Left perineal tumour in a male intact old Shih Tzu

Case Study 1. Circum-anal tumours and Tardak injection

Jun 1, 2009
Shih Tzu, Male, Intact, 11 years old, 7.5 kg. Can't take rectal temp. painful backside
Large left perineal tumour 10 cm x 10 cm in 5 globular lumps
IV drip + antibiotics

Jun 3, 2009
Decided to operate.
No histopathology for economic reasons.

Jun 8, 2009 Went home.


Jun 3, 2010
Facial dermatitis and eye ulcerations
Owner said the tumour did not recur after 2nd surgery and neuter.
He had not wanted neuter after the first surgery








Feb 2, 2010.
Left perineal tumour 6"x5"
Shih Tzu, Male, 12 years, 7.5 kg


Treatment
Feb 2, 2010
Pre-op IV drip + baytril 24 hours.

Feb 3, 2010
Clipped bald
Blood test
1. Liver disorder. High SGPT/ALT, SGOT/AST
2. Kidney disorder. High urea 13.3 (4.2 - 6.3). Creatinine low (29 (89 - 177)
3. Total WBC 30.8 (6 - 17)
Platelets 528 (200 - 500)




Zoletil anaesthetic 0.2 ml IV
+ Isoflurane gas > 1 hour
Surgical excision
2 packets of stitching
e-collar + rimadyrl painkillers for 7 days

Feb 4, 2010
Post-op swelling. Baytril 4 days and trimaxazole syrup

Feb 7, 2010
Neuter - 2 testicles removed.
Domitor 0.5 ml IV Antisedan 0.5 ml IV & post-op painkillers and antibiotics.

Feb 9, 2010
Parts inflamed Stitch breakdown at 8 o'clock and 12 o'clock
lst Tardak 10mg/ml inj. Bodyweight 6.8 kg. Tardak given at 14 mg or 1.4 ml SC
Another one on Feb 17, 2010 advised.
Painkillers tolfedine 60 mg x 2 tab. Pred 5mg 1/4 tab/day x 20 days
Tremethoprim, medazole,
Goes home.


The owner did not return for a 2nd Tardak injection.
"What is Tardak used for?" the JC 1 intern asked.


Jun 3, 2010
7.8 kg 39 deg C. Ringworm in body spinal area and face. To shave bald.
No tumour seen



Case Study 2. Hypersexuality and Tardak injection


Tardak (delmadinone acetate) is a potent anti-androgen 17 to 40X
the potency of progesterone. It is used for 3 indications

1. To treat hypersexuality (inhibit intersitial cedll stimulating hormone -->reduced testosterone production --> decrease libido. So it will be effective for dogs that hump cushions daily. Tardak 1.9 ml SC


2. Prostrate hypertrophy - due to chronic inflammatory process, benign hypertrophy or carcinoma. In inflammations, need to give antibiotics and corticoid.



3. Circum-anal tumours
Respond favourably so long as they are small.the larger they are at first treatment, the less encouraging is the prognosis.