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PLEASE help - deciding about surgery

BabysMom
June 6th, 2007, 12:38 AM
Hi. My cat (Baby) is 13 and a half years old. On 12/25/06 I found blood in his stool – (what a Christmas present). He went to the vet right after New Years, and went on medicine for colitis. Long story short, on May 8th he had a colonoscopy. They found just what I had feared – Cancer. I am looking for anyone who has had a cat with colon cancer or any vet or surgeon who would be so kind as to give me their opinion and advice.

The type of colon cancer he has is called adenocarcinoma, and it is pretty far inside the colon and deep from what I understand. Basically what I am trying to do is decide whether or not to put him into surgery for this. If he has the surgery, it will be “exploratory” because they will see if there are any other small cancerous areas, and if not, they will remove the one tumor we are sure exists. Because of the location of the tumor, they will need to “split” his pelvis to remove the entire thing. We go to see the surgeon on Monday (June 11) for a consultation, so I am trying to gather all of the info and advice I can, so that I can make the most informed and educated decision possible.

My cat means the world to me – I’ve had him since I was 11 and he is like a child to me. I have been told that without surgery he is expected to live about 3 more months. With surgery (followed by chemo), he would be expected to live 3 – 18 months. (I was concerned about the chemo but I have been told that this type of chemo is very well-tolerated by cats).

The problem is that I have gotten advice from 2 different surgeons… and their takes on this were complete opposite of each other. One surgeon was consulted by his old vet near where we used to live. She consulted the surgeon as a courtesy to me and got some information. (All of Baby’s colonoscopy results and history, etc were faxed over to her, so she knows the whole story and type of cancer, etc). This surgeon was VERY negative about putting the cat through surgery. She said she’s done this exact surgery before and the outcomes have not been very good. She said that sometimes the cat is debilitated and can never walk the same due to the splitting of the pelvis. She also said that he may not me able to control his bowel movements and urination – at that could possibly be permanent. She said owners have had to sometimes put them down afterwards anyways because of their quality of life and owners having to deal with the special needs of them not being able to control going to the bathroom, etc.

So after hearing that, I was certainly leaning towards NOT doing the surgery. However, the other surgeon (who would do the surgery if we decide to) was consulted by the Dr who did Baby’s colonoscopy. I will be speaking with the surgeon directly on Monday, but in the mean time, the colonoscopy Dr and my Vet have both spoken to him. They seem to have a more optimistic outlook on things. They are not too concerned about him not getting through the surgery (he does have a small heart murmur and high blood pressure – which is under control with medications). We know it’s a risk with any surgery, but it didn’t seem to be a huge concern from what the surgeon said. They did not seem too concerned about splitting the pelvis either, and said that since it’s a small cat, it shouldn’t be that bad (as opposed to a large dog or something). It will add a little time onto recovery, but they weren’t too concerned. My current vet also was not as concerned about him losing control of going to the bathroom. She said it is possible, but because of the location, it isn’t a huge risk. My vet said she has worked with this surgeon and he is very very good, has many many years of experience, and he teaches at one of the top veterinary schools in the country.

So with that being said, I have one surgeon telling me there is no way she would put her cat through this… and then a vet and colonoscopy Dr telling me that they would go the surgery route.

I am so torn, and I only have until Monday to figure out what to do. Another option would be to not do the surgery and just go with Chemo and hope it helps a little, and maybe give him antioxidants and anything else that would help.

Overall, one would never know anything is wrong with Baby (at this point). He is so happy, pretty active (for being almost 14), always purring, eating and hungry as usual, chasing the birds outside (from inside the window – he is an indoor cat!). The only way one would ever know anything is wrong is that he has blood in his stool and strains a bit sometimes.

If there is anyone out there who has dealt with this – colon cancer (especially adenocarcinoma) and/or the splitting of the pelvis, (or even deciding on something when getting 2 opposite opinions from surgeons) - I would be so very grateful beyond words to hear about your experience and any advice. At this point I have no idea what to do, so any information would be greatly appreciated. I wish I had more time, but I need to make a decision by Monday. We want to do what is best for him – whether that means taking a risk and giving him the chance with surgery, or enjoying the time we have left together. Many thanks in advance…. From Baby and his very worried Mother.

Maya
June 6th, 2007, 02:37 AM
I lost my kitty to colon cancer a couple of years ago. In our case he also didn't show any major signs of illness, he had been straining and had blood once but the vet just thought it was constipation. He also had a great appetite up to the last day and wanted to play and everything. Long story short, I ended up in the emergency clinic because his stomach started to swell. :( The vet on duty convinced me that older cats do not do well in surgery (he was 16) and that I should have him put to sleep right then without waiting or thinking further on it. I didn't want to put him through an ordeal of surgery near the end if there wasn't a good chance for recovery but it was so difficult because he was still sooo full of life. I will always wonder if maybe he could have had a couple of more years or even just a year. If I had known what type of cancer and what the likely outcomes of that surgery were I think I might have gone through with it. I would try to get as much information about this type of cancer and what sort of rehabiltation will be needed. Like if you need to stay with him 24/7 for quite some time afterwards and you think you can do it then I would consider it. But if you get the feeling it will just be painful and drawn out and you don't have enough time then i'd consider going with just the chemo. I found a little bit of info here on a similiar case, not sure if you've already seen it:http://www.pubmedcentral.nih.gov/pagerender.fcgi?artid=1540381&pageindex=2 fairly positive. It really is a tough call, I think you will make the right decision if you listen to your gut and not let anyone rush your decision. I'd also call around some different vets and try to get an idea on what the majority have to say. Some vets will be more willing to take money for risky surgery than others which is something to be cautious of. I wish you all the best with this, it isn't easy. :grouphug:

BMDLuver
June 6th, 2007, 06:17 AM
This type of surgery can be extremely painful at the best of times. You need to weigh the pain against the quality of life it will give if successful. Honestly, if it were my cat, I think I would let it go with dignity. I'm sorry you have to make such a decision, it's never easy.

chico2
June 6th, 2007, 07:17 AM
Babysmom,my cats are very,very important to me,as Baby is to you and I don't want to influence your desicion,in the end it's yours to make.
However,loving my cats as I do,I would not put them through this kind of surgery,the pain and distress,recovery-time etc..seems too much for a little cat,only to add a few months to his life.
I had a cat with cancer,not coloncancer,he lived another year after diagnosis,I do not regret not trying to fight the final outcome with painful treatments,he was 17yrs old the day I said my final good-byes,with no regrets.
This happened many years ago,vetmedicin has since advanced,but cancer is still the same ugly desease.
We also have to ask ourselves,are we basing a desicion on our cats quality of life,or our own unwillingness to give up and lose a much loved pet.
Like BMDlover says,you also have to be careful with some vets,some are looking at difficult surgery as a challenge and a moneymaker,not necessarily with the cats comfort in mind.
:pray: for you and Baby.

hazelrunpack
June 6th, 2007, 07:53 AM
First of all, I just want to say I'm so sorry you have to make this decision at all--as BMDLuver said, it's never easy :grouphug:

But I wanted to point out that you don't have to decide right away on Monday. Talk to the new vet and see what he has to say. Then take the time you need to decide. If he's worth his salt, the vet will not press you to decide that day. If you feel, after listening to him, that you can make the decision then, that's good--but take a day or two if you need it. You want to make sure that whatever you decide, you've thought it through after getting all the information you possibly can.

Our thoughts are with you at this difficult time. Please keep us posted on what the vet says. Many of us here have been through this as well, and we understand what you are going through. :grouphug:

CyberKitten
June 6th, 2007, 07:33 PM
It is ultimately your decision - and I do not envy you!! I am so sorry to hear about your cat's diagnosis. I won't use anecdotal evidence - though I know many people who've done extremely well after this surgery and while it was painful, they did prevail. However, cats are not humans and while kitties handle pain meds better than we do, they also do not understand what is happening to them.

Many cats do live quite well after this type of surgery and have kitty diapers and that kind of thing if they become incontinent but it is not an ideal life. Would I put my cat through it? I suspect my own belief in the many miracles I have seen in both the feline and human world vis a vis cancer would lead me to try the cancer and if it happened that the incontinence was a major liability for my kitty, I would have to make a very tough decision. I think because I have been very aggressive in treating cancer in children as well as in my own bouts with cancer that I;d be tempted to do as much as I can but not in a way that would cause undue suffering. If I know my cat is suffering and not happy and has no quality of life, I would know then what to do.

It is very tough call though - we all come from different experiences! It also depends on what your vet has said - how far has the cancer progressed? Have you seen a cancer specialist for cats? Even though I am a physician and cancer researcher, I always seek more than one opinion - more than two even - and consult with others as I work with delicate cancers in children. I would find the best in the field and see what they say! However, if you have the utmost faith in your own vet and know and trust how s/he will help your cat, that is another factor. It is sometimes tough to work with professionals you do not know. I sometimes finding myself telling patients and their parents before I refer them to someone as I continue to treat them - say a gastroenterologist - his bedside manner may not be to your liking but he's great at what he does!!

Here is a site about one person and her cat:

http://www.i-love-my-cat.com/cat-cancer.html?gclid=CJCpi5fgyIwCFRlmWAodWk7qaA



Good luck!!! My thoughts are with you!!!!

Smiley14
June 6th, 2007, 07:55 PM
Oh, my heart is breaking for you right now. I'm so sorry you're having to go through this.

My dear Billy also has cancer, but his is intestinal lymphoma and was given a year to live without treatment or up to 18 months with Chemo. I have some experience with chemo in kitties, but this kind of cancer didn't require surgery. Have you asked if chemo only is an option or is that not viable with this kind of cancer? I'm so sorry I'm not able to help you with your questions. I hope someone here is able. I can tell you though that cats really do handle chemo quite well, considering. My Billy was sick for the first few weeks, but his little body adjusted remarkably well. We were unable to achieve complete remission, but he is still fighting it for all he is worth and is a bit of a miracle at the moments to the doctors.

I would strongly suggest consulting with an oncologist as well before making your final decision. I too got conflicting information at first. Everyone told me he was too old, too frail. I looked in his eyes, saw the fight, and listened to the oncologist, and I'm so glad I did.

My thoughts and prayers are with you during this difficult time. :grouphug: