Squamous-Cell Carcinoma on the nose - what should we do??

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derelict

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We have a wonderful, elderly cat here; he's been with us for 14 years! He's the last of our outdoor cats before we started keeping them indoors; we couldn't bring him in because our younger Siamese would never give him any peace... and besides, he was really happy outdoors!!  We called him Rabbit, but we could have called him Two-Tone; he has a two-toned body (partly white, partly calico), two toned eyes (one blue and one yellow), and even a two-toned purr!!!  (but *only when he is really happy, such as when I'm rubbing his belly...)

Over the past couple of years, he had started getting a little crusty thing on his nose, our vet didn't seem too concerned about it, it didn't really change much... until the last couple of months, when it started looking really bad, with a huge scab and large open-sore areas.  We finally took him to our vet last week, who did a biopsy and declared that it was Squamous-cell carcinoma.  He said that probability of successful treatment was "moderate", and referred us to a cat specialist who deals with cancers and such afflictions.  We have an appointment on Monday.

However, I've been reading various cat-care sites on this disease, and they all seem to state that Squamous cell carcinoma has a very poor prognosis, that unless it is caught very early, chances for recovery are almost nil.  Also, though our vet said that "treatment of these tumours with Strontium probes is usually effective", most of the online references suggest that radiation treatment for this carcinoma is usually worthless!!

After the biopsy, the vet gave us a liquid antibiotic and little injectors of pain medication to squirt in his mouth.  We put him in the garage to make sure we could find him twice a day (and yet keep the other cats away from him), but he *hated* being in the garage, he just stopped eating, wouldn't stand up to greet us at all, wouldn't purr when we petted him, and was hostile to the medications (which, in the past, he didn't particularly object to).  I started mixing baby food with water and injecting a little at a time into his mouth (starting last night), but he aggressively rebelled against that!  He was just miserable, and so were we...

But, after reading all the websites today, we're feeling like we are simply torturing our elderly babe for no purpose... most sites said the only really effective treatment is surgical removal of the tumor... one site had a lengthy article (with pictures) of how much success they'd had with a large oral tumour, where they surgically removed the tumour and half the cat's jaw!!  It had to be fed with a feeding tube for the rest of its life!!!

Okay, sanity check #1: is there ANYONE here who would put a cat on a feeding tube for the rest of its life??  I cannot conceive of doing that...

Anyway, we're very confused and frightened now... first of all, this evening, we took Rabbit back outside and let him go... he's in a fully fenced back yard, and actually he hasn't been leaving the yard for the last couple of years, it's really feral, with lots of plants, lots of places to curl up out of site, and it's been his home for over a decade.  He was sooooo happy!!  He first ran away and hid out of reach (not surprisingly), but once we started to move back inside, he quickly came back out and asked for attention... and once we started stroking him, he rolled onto his side; that's my sign to rub a belly, and once I did, I immediately got the two-toned purr!!  I'm hoping he'll start eating again now, but I don't know yet.

Anyway, sanity check #2:  at the moment, our hearts are telling us to just let him go; take him to our vet and hold him and adore him while he gently gives him a shot and sends him to a new life.  Dr Rue won't like to do that, he *hates* putting an animal down if there is any reasonable alternative, but he's known us long enough (almost 20 years now) to accept our decision if we're certain...

the only problem is, we're *not* certain... We don't want to torture our babe if there's no real chance of a "good life" in the future for him... but we don't want to throw away a chance for more years with him if it *is* reasonable....  and neither of us has good judgement when our babes are threatened!!

So I'm hoping some folks here have had experience with this affliction, or at least with similar situations, and might have some insights to guide us...
 

mrblanche

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Only you can decide what's right for your guy, but it sounds to me like he told you, when you put him in the garage, just how he felt about losing his freedom in favor of some treatment. 

No, I can't imagine putting a cat on a feeding tube for the rest of his life.  I've seen people make themselves miserable for years and impoverish themselves over a cat who was essentially non-treatable, and I wondered if they grew to hate the animal they loved.

You, Rabbit, and your vet will have to decide what's best for all of you.
 
 

just mike

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What a sad situation for all of you.  This is a decision that only you will be able to make.  As far as the feeding tube goes it is something I personally would not put my cat through but only you know your cat and his situation.  His world was obviously turned upside down by being put in the garage.  Such a difficult situation for all of you and my heart goes out to you.  Inevitably you will know what the right course of action will be.  Best of luck to you.
 
 

blueyedgirl5946

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I have no experience deaing with your situation.  I am sorry it is happening.  I would not put him back in the garage or put a feeding tube in him.  Clearly he is happy in the yard.  I hope when you go to the specialist on Monday that you will get some information that will help you make a decision how to proceed.  Hugs to you and your sweet fur baby.
 
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derelict

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Well, the decision is made... we took him to the vet, and held him while he sent him on to a new life.

Bye, Rabbit... I love you, and am glad not to have to harry you anymore about medications and garages and food syringes. 

Be at peace, and enjoy the sun.
 

dianev66

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I am so sorry but honestly it sounds like you made the right decision for him.  In most cases cancer, unless caught very very earlier has a poor prognosis and half the battle is keeping their stress level down and their spirits up. I don't see how he would have any quality of life since loved the outdoors so much.
 
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derelict

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mrblanche said:
 

"and I wondered if they grew to hate the animal they loved"

Thank you for that comment, though it's an image of horror... Hopefully I can hang onto that phrase, in my internal chamber of warnings... If I ever find myself questioning how I feel about a companion, hopefully I will remember this line and recognize it as a sign that my choices have gone horribly wrong...
 

blueyedgirl5946

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I am sorry for your loss.  Sometimes it is hard to pur ourselves out of the way and think of our pet.  It is very clear how much you loved your cat and you clearly made your decision based on what you felt was best for the cat.  I pray that your memories will be sweet and comforting.
 

kittylover23

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Oh, I'm so so sorry :(. We had to send our thirteen year old kitty to the rainbow bridge on April 23rd. She had lymphoma in her kidney. I definitely understand how you are feeling, as we have both had kitties pass because of cancer. :vibes: you did the right thing. You saved him from suffering, and he will always thank you for that.

Remember, if you need support at any time, feel free to PM me. I'm always here if you want to talk.

I'm very sorry for your loss, and take comfort in the fact that you did the right thing. :vibes:
 

pushylady

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As this is an old thread the original poster's cat has died, it will be locked.
 
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