Hi everyone. Sorry I haven't posted anything about Bailey in a little while. I've been trying to distract myself and not obsess over her issues every second of every day. I wanted to update everyone though, since you've all been so helpful and supportive. Here are my previous posts on the issue:
http://www.thecatsite.com/forums/sho...d.php?t=127646
http://www.thecatsite.com/forums/sho...d.php?t=127214
http://www.thecatsite.com/forums/sho...d.php?t=126278
http://www.thecatsite.com/forums/sho...d.php?t=124832
BRIEF RECAP:
Bailey went to the e-vet in late April due to anorexia, lethargy, and vomiting. It was discovered that she had elevated calcium (total and ionized). This launched a search for the cause, and cancer was the top suspect. Over the past 6 weeks, this is what has been done in addition to frequent typical blood panels (liver, kidneys, CBC, etc). Everything has been within normal limits except as noted below:
**8 ionized calcium tests (all high- normal range is between 1.2 and 1.32. Her highest level was 1.54 when she was first admitted, and her lowest level was **1.37 after significant fluid therapy.)
**Malignancy profile blood test (elevated PTHrP noted- indicates cancer)
**X-rays & ultrasounds (no masses found)
**Rectal exam to look for anal sac carcinomas (none found)
**Bone marrow aspirate to test for bone cancer (results did not indicate the presence of bone cancer)
**Oral exam under sedation to look for squamous cell carcinomas (none found)
Elspar trial (the most recent test)
With the Elspar trial, she was given an injection of a chemotherapy drug called Elspar (asparaginase) on May 29th. Her ionized calcium was tested prior to the injection (1.48), and 72 hours after on June 1st (1.43). If her ionized calcium level had decreased significantly (usually into the normal range), then lymphoma would have been considered confirmed. Bailey's ionized calcium did decrease, but 1.43 is still way over the high limit. She was retested yesterday, June 5th. Her calcium had gone back up to 1.5.
According to the internal medicine specialist who has been working on Bailey's case, the slight decrease in her calcium level after the injection was not enough of a decrease to indicate lymphoma, so that has been ruled out. I don't know where we're going to go from here. She has a recheck appointment scheduled for June 14th, so I guess I'll talk to the vet at that point to see what I should do. We haven't done biopsies or anything, since we were trying to avoid invasive procedures. I feel bad that I've put Bailey through all of this and I STILL don't know how to make her feel better. I'm glad that we haven't been able to say she has cancer yet, but the vet strongly suspects that she has cancer that we just haven't been able to find. It makes me sad, because while I obviously don't want her to have cancer, I really want to be able to treat her if she does.
I'd really appreciate if everyone could continue to keep Bailey in their thoughts. As always, if anyone has any input or has had similar experiences, please feel free to share.
Thanks everyone!
http://www.thecatsite.com/forums/sho...d.php?t=127646
http://www.thecatsite.com/forums/sho...d.php?t=127214
http://www.thecatsite.com/forums/sho...d.php?t=126278
http://www.thecatsite.com/forums/sho...d.php?t=124832
BRIEF RECAP:
Bailey went to the e-vet in late April due to anorexia, lethargy, and vomiting. It was discovered that she had elevated calcium (total and ionized). This launched a search for the cause, and cancer was the top suspect. Over the past 6 weeks, this is what has been done in addition to frequent typical blood panels (liver, kidneys, CBC, etc). Everything has been within normal limits except as noted below:
**8 ionized calcium tests (all high- normal range is between 1.2 and 1.32. Her highest level was 1.54 when she was first admitted, and her lowest level was **1.37 after significant fluid therapy.)
**Malignancy profile blood test (elevated PTHrP noted- indicates cancer)
**X-rays & ultrasounds (no masses found)
**Rectal exam to look for anal sac carcinomas (none found)
**Bone marrow aspirate to test for bone cancer (results did not indicate the presence of bone cancer)
**Oral exam under sedation to look for squamous cell carcinomas (none found)
Elspar trial (the most recent test)
With the Elspar trial, she was given an injection of a chemotherapy drug called Elspar (asparaginase) on May 29th. Her ionized calcium was tested prior to the injection (1.48), and 72 hours after on June 1st (1.43). If her ionized calcium level had decreased significantly (usually into the normal range), then lymphoma would have been considered confirmed. Bailey's ionized calcium did decrease, but 1.43 is still way over the high limit. She was retested yesterday, June 5th. Her calcium had gone back up to 1.5.
According to the internal medicine specialist who has been working on Bailey's case, the slight decrease in her calcium level after the injection was not enough of a decrease to indicate lymphoma, so that has been ruled out. I don't know where we're going to go from here. She has a recheck appointment scheduled for June 14th, so I guess I'll talk to the vet at that point to see what I should do. We haven't done biopsies or anything, since we were trying to avoid invasive procedures. I feel bad that I've put Bailey through all of this and I STILL don't know how to make her feel better. I'm glad that we haven't been able to say she has cancer yet, but the vet strongly suspects that she has cancer that we just haven't been able to find. It makes me sad, because while I obviously don't want her to have cancer, I really want to be able to treat her if she does.
I'd really appreciate if everyone could continue to keep Bailey in their thoughts. As always, if anyone has any input or has had similar experiences, please feel free to share.
Thanks everyone!