Can cat lung lymphoma be treated with surgery if my vet says no?

Hello. I’m so sorry to hear about your cat. I had a lovely long haired cat with lymphoma years ago. There is lymph tissue throughout the body. Before deciding on any types of surgery, it is beneficial to know just how extensive her cancer is. If she, for example, has a section of intestinal tract with a tumor or a couple of tumors, that area can be removed. However, if it seems that the cancer is already metastasized to liver, spleen, lungs, etc. , her prognosis would change and possibly surgery would not be if much benefit. A treatment plan if surgery/ chemotherapy / both can be arrived at after more information is collected.

I'm sorry your cat may have lymphoma. The surgery and biopsies aren't very painful, she will be under anesthesia, and they will give her some pain medication afterwards. The danger of it depends on her health status, and her vet can give you the best estimate of this. Any surgery carries risk, but it can still be safe in a cat this age. Personally I'd do the surgery first. I hope this helps!

These are great questions. Contrary to popular belief, most cancer patients in veterinary medicine have completely unremarkable bloodwork. Just because there are many extra lymphocytes in the walls of the intestines, does not mean there are extra lymphocytes in the blood stream - where our sample comes from. We can be suspicious of it from an ultrasound but cannot truly diagnose it without the biopsy. As for the second part, small cell lymphoma is a disease that affects large sections of or almost the entire small bowel. It is not a single mass that can be removed. Luckily for you, small cell lymphoma responds well to chemotherapy in most cases. Best wishes to you and Trixie.

Thanks for using Petco Pet Education Center, formerly Petcoach! I am sorry to hear that. Lymphoma is an aggressive disease in cats, especially when in the gastrointestinal system and in circulation. Usually even with chemotherapy you are looking at a prognosis of 2-6 months depending on the exact type of lymphoma. You could try prednisolone as a palliative treatment to make her feel better for the time being and perhaps extend her survival time for a few weeks. If she is already anemic, she may also require a blood transfusion making things a bit more complicated. If she is not doing well and you are not interested in pursuing therapy knowing the prognosis then euthanasia is a good option. Let me know if you have further questions regarding her disease. Sorry for the sad news!

Thanks for using Petco Pet Education Center, formerly Petcoach! Lymphoma is in fact a cancer. This is typically treated with chemotherapy. There are many chemotherapy options that can be considered such as a multi agent protocol called CHOP. There are other chemotherapeutic medications that can be considered depending on what your veterinarian has available. In general, chemotherapy is well-tolerated in dogs when done appropriately. If not able to proceed with chemotherapy, there are other options like prednisone therapy alone which in itself can help dogs with lymphoma though for a very short amount of time. The prognosis with chemotherapy varies and depends on the type of lymphoma he has (B-cell vs. T-cell) and the treatment chosen. The prognosis varies between 6 to 12 months with chemotherapy and about 2 months on just prednisone. Please feel free to request a consultation with me if you have more specific questions. Good luck!

I'm sorry to hear about Duchess. If the lung cancer involved a single tumor (this is rare), surgical removal of the affected lung lobe is possible but is a very invasive surgery that requires a board certified veterinary surgeon. Due to the level of invasiveness and small chance for the surgery being curative, I do not usually recommend pursuing this. If the lung cancer involves numerous small metastatic tumors in the lungs (which is more common), there are frankly no good treatment options. Chemotherapy can sometimes slow the spread and growth of those tumors, but by the time the cancer has spread to the lungs, chemotherapy rarely provides a significant change in the prognosis. For these reasons, I usually do not push too hard for referral in cases of lung cancer, but instead focus on supportive care and trying to maintain quality of life for as long as we can keep the pet comfortable. I hope this helps. All the best to you and Duchess.

Thank you for submitting your question regarding Trixie. I am sorry to hear about her recent diagnosis. Unfortunately, gastrointestinal lymphoma can be a longterm consequence of inflammatory bowel disease in cats. I am glad that will consult with an oncologist. There are actually a variety of treatment protocols, some of which can be oral tablets given at home. Cats tend to tolerate chemotherapy really well. They do not usually lose hair like human cancer patients will. There can be some nausea, but this is generally mild and there are good medications to control it. The main side effects tend to be white blood cell suppression. For this reason, her blood work will be monitored carefully. I hope this information helps!