to get the biopsy because treatment has to be stopped and then the results could be affected from the steroids.
She has lack of appetite, vomiting and generally rests a lot and seems a bit uncomfortable. She has since developed mild diarrhea/soft poops.
Initially, U.S. presented with a mass behind her kidney which turned out to be an enlarged lymph node, intestinal thickening, and second U.S. revealed additional slightly enlarged lymph nodes and thickening, as well as mottled spleen which cytology noted as normal.
Original U.S. also noted inflammation of her pancreas, gall bladder. I don't see this noted on her second U.S.
We have done 2 ultrasounds, aspiration of lymph node and spleen. They also did an upper x-ray and those came out ok. The cells from the lymph node and spleen were analyzed, spleen was within normal realm. They sent the lymph node cells to have the PARR test done because they couldn't differentiate between IBD or Lymphoma in their lab. The PARR was negative, which they now said is 60% accurate when originally they told us it was 90%.
I feel like most results lend themselves to IBD, except for the enlarged lymph nodes... unless that is a possible condition due to systemic inflammation?
I know many of you have been in this situation, so I'm curious to learn how you made your decisions to, or not to, do surgical biopsy.
Some go straight into treatment, and some do surgery. How do you decide?
Now she's recommending surgical biopsy, and we're torn on whether we want to put her through that.
I'm already frustrated it took so long to get these results only to be told it's a tad more than half accurate. And my vet sent us to a specialist to get faster results, which has now cost is 2 weeks.
She suspects IBD or Small Cell Lymphoma.
She said the treatment is very similar, but the prognosis is the difference. And that if the treatment we do doesn't work, it's much more difficult to go in after treatment is started to get the biopsy because treatment has to be stopped and then the results could be affected from the steroids.
She has lack of appetite, vomiting and generally rests a lot and seems a bit uncomfortable. She has since developed mild diarrhea/soft poops.
Initially, U.S. presented with a mass behind her kidney which turned out to be an enlarged lymph node, intestinal thickening, and second U.S. revealed additional slightly enlarged lymph nodes and thickening, as well as mottled spleen which cytology noted as normal.
Original U.S. also noted inflammation of her pancreas, gall bladder. I don't see this noted on her second U.S.
We have done 2 ultrasounds, aspiration of lymph node and spleen. They also did an upper x-ray and those came out ok. The cells from the lymph node and spleen were analyzed, spleen was within normal realm. They sent the lymph node cells to have the PARR test done because they couldn't differentiate between IBD or Lymphoma in their lab. The PARR was negative, which they now said is 60% accurate when originally they told us it was 90%.
I feel like most results lend themselves to IBD, except for the enlarged lymph nodes... unless that is a possible condition due to systemic inflammation?
I know many of you have been in this situation, so I'm curious to learn how you made your decisions to, or not to, do surgical biopsy.
Some go straight into treatment, and some do surgery. How do you decide?
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