3417. SHYAN. Video 1. A rare case of a cheek tumour in the Dog.

 VIDEO 1.  Cheek Tumour in the dog. 

"My dog keeps me company and is a good listener," the young lady said. "He waits beside my study desk patiently while I study for my examination. He waits for me to come home no matter how late in the night." 

"But something is wrong with him, "she continued. "For the past month,  I have to wipe his mouth and clean up the saliva staining my bedroom floor. He has a large lump inside his right cheek. I asked my parents for advice. They were not bothered.."   

I remember this case vividly even though 10 years had passed. The owner was a slim young reticent lady in her junior college. She was likely to be 18 years old. Her eyes were swollen with tears. Her 11-year-old male Miniature Schnauzer had stopped eating and was drooling a lot. 

"This is a gigantic cheek tumour," I told the young lady. "A nasty one of over 4 cm x 4 cm x 3 cm inside the right cheek tissues. It is likely to be cancerous now.  However, the dog has rotten and decayed teeth which needed to be extracted before I can operate on this cheek tumour!"

This is a "Be Kind ........" 

 (narrate)

A rare case of a cheek tumour in the dog

SINGAPORE SETTING.

Video footage.  Singapore scenes - school students - buses in 2010. 
No Covid-19 pandemic/mask footage to be shown.  

ONE WEEK EARLIER, during the first consultation for the cheek tumour,
the Miniature Schnauzer would turn his head away when I tried to open his mouth for a 

physical examination.   

(read text on image)

Intense pain of inflammation of the inside of the cheek. 
Gum infections and loose teeth.
I could see the thick tartar enveloping the teeth

I could smell the bad breath in this small consultation room. 

Back to the case. 

What to do with this large cheek tumour at the least cost to the owner? 

ANAESTHETIC RISKS. 

Two stages of treatment are safer for the old dog.

This is because old dogs are high anaesthetic risks and each stage will require shorter

episode of anaesthesia as compared to one stage.

For Stage 1, I did the dental

work one week earlier. I extracted 15 loose and dead teeth.
Antibiotics and pain-killers were given for the next 10 days
 
For Stage 2, I waited one week to operation the cheek tumour.

I used injectable anaesthetics as it is easier to 
gain access to the mouth to remove the gigantic cheek 
tumour. Domitor and Zoletil were given IV.
Atropine was injected IM. 

 Gas anaesthesia is safer but the endotracheal 
tube obstructs the surgical view. 
. 

ELECTRO-SURGERY

To lower medical cost, the the owner did not want to send the cheek tumour
to the laboratory to check whether it is cancerous or not. 

MEDICAL RECORDS

Anaesthetic and surgical records are maintained
in writing and electronically. Above is an example of Dr Sing's 
illustrations of this rare case of a cheek tumour in a dog in 2010

CREDITS

(Narrate name of surgery and vet surgeons)

(Software used for this video editing by Ms Shyan Koh.  Date)

FOR MORE INFORMATION

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TIPS AND ADVICES

In this case, the cheek tumour grows again, indicating it is cancerous.  The young lady 
opted for euthanasia as the dog was in great pain and could not eat or drink properly. 

If your dog eats food on one side of the mouth, snaps at you
when you touch his mouth. If he has cheek tumour, foul breath and is losing weight, 
consult your vet promptly.



REMEMBER
(Narrate text in images)


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