Cat with tumor in his jaw - when to let him go?

cancankant

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My cat, Momo, is 9 years old and has a tumor on his jaw.  The whole episode started right around Christmas, when he was showing signs of bad pain. After many visits, it was discovered that the lump was actually some sort of tumor, but the vet wouldn't know exactly which kind without a biopsy.  He told me the treatment for a benign tumor would be a mandibulectomy, but if the tumor was malignant to "do things my cat likes" (i.e. he will not live long).  He also told me a mandibulectomy might be possible for a malignant tumor, but the prognosis would not be good.

After a lot of soul searching and internet research, my husband and I decided not to do a biopsy because we did not want to do a mandibulectomy on the cat.  It seemed risky and radical.  We thought our cat might do okay for quite a while if the tumor was benign, but it has grown substantially over the last month, which seems to be characteristic of the malignant tumors.  When I look in his mouth, there's a raised portion with a couple of bumps (lesions?) on it.  I can see he pushes his tongue off to the side a bit.  I'm not sure if this is because the tumor is painful or if it just rolls over to the side.

Momo is not bleeding or having bloody saliva, but he does drool some.  He seems to eat some, but not his normal amount.  We've been offering food about four times a day - his normal breakfast and dinner and then later morning and later evening.  He usually only eats twice a day.  He seems a lot more timid and prone to hiding that would have been his normal activity prior to the tumor.  He has no interest in his favorite toys.  I can tell he's having a "good day" when he's in his sun spot on our kitchen table.  He does usually come up from the basement or out of his hiding spot when we come home.  I suspect it's because he's hungry and wants food, but he usually seems perkier at this time, probably since he's gotten a lot of rest.  He'll enjoy being petted at this time, but then usually goes back to sleeping.  I can pick him and bring him over to the couch, and he'll lay on my lap, but I'm not sure he enjoys it or not.

The worst part is giving any sort of medication.  He salivates a lot, and his whole face will get wet.  Not that big of a deal, but he's always hated getting pilled.  I have an antibiotic that I am giving and then an herbal supplement.  He sometimes even urinates out of fear (pain?) when I have to give medication.

His grooming has been okay and his potty habits are fine.  I am beginning to think he just feels like garbage and perhaps it is time to let him go, but wonder if it's too soon.  I've considered pain meds, but know that many will cause problems like constipation, and wonder if by giving these I'd just be prolonging the inevitable.  Anybody have advice?  I've looked at some of the quality of life scales, and I'd say that Momo is probably in the middle somewhere.  He doesn't seem to really ever feel good, except in really small spurts.  
 

catwoman707

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So sorry you are going through this. Very sad to lose any of our kids, but at 9 yrs old, gosh his life is cut short....

We just very recently had another person start a thread about this very same thing, the diff being she knew it was malignant.

In a big way you answered your own question. I do think the time is very near, and I also agree not to go with pain meds. If this were the choice, it would be more for you, to delay the inevitable, and would make him pretty much out of it.

There's really no such thing as too soon at the mid point you are now.

It all depends on what you see, how much quality of life he gets living each day, vs how much he might be suffering.

I do think the pilling is sad, it must be so painful for him.

I know, of course you do what you need to for him, but gosh they are so great at hiding their pain and suffering.
 

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Your poor baby! So sorry and sorry so few have responded to comfort both of you in this tough time.
I know what you are going through since in my 70 years I have had many animals come into my life and then go...sometimes GOD was gracious and they just went to sleep at the foot of my bed. But more often I was faced with the decision to give them rest from the pain.

I always used their eyes as a guide...if that spark was gone, that playfull "it's time for me now" look...and you knew they were in pain, couldn't eat, etc. I always believed it was their way of telling you it was their time to go.

Just know that you kitty was not put with you by accident and focus on all those spontanious licks, hours of attention given just to you, and that he is an object of pure love with no strings attached.
 
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cancankant

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Thanks for the advice and kind words.  Momo was a street kitten, so I'm happy to have had him this long, but I agree.  I've long been planning for another 10 years with him.  This has simply been heartbreaking.  I lost a dog to CKD and debilitating arthritis on January 2nd as well, so it's been a really hard year.

Momo seemd better tonight.  He greeted us and ate dinner, but then has been sleeping all night.  My husband and I talked and our decision tentatively is to watch him, and if he stops eating and wont' accept food, that's probably the time we'll pursue euthanasia.  Also, if the tumor stars ulcerating/bleeding.  So far, it hasn't done that, and although he's eating less, Momo's eating something.   
 
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betsygee

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Thanks for the advice and kind words.  Momo was a street kitten, so I'm happy to have had him this long, but I agree.  I've long been planning for another 10 years with him.  This has simply been heartbreaking.  I lost a dog to CKD and debilitating arthritis on January 2nd as well, so it's been a really hard year.

Momo seemd better tonight.  He greeted us and ate dinner, but then has been sleeping all night.  My husband and I talked and our decision tentatively is to watch him, and if he stops eating and wont' accept food, that's probably the time we'll pursue euthanasia.  Also, if the tumor stars ulcerating/bleeding.  So far, it hasn't done that, and although he's eating less, Momo's eating something.   
That sounds like a wise plan.  You know your kitty better than anybody and you will see the signs.  Let us know how you both do...this is a great place for support.  
 
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cancankant

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My husband and I have decided to have Momo put to sleep tonight.  Momo took a turn for the worse this week, and although he's still eating and drinking, he's not doing much else. His quality of life is basically zero.  He sleeps in a box or our laundry hamper downstairs in the basement.  He has been drooling a lot.  It's actually so much that his chest and legs are constantly wet.  He's lost hair on his chest.  I'm not sure why.  I just noticed it yesterday.

My husband is taking this particularly hard.  This is stirring up feelings from the loss of our dog earlier this year as well.  
 

betsygee

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I am so sorry to hear this news.  I know it doesn't make it any easier to let him go, but please know you are doing the kindest, most loving thing you can do for your baby so that he won't suffer.  You're all in my thoughts.  
 

rlavach

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I'm so very sorry. I've been in your shoes. I had to let my kitty go from jaw cancer last year. It was the hardest thing I've ever done. But you and your husband are giving him the ultimate gift, the gift of no more pain. Hugs to you both. 
 

di and bob

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It's so hard to say goodbye to a treasured companion and family member, especially at such a young age. I too took care of a cat that had jaw cancer and know the heartache it can cause. It breaks your heart to make that decision, but you did absolutely the loving and kind thing, to stop the pain of a condition that cannot be made better, and to let that sweet baby find peace. Please accept my condolences and know we are here to help you in any way we can. Bless you for loving so much to hurt so bad. I'll keep you all in my thoughts and prayers, RIP beautiful Momo, you were greatly loved and will never be forgotten!
 

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My 14 year old cat has hard mass on side of bottom jaw and under the same area. Canankant, your sharing has helped us realize our cat may be near the end and has exact same symptoms. we adopted Casper as a rescue and he had tooth ReAbsorption gum disease and a few teeth pulled then a clear bill of health before we adopted him. About two months ago we noticed he was keeping his mouth a little open. then 4 weeks ago drooling. He always drooled a little when purring but this grew more and more. We took to the vet 3weeks ago before going on vacation. She said she wanted to do a biopsy and we said wait till we returned. she gave pain medication and antibiotics in case it was another tooth reabsorption infection of some kind. well 2 weeks later we return from vaca to find our cat with noticeable mass now on jaw. And drooling excessively and then the tongue hanging out on the side of his mouth. And now bleeding when he tries to eat solid food. He always ate food on the floor but now there were pieces everywhere. We could see that he was having a hard time eating food. Then a few days ago the vet calls and says we think your cat needs to see a dentist. Well, we can't get an appt with a dentist for weeks. The emergency Animal Vet center uses residents to practice on your animals. Now we can't get him seen till tomorrow. The pain meds given by our catsitter made him constipated and he hasn't pooped in days (and only twice when we were gone!) He is lapping up liquid from cat food and drinking little water. Hasn't peed much in past day ....cant get in to see vet till tomorrow. very very discourging. Just got this sweet boys trust after two months after his lifetime owners dumped him and after growing so close now he's exiting. This just is the worst. Im not letting the vets do all these unnecessary tests (electrocardiagram and the like) just to do the biopsy. I was hoping it was a tooth infection or another that could be pulled and he'd be ok. But now after reading so many other accounts of oral cancer, It pretty obvious.
so thanks all of you for helping me see the truth the reality of this. taking him to vet tomorrow and will verify. will keep him comfy and loved until the time comes to cross the rainbow bridge. Thanks for listening.
 

fionasmom

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Welcome to The Cat Site. I am very sorry that you are facing this. I lost a cat years ago to squamous cell carcinoma of the jaw so understand where you are coming from.

