Huge lump, weakness, not eating, 12 year old albino medium haired male

Canuck79

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Hello! New member, first post.

I have a 12 year old male albino, who until about 3 weeks ago seemed to be in fine shape. I got back from Christmas holiday to find a cat with a huge lump in his armpit, who had almost no energy, wouldn't eat, and could barely walk. I had taken him to the vet a week earlier because he had been vomiting and had licked the hair off his belly, but whatever had made him do that had stopped and the hair was growing back. The vet recommended a different food for him (suspecting an allergy of some kind) which I had just transitioned him over to before I left for the holiday. There was no lump when she checked him.

I had him back at the vet two days ago for tests and x rays. They tell me they suspect he has cancer, and the lump is a secondary infection. They were unable to confirm the diagnosis because they couldn't get a good sample through the lump despite trying three times. I don't know why. The x rays showed a solid mass inside the lump, but that it hadn't spread anywhere. They were shocked at the speed at which the mass appeared. They gave him antibiotics, an anti inflammatory medication, and sent me home with pain killers and an appetite enhancing medication to give him, which despite my best efforts - which have included crushing it and mixing it into wet food - I have been unable to get him to take. I can get him to take the pain medication though, thankfully. On a more positive note, in the last day or so he seems to have increased energy and actually ate more than a bite of his food for the first time in about a week. I even got him to eat a handful of temptations treats. The mass, however, does not appear to have shrunk at all.

I've been devastated all week as until yesterday I was almost certain I'd have to have him euthanized due to the sudden appearance of the massive tumor combined with not eating. It looked like he had completely given up on life for a few days there. Now I'm not sure. I have another appointment with the vet tomorrow to give him a look over. I was going to ask about in home euthanization, but since he's showing some improvement now I want to ask about treatment.

This is my first experience with a sick pet. How long should it take to see signs of improvement after an antibiotic treatment? Is cat cancer treatable? Is it ethical to try to treat it or is it selfish of me to put him through it? Is there reason for hope here, or is hope delusional thinking? Should I just let him go?

Thanks for any reponses! I'm a bit overwhelmed here and while the vet has provided lots of information, she hasn't done it in a way that has helped me understand his condition very well, or the best course of actionto take moving forward.
 

Furballsmom

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Hi, welcome.

One thing is that you don't want to leave eating up to him. A lot of people talk about syringe feeding but my vet told me about using a tongue depressor, and it really works better. Use Pate style food with a little warm water added to it which will get nutrients and moisture into him. Having him up on the kitchen counter makes it easier. Kitten food is one good choice.

I personally would wait in any decisions until your vet can come to more definitive conclusions. If need be, ask them to consult with a specialist or with a university medical veterinarian department.
 
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Canuck79

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There doesn't seem to be a way to edit my OP for whatever reason, so I'm posting this here for context. The lump I am referring to in my OP. He had licked it raw, but has since stopped. He was at the vet December 20 and did not have this, and I hadn't noticed it when I left for vacation on the 23rd. But by the 27th my sitter had contacted me to tell me he had developed it. All the vet has told me is that it is a "secondary infection" but I have no idea what it actually is.
