Warning Signs

Early Detection is Key: Warning Signs

Pets have become members of our families. As we take better care of them, they are living longer, happier lives. Despite this, or perhaps because cancer is a disease of aging, it is one of the leading causes of death in dogs and cats.  Early detection is key to better outcomes and familiarizing yourself with the warning signs can help save your pet’s life:

Warning Signs in Dogs

Oral Odor

Oral tumors do occur in pets and can cause a pet to change its food preference (i.e. from hard to soft foods) or cause a pet to change the manner in which he/she chews their food. Many times a foul odor can be detected in pets with oral tumors. A thorough oral examination with radio­graphs or CT scan, requiring sedation, is often necessary to determine the underlying cause.

Straining to Urinate

Straining to urinate and blood in the urine usually indicate a urinary tract infection, however, if the straining and bleeding do not resolve rapidly with antibiotics or are recurrent, cancer of the bladder may be the underlying cause. Cystoscopy or other techniques that allow a vet­erinarian to take a biopsy of the bladder are useful and sometimes necessary to establish a definitive diagnosis in these cases.

Lameness

Unexplained lameness (especially in large or giant breed dogs) is a very common sign of bone cancer. Radiographs of the affected area are useful for detecting cancer of the bone.

Cough

A dry, non-productive cough in an older pet should prompt chest radiographs to be taken. This type of cough is the most common sign of lung cancer. Please remember there are many causes of cough in dogs and cats.

Unexplained Bleeding

Bleeding from the mouth, nose, gums or blood in the urine or stool, that is not due to trauma should be examined. Although bleeding disorders do occur in pets, they usually are discovered at a younger age. If unexplained bleeding starts when a pet is old, a thorough search should be undertaken.

Chronic Vomiting or Diarrhea

Unexplained vom­iting or diarrhea should prompt further investiga­tion. Tumors of the gastrointestinal tract can often cause chronic vomiting and/or diarrhea. Radio­graphs, ultrasound examinations and endoscopy are useful diagnostic tools when this occurs.

Chronic Weight Loss

When a pet is losing weight and you have not put your pet on a diet, you should have your pet checked. This sign is not diag­nostic for cancer, but can indicate that something is wrong. Many cancer patients have weight loss.

Abdominal Distension

When the “stomach” or belly becomes enlarged rapidly, this may suggest a mass or tumor in the abdomen or indicate bleed­ing that is occurring in this area. A radiograph or an ultrasound of the abdomen can be very useful in this situation.

An Enlarging or Changing Lump

Any lump on a pet that is rapidly growing or changing in texture or shape should have a biopsy. Lumps belong in biopsy jars, not on pets.

Swollen Lymph Nodes

These “glands” are located all throughout the body but are most easily detect­ed under the jaw or behind the knee. When lymph nodes are enlarged they can suggest a common form of cancer called lymphoma. A biopsy or cytol­ogy of these enlarged lymph nodes can aid in the obtaining a diagnosis.

Warning Signs in Cats

Skin lumps or bumps

Benign skin masses are less common in cats than they are in dogs, so any skin mass on a cat should be evaluated.

Swollen lymph nodes

These “glands” are located all throughout the body but are most easily detected behind the jaw or behind the knee. When these lymph nodes are enlarged they can suggest a common form of cancer called lymphoma. A biopsy or cytology of these enlarged lymph nodes can aid in the diagnosis. Reaction at vaccine site: Vaccine associated sarcomas can occur in cats and there is an easy to remember “rule” that owners should follow.  The “3-2-1” rule of thumb is that any mass that persists for more than three months after vaccination; any lump that is larger than two centimeters (about 1 inch) in diameter; or any lump that is increasing in size one month after vaccination should be evaluated by a veterinarian.

Hiding or behavior change

One of the most common warning signs that a cat does not feel well is for the cat to start hiding or have a change in behavior. These changes are not specific for cancer, but because it is often difficult to detect physical changes in cats, noticing changes in behavior is important.

Oral odor/bleeding

Oral tumors are unfortunately common in cats and they are often difficult to see. It is therefore very important to notice any change in the way your cat chews its food or an abrupt change in its food preference (i.e. from hard to soft foods). Bleeding and/ or a foul odor are often the first signs of an oral tumor in cats. A thorough oral examination with radiographs or CT scan, necessitating sedation, is often necessary to determine the cause of the problem.

Unexplained Bleeding

Bleeding from the mouth, nose, gums or blood in the urine or stool, that is not due to trauma should be examined. Although bleeding disorders do occur in pets, they usually are discovered at a younger age. If unexplained bleeding starts when a pet is old, a thorough search should be undertaken.