You are going to see the vet tomorrow, so wait to see what he says and make a decision from that point. It sounds as if the issues are confined to the mouth or from what has been attempted to help that (constipation), so I don't necessarily think that you will be asked to do other tests such as EKGs, but I don't know.

Just so you are aware, this is an old thread and the OP has not been back to the site since 2015, so you will more than likely not get a response from her.
 

Meowmee

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So sorry😿 I just lost one of my outdoor kitties to this. She suddenly had bad eye damage so I took her in where dvm missed the cancer diagnosis and recommended enucleation which she eventually had and lots of treatments. The signs were already there though and ignored pretty much. Dvm 2 saw no sign of cancer at surgery. 2 weeks later when she was to have her stitches removed it had spread rapidly and her symptoms were worse. It was written off as congestion etc. steam and antihistamine helped. I had asked them to was her nose out due to congestion and drooling. They could not get a tube in, did an xray and saw it. Her face had swelled a bit but I assumed it was from the surgery. An early xray at dvm 1 could have diagnosed it prolly. Do not overlook drooling and protruding eyes for sure. My first thought was cancer but they said fhv and I accepted that but now I know better. I opted to let her go under sedation when they told me all of this. She was not going to survive and would have suffered a lot. Fortunately I had insisted on painkillers etc for her from day 1. Hugs to you and kitty💕
 

Suelinn

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My 14 year old cat has hard mass on side of bottom jaw and under the same area. Canankant, your sharing has helped us realize our cat may be near the end and has exact same symptoms. we adopted Casper as a rescue and he had tooth ReAbsorption gum disease and a few teeth pulled then a clear bill of health before we adopted him. About two months ago we noticed he was keeping his mouth a little open. then 4 weeks ago drooling. He always drooled a little when purring but this grew more and more. We took to the vet 3weeks ago before going on vacation. She said she wanted to do a biopsy and we said wait till we returned. she gave pain medication and antibiotics in case it was another tooth reabsorption infection of some kind. well 2 weeks later we return from vaca to find our cat with noticeable mass now on jaw. And drooling excessively and then the tongue hanging out on the side of his mouth. And now bleeding when he tries to eat solid food. He always ate food on the floor but now there were pieces everywhere. We could see that he was having a hard time eating food. Then a few days ago the vet calls and says we think your cat needs to see a dentist. Well, we can't get an appt with a dentist for weeks. The emergency Animal Vet center uses residents to practice on your animals. Now we can't get him seen till tomorrow. The pain meds given by our catsitter made him constipated and he hasn't pooped in days (and only twice when we were gone!) He is lapping up liquid from cat food and drinking little water. Hasn't peed much in past day ....cant get in to see vet till tomorrow. very very discourging. Just got this sweet boys trust after two months after his lifetime owners dumped him and after growing so close now he's exiting. This just is the worst. Im not letting the vets do all these unnecessary tests (electrocardiagram and the like) just to do the biopsy. I was hoping it was a tooth infection or another that could be pulled and he'd be ok. But now after reading so many other accounts of oral cancer, It pretty obvious.
so thanks all of you for helping me see the truth the reality of this. taking him to vet tomorrow and will verify. will keep him comfy and loved until the time comes to cross the rainbow bridge. Thanks for listening.
 

neely

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You are in good company here, many of us including myself have dealt with cancer of the jaw/mandible for our cats. Our last kitty who we adopted had dental surgery twice for FORL. The first time she did fine and several years later needed another but it was then that the dental specialist discovered her cancer diagnosis. She was on Piroxicam from a compound pharmacy. However, after a week or two it didn't help. She was a shadow of her former self and we knew it was time to help ease her pain. One night she curled up with me on my pillow and hugged me so tight that my husband said she was saying her goodbyes. It broke our hearts. 💔

You have my sincere sympathies going through this with Casper. :hugs: Please know that we are always here to listen.
 

Maria Gonzalez

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My cat, Momo, is 9 years old and has a tumor on his jaw. The whole episode started right around Christmas, when he was showing signs of bad pain. After many visits, it was discovered that the lump was actually some sort of tumor, but the vet wouldn't know exactly which kind without a biopsy. He told me the treatment for a benign tumor would be a mandibulectomy, but if the tumor was malignant to "do things my cat likes" (i.e. he will not live long). He also told me a mandibulectomy might be possible for a malignant tumor, but the prognosis would not be good.

After a lot of soul searching and internet research, my husband and I decided not to do a biopsy because we did not want to do a mandibulectomy on the cat. It seemed risky and radical. We thought our cat might do okay for quite a while if the tumor was benign, but it has grown substantially over the last month, which seems to be characteristic of the malignant tumors. When I look in his mouth, there's a raised portion with a couple of bumps (lesions?) on it. I can see he pushes his tongue off to the side a bit. I'm not sure if this is because the tumor is painful or if it just rolls over to the side.

Momo is not bleeding or having bloody saliva, but he does drool some. He seems to eat some, but not his normal amount. We've been offering food about four times a day - his normal breakfast and dinner and then later morning and later evening. He usually only eats twice a day. He seems a lot more timid and prone to hiding that would have been his normal activity prior to the tumor. He has no interest in his favorite toys. I can tell he's having a "good day" when he's in his sun spot on our kitchen table. He does usually come up from the basement or out of his hiding spot when we come home. I suspect it's because he's hungry and wants food, but he usually seems perkier at this time, probably since he's gotten a lot of rest. He'll enjoy being petted at this time, but then usually goes back to sleeping. I can pick him and bring him over to the couch, and he'll lay on my lap, but I'm not sure he enjoys it or not.

The worst part is giving any sort of medication. He salivates a lot, and his whole face will get wet. Not that big of a deal, but he's always hated getting pilled. I have an antibiotic that I am giving and then an herbal supplement. He sometimes even urinates out of fear (pain?) when I have to give medication.

His grooming has been okay and his potty habits are fine. I am beginning to think he just feels like garbage and perhaps it is time to let him go, but wonder if it's too soon. I've considered pain meds, but know that many will cause problems like constipation, and wonder if by giving these I'd just be prolonging the inevitable. Anybody have advice? I've looked at some of the quality of life scales, and I'd say that Momo is probably in the middle somewhere. He doesn't seem to really ever feel good, except in really small spurts.
 

Maria Gonzalez

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Hi, Though this is an old thread, I wanted to share my cat Tiny's experience. Tiny was abandoned at my front door covered with mange. Though at around 7 months old he was FIV neg., years later he tested FIV pos. though he is an indoor cat. In June 2022 he had a bad case of a stomatitis and had many teeth extracted. In September he started showing symptoms of mouth problems again and the vet did an X-Ray and he had an advanced bone tumor in his upper left jaw. His jaw bone was already looking expanded but not solid, but like lace, very fragile. He has gotten worse and by now, his face is very deformed, he cannot close his mouth, his tongue hangs to a side and he cannot clean himself and sometimes I see saliva with a little blood hanging down. Yes, I know this sounds awful, but he is happy, active and has a good appetite!!! I've had many cats in my over 70 years and rescued many cats in a sanctuary I kept, and I do know when a kitty wants to cross the Rainbow Bridge, but Tiny's energy and his attitude is not that of a dying cat. I need to keep making little towers with his ample variety of wet foods after I take its liquid out so the little mountains remain up and he can grab them with his mouth, but he eats and enjoys it. He jumps on the counter and rubs against my hands with his very dirty and wet face. But he is still enjoying life. I feel bad he is so dirty, head, chest, legs, but he won't let me clean him! I don't see him suffer or lose energy so I really don't know what to do. I don't want to take him to the vet for a bath. I don't want to stress him at all. He's never been a cat who lets you restrain him. Does anyone have any suggestions? Thanks so much!
 
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