Monday, July 28, 2014

1430. A 7-year-old Shih Tzu has a large wrist lump

Hari Raya Puasa on Jul 28, 2014. Around 10 cases seen as most vet clinics are closed.
Interesting one of a Shih Tzu, Male, 7 years coming in with a large wrist lump. "About one week," the owner said.
"If it is one week and growing so large at 8 cm x 6 cm x 6 cm," I replied. "It is not good news as cancerous cells grow very fast. I need X-rays to check whether the bones are infiltrated or involved."

X-rays show normal bones. So it was good news.
"Surgical excision may result in the dog being lame on the right fore limb," I warned. "Unless the lump is one solid ball sized and dissected out using electro-excision & cautery carefully."

Owner opted for anti-inflam injection into the lump and wait for 2 weeks.

2 pm Videoed by Teri
Sedate 50% D+ K IV
Needle aspiration - 0.1 ml of blood but nothing else. No pus or brown fluid. Likely tissues.
Intra-lesion inj of pred 0.5 ml
Bandage carpal area for 3 days

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