Anyone with experience with basel cell carcinoma in cats?

ondine

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Our Gracie has basel cell carcinoma in her cheek.  She originally had a tumor two years ago.  When the vet removed it, she said she was confident that a) she got it all and b) it would not return.

A year later, it returned and Gracie had surgery again.  The vet was stunned and said she was now relatively sure it would not return.  But she couldn't guarantee it, obviously.

This month, it did return.  Gracie has three tumors (two pea sized, one the size of a small marble).  The vet recommended just leaving it alone.  Gracie did not seem in pain when she was examined.  There is not enough skin for another surgery that won't leave Gracie with a grimace from the skin that gets pulled tight.  She's already lost all her whiskers on that cheek.

Gracie seems fine, although she has been a little needy.  She was never the kind of cat to seek attention or to want to sit near or on us.  She was always content with a scritch once in awhile.  Recently, though, she's been patting my arm for pets, although she only accepts a few seconds worth before she walks away.  Then she's back a few seconds later and the process is repeated - sometimes up to ten times.

My question is - how do I tell when she's in pain?  I have pain meds for her, although the idea of pilling her makes me cringe.  She would probably never come out from under the bed after that.  The meds apparently tastes bad, so putting it in her food probably won't work.

Right now I am trying not to think about the future.  But does anyone have any experience they can share with me?  Just needs some guidance ...  Thanks!
 

mrsgreenjeens

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OK, my question is, is this really basal cell CARCINOMA, or basal cell tumors.  Because with carcinoma, from what I have just read, it requires chemo after the surgery.  I don't get that, though, because with humans, basal cell carcinoma is the kind they say "if you have to get skin cancer, this is the kind to get" because it's not too serious.  I know this for a fact because my DH has had FOUR bouts of it this year alone, and has all four of them surgically removed, and had NO CHEMO, nothing except the extraction of the places on his skin...granted, some of them went pretty deep and required a LOT of stitches. 

So...here is the only thing I could actually find on it for cats:  https://www.vetinfo.com/basal-cell-carcinoma-in-cats.html

All this being said, if you have been given pain pills, I'm guessing they would need to be used on a continuous basis once pain sets in?  IMHO, once it gets that bad, I would consider releasing Gracie from her pain
.   I know it's hard to think about, but you definitely don't want her to suffer.  Cat's in pain usually will withdraw and hide away.  I'm guessing she might also try to paw at her cheek if it hurts her.  I think, too, you will start to see it in her eyes when she is ready to go
.

 
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ondine

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Yes, we've already made the decision to let her go if we see she's in pain.  But so far, she does not seem to be.  She does not flinch when we touch her cheek and she's otherwise acting normally, if a little needier than usual.

The vet specifically said "carcinoma," and from what I understood, it usually isn't too serious in cats.  The thing that worries the vet is that it keeps coming back.

From what she said, I think Gracie has a long life ahead of her still but we'll keep an eye on things.  I just wasn't sure what to look for or expect.

Thanks @ mrsgreenjeans!
 
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