Chronic Vomiting or Diarrhea

Unexplained vomiting or diarrhea should prompt further investigation. Often tumors of the gastrointestinal tract can cause chronic vomiting and/or diarrhea. Radiographs, ultrasound examinations and endoscopy are useful diagnostic tools when this occurs. Gastrointestinal lymphoma is common in cats so any unexplained vomiting (not hairballs) or diarrhea should be noted. If vomiting and/or diarrhea are also associated with weight loss, your cat should be evaluated by your veterinarian.

Chronic Weight Loss

When a pet is losing weight and you have not put your pet on a diet, you should have your pet checked. This sign is not diagnostic for cancer, but can indicate that something is wrong. Many cancer patients have weight loss. Detecting weight loss in cats can be very difficult due to their relatively small size. One of the best way to check is to monitor your cat’s weight on a routine basis, such as weekly or monthly. This way you will be alerted to small changes in your cat’s weight in a timely manner.

Glossary

Benign tumor

Lacking the properties of invasion and metastasis and showing a lesser degree of abnormal cellularity than do malignant tumors. These are usually surrounded by a fibrous capsule.

Bone Marrow Aspirate

The removal and evaluation of bone marrow cells to determine if the cells are normal, if cancer has spread to the bone marrow or if there is a problem with blood cell production. This process is usually painless to the pet.

Cancer

Any malignant, cellular tumor; cancers are divided into two broad categories of carcinoma and sarcomas.

CBC/Differential

A complete blood count evaluating the number and type of white blood cells, red blood cells, and platelets.

Carcinoma

A malignant growth made up of epithelial cells tending to infiltrate surrounding tissues and giving rise to metastases (spreading).

Chemistry

The analysis of the blood that evaluates liver and kidney function, among other things.

Chemotherapy

Chemotherapy is used to treat cancer at the tumor site, as well as the cancer that may have spread through the body. Most chemotherapeutic drugs act directly on cancer cells, preventing them from maturing or reproducing. Unlike humans, the side effects of chemotherapy in pets are relatively mild. Doses of drugs and treatment schedules are calculated to minimize discomfort to the pet, while providing the most effective defense against the cancer. As a result, most people are surprised at how well their pets feel while undergoing chemotherapy. The goal is to slow the growth of cancer cells, while producing minimal negative effects on normal cells. If your pet requires a plan of chemotherapy, your veterinarian will most likely bring in a specialist (an oncologist) to develop the plan of attack and administer the treatments. In addition to the latest and best medical treatments, an oncologist will provide the specialized equipment and supervision that your pet needs.

CT Scan

The evaluation of the body with high resolution x-rays that allows us to form a three dimensional (3D) picture of the body.

Cytology

The process of evaluating cells on a microscope slide to determine if they are malignant or benign.

Digital Radiograph

An x-ray machine that produces a digital image, so that it can be manipulated to enhance the evaluation of abnormalities.

Growth

Refers to any kind of an abnormal increase in size of tissue.

Immunocytochemistry

The use of special stains to determine the type of leukemia an animal has or to identify cells that cannot be identified under normal light microscopy.

Immunophenotyping

The use of special stains to determine the cell type; used most frequently to determine whether lymphocytes are T cells or B cells.

Immunotherapy

Immunotherapy is the use of the body’s immune system to treat a disease. Immunotherapy is to treat certain cancers, such as, melanoma, hemangiosarcoma, renal cell carcinoma, multiple myeloma, and lymphoma among others.  There are various types of immunotherapy ranging from cancer vaccines to injecting cytokines (chemicals that stimulate the body’s own immune system). One of the advantages of immunotherapy is that it is generally less toxic than traditional chemotherapy.

Lump

A growth or fluid-filled cyst or any structure rising above the normal surface of a tissue plane.

Malignant tumor

Having the properties of invasion and metastasis and displays cells with widely varying characteristics.

Metastasize

To spread throughout the body, referring to cancer cells.

MRI Scan

The use of magnetic fields to evaluate the body, including the brain.

Neoplasm

An abnormal new growth of tissue in animals or plants; a tumor.

Radiation Therapy

In veterinary medicine, radiation therapy was first attempted at the beginning of the twentieth century. During the last 50 years, tremendous advances have been made. The use of histopathology, MRI, and CAT scans have resulted in accurate diagnosis of the type and location of tumors. In addition, new technology has increased the effectiveness and decreased the side effects and risks of radiation therapy.

Surgery

The oldest form of cancer therapy that has been responsible for the cure of more patients than any other treatment. This success is mainly due to the development of new surgical techniques, combined with chemotherapy and radiation for a total plan of treatment for pet’s with cancer. Sarcoma    A malignant tumor originating from connective tissue or blood or lymphatic tissues.

Tumor

A swelling caused by a new growth of tissue. This new growth is caused by the uncontrollable multiplication of cells.

Ultrasound

The non-invasive evaluation of the abdomen, internal organs, and heart through the use of sound waves