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Feline Bladder Tumor

MiniTiga
August 28th, 2010, 08:34 PM
Has anybody had experience with a bladder tumor. We got a sample of the tumor to test -- but the lab said the test failed. A tumor in the bladder isn't usually benign, so we can say, it's cancer.

To say I am disillusioned and frustrated with veterinary science, given my experiences with misdiagnoses, and the fact that I can't get a clear answer from vets, I am reaching out to this forum to see if anyone has had or has a cat with bladder tumor.

catlover2
August 29th, 2010, 07:30 AM
I had a cat had been used as a stud cat for 2 years and then I had him neutered and kept him as a pet. Of course that was back in the days when dry food was not thought to be harmful even tho I was feeding them a top of the line brand. This cat had 3 UTIs over several years that were successfully cleared by medication. Then when cat was 15 y.o. he had a urinary blockage, but this time medication didn't help, and it was determined he had a bladder tumor. At that time the vet deemed it was likely malignant and inoperable (this was in the early '90s), and our boy was euthanized. Had it happened today maybe they would have operated or suggested some sort of cancer treatment?
Did you get a second opinion on your cat?

MiniTiga
August 29th, 2010, 08:17 AM
Thanks for your feedback.

Yes, surgery or chemo, these days...

I don't have clear info from vets on the surgery. Even if we knew without going in there if it was completely removable, it doesn't mean it will be a success. It seems like a huge gamble, and a whole lot of stress, confusion and pain on the cat. Would it mean an additional week, month or 1-2 years of life? Who could tell? I am just trying to figure out what's best for her.

Chemo just sounds plain cruel at this stage of my feline's life. She is not going to "get" what's being done to her and she has to be sedated each time a vet even walk into the same room. That would weaken her already compromised geriatric health.

I don't have the magic answer and don't expect anyone else does. I am thinking a gentle, holistic, eastern-healing modality may be in order as she moves towards the inevitable fate.

PS - 2nd opinion, 3rd opinion, yes --Thank you. Any specialist or vet with the equipment to conduct surgery, say surgery. Holistic vets say go gently into the night and tumor may be managable. Generalists that don't do this surgery, say, "I can't say, it's not my field of expertise,"it's up to you."

catlover2
August 29th, 2010, 10:48 AM
I've haven't had a cat treated for cancer so can't comment on what kind of success would be achieved, but if you search on this forum under "cancer" or "chemo treatments" or "radiation". I know there were some threads not too long ago where this was tried. Can't remember the cat, but I think it went through a lot up and down and not feeling well for many many months with some remissions, but I think it eventually succumbed to the cancer. Only you know your cat best, and by the sound of it she would be highly stressed by all the vet visits that would be entailed. It will be a hard decision but I know you'll have the cat's best interest at heart. I wish you well. So sorry to hear. :goodvibes:

Dr Lee
August 29th, 2010, 08:25 PM
Has anybody had experience with a bladder tumor. We got a sample of the tumor to test -- but the lab said the test failed. A tumor in the bladder isn't usually benign, so we can say, it's cancer.

To say I am disillusioned and frustrated with veterinary science, given my experiences with misdiagnoses, and the fact that I can't get a clear answer from vets, I am reaching out to this forum to see if anyone has had or has a cat with bladder tumor.

I am sorry that you are disillusion with veterinary science. Certainly medicine can be frustrating and veterinary medicine has its own flavor of problems when compared to human medicine.

1) How do we know it is a bladder tumor? If we see it on an ultrasound, it is not unusual for severe inflammation and/or blood clot to look identical to a tumor. So either empirical treatment with recheck or further diagnostics would be recommended. If they saw it on surgery, then it is very unusual for the lab test to not identify a proper biopsy bladder sample but you may want to try again.

2) If it is a bladder tumor, then unfortunately you are correct, most are malignant. Occasionally in cats you can have a benign mass such as a leiomyoma but malignant bladder tumors are more common and have a poor prognosis. In dogs, it is usually TCC (Transitional Cell Carcinoma). In cat, while we do see TCC, SCC (squamous cell carcinoma) is more prevalent. In dogs, we usually recommend piroxicam but it is not typically recommended in cats. Typically we will use meloxicam however this medication is not curative but palliative. Surgery can be pursued but does not in any way guarantee an elongation of survival unfortunately.

Again, we need to establish that it is a malignancy as sometimes, what look like masses can be focal inflammation of the tissue.

I hope that this helps. :pawprint:

growler~GateKeeper
August 30th, 2010, 02:55 AM
:( I'm sorry to hear this diagnosis :grouphug: :goodvibes:

A homeopath vet can certainly give you options for pain management, increase in comfort levels etc. There are also various remedies that have been used for cancer treatment & a trained homeopath vet can assess which is best for your girl :goodvibes:

MiniTiga
August 30th, 2010, 02:40 PM
Thanks to both of you for your outreach and concern.

She has consistent blood in her urine and all the other symptoms of serious UTI. A vet took cell samples with an aspirate and it came back not diagnostic. He said it's "big" and looks like a cauliflower, but can't remember what he noted as its literal size -- and his office does not see notes of it anywhere....

And this is the new vet. Growler has already heard about the old vet.

The hospital can't use his information and just want me to repeat the same tests. I am through putting her through lab rat abuse and going even further into debt.

Surgery is no option because it has the potential of causing more harm than good. Let's not delve into the expense of the gamble. It's a great way to exploit distressed pet owners by saying surgery is a valid option for bladder cancer. Let the animal go in peace. No BODY is eternal.

Just please lend a prayer for minimal pain and suffering through her transition. I pray that she can pass gently in her peace when her time comes.

I pray for a new generation of vets that are devoted to healing, not a lifestyle of luxury.

BenMax
August 30th, 2010, 03:01 PM
My prayers are with you.:grouphug:

mikischo
August 30th, 2010, 03:45 PM
I am wondering what tests were done to determine that this was a tumor. Maybe I am stabbing in the dark but Dr. Lee did say that severe inflammation or a blood clot can look identical to a tumor.

Back in the 80's I received a misdiagnosis from a vet who indicated that he could feel a large mass in my 11 year old cat's bladder and he was quite certain he had bladder cancer. My cat's symptoms consisted of peeing in places other than his litter box and there was quite a bit of blood in his urine. I could tell you the whole story here, but to make a long story short it turned out that it was a UTI. After a course of antibiotics all symptoms disappeared and he was perfectly fine and ended up living another 6 years until he passed away from other causes at the age of 17.

I am not saying that this is the case with your kitty, although it would be wonderful if it was. That is why I'm am wondering what tests have been done for the vets to arrive at their diagnosis of a tumor. I am also wondering why the vet can't use the information from the tests done by the previous vet and has to run them again.:confused:

Dr Lee
August 30th, 2010, 04:24 PM
I pray for a new generation of vets that are devoted to healing, not a lifestyle of luxury.

The volunteer time that I spend here and other websites, and the time my friends spend doing volunteer surgery must seem like it brings us a lifestyle of luxury. I know my small one bedroom apartment and no vacation for almost five years must seem like true luxury but it doesn't appear to compare to careers with similar education time: lawyers, bankers and "real doctors". They seem to have nice cars, nice houses, savings accounts with actually something in it and amazing vacations. Which vets have this lifestyle of luxury? I wonder what this new generation of vets will look like?

It is sentiments like this that make many of us vets decide to give up the "lifestyle of luxury" and settle for a career that actually gets us enough money to do more than break even and without false accusations of "exploiting distressed pet owners" And people wonder why there are articles on compassion fatigue in veterinarians!

14+kitties
August 30th, 2010, 04:50 PM
While I feel your frustration with your ordeal you can not generalize vets just as you can't generalize doctors. I know some very good doctors who do whatever they can to help the suffering of others. I'm sure everyones heard of Doctors Without Borders. I know and have met some very very good vets as well. Dr Lee is one of them. I for one appreciate the help he gives to all the members here during their times of questioning and heartbreak.

Have you tried getting a second opinion? :shrug:

MiniTiga
August 30th, 2010, 06:21 PM
Dr. Lee -

As I said, thank you for your outreach. I said nothing negative. It is not a false accusation and it is based on my experiences -- plural.

I am not here to prove my experiences with vets to anyone. I have a cat with bladder cancer and the suggested, unaffordable options are not options for me. I was hoping someone here had real experience to share on how to cope with this. I don't have the energy for this. I am drained -- emotionally and financially -- listening to one misdirection after another from vets. This is not about YOU. At least you have a job. I haven't taken a vacation in six years, and I find pleasure in volunteering and helping stray animals and people whenever I can. No one needs to thank me for that. It's all about what's in your nature.

God bless everyone.

My fault for posting. Answers must come from within now.

As far the question regarding possible UTI misdiagnosis. I had a urine culture done last week and no bacteria grew, so the vet said there is no infection. She was on antibiotics before then, anyway. The Baytril gave her alarming side effects so I stopped it before the urine culture results came in.

MiniTiga
August 30th, 2010, 06:33 PM
14+kitties - neglected to add: the vet saw it with ultrasound.

Good night.

Dr Lee
August 30th, 2010, 11:18 PM
neglected to add: the vet saw it with ultrasound.

In light of a negative culture then I would be concerned that that is a real finding and would be concerned regarding a malignancy. That is not an absolute but I would not want to raise your hopes. Some bacterias do not culture well and some masses are benign but both of these are exceptions and not the rule.

I agree with you on Baytril. You must be very, very careful with the drug in cats. At the recommended dose, it can be safe but at slightly higher doses - you can risk very serious side effects. If the culture is negative, then I would not recommend the use of Bayrtil.

I also agree with you. If there is a malignant bladder tumor, surgery is unlikely to change the course of events. Palliative treatment such as Metacam is typically recommended. Metacam is not without risks and may not be recommended for all cats. However when we are looking at promoting quality to the remaining time, then sometimes metacam should be considered.

I did not wish to in any way add to your difficult time. I realize this must be a very difficult time for you both. I do wish you and your cat the best.

MiniTiga
September 8th, 2010, 05:18 PM
Thank you. Anything is possible.

hazelrunpack
September 8th, 2010, 08:35 PM
How is she doing, MiniTiga?

MiniTiga
September 9th, 2010, 06:38 AM
All things considered, I would say she is doing exceptionally well. She's hanging in there. The "things to consider," of course, are not palatable. To say there is blood in the urine is not accurate. It's more like there is some urine in the blood. She is still walking, jumping, eating and unlike humans in similar health conditions, she has absolutely no self-pity.

There is always "hope" -- but false hope is no hope at all.

One moment at a time.

Thanks.