Nosectomy is a radical surgery procedure especially in case of malignant cancer in the nose area of dogs. It is meant for cure or reducing disease burden. It can be challenging as it can produce cosmetic dissatisfaction and owner reluctance. In this case, the dog is diagnosed with advanced squamous cell carcinoma SCC with little to no results after various local treatments. As ultimate procedure is proposed a radical nosectomy with the hope of curing or preventing debilitating disease advancement. Nosectomy resulted in complete excision, clean margins, no recurrence but complications should be expected. Local dehiscence is common, narine stenosis is also well described but are manageable, of medium intensity…
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Left adrenalectomy, iliac lymphnode and left perianal large myxosarcoma excision in a 8 yo Lab female dog
This is the case of a 9 yo, spayed Lab female dog presented for a large perianal mass. The mass is diagnosed as a soft tissue sarcoma and during staging there is US and CT evidence of a large left adrenal mass and iliac lymphnode alteration. After proper owner discussion a one stage surgery is recommended. Under general inhalatory anethesia and epidural block with bupivacaine and buprenorphine first step is left adrenal mass excision, the second step is iliac lymphnode excision and after abdominal closure with non-resorbable suture the last step is excision with 2 cm lateral margins and deep muscle/fascia layer of the perianal STS. Recovery is good, pathology…
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Inguinal flank fold flap used for reconstruction after a large STS excision in a dog
This is a case of a large Soft Tissue Sarcoma on the lateral aspect of the right stifle. This a male dog, intact, previously diagnosed with a fast growing STS, now 4.5 cm. STS are of great local concern, especially on limbs as the surgical dose requires at least 3 cm in lateral and at least one deep unaffected fascial plane. This requirement produces numerous challenges for the surgical defect closure. In this case the lateral margins were of 3 cm and in the deep, one unaffected muscle layer was included. This produced a large defect which was closed with a large inguinal flank fold flap. The pathology report confirmed…
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Massive leiomyoma and other tumors in a dog
de Dr. Daniel Lescai Doctor in Medicina Veterinara
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Oral SCC in a cat treated with radical madibulectomy, good recovery and no recurrence
Oral SCC in cats is well known and not so uncommon disease. Early disease recognition ant treatment is mandatory. Considering Squam Cell Carcinoma require a great surgical dose, have a low metastatic risk but high local recurrence risk, correlated with a small mouth overall area in cats, even a reduced, subcentimetrical lesion requires at least 1 cm in all directions plus the area of the initial lesion, meaning more than 2.5-3 cm, a large surgery for any cat. This is the case of a 13 y old cat, male, castrated, with prior biopsy and SCC confirmation. Owner discussion and adherence is essential for any following treatment option. In this case,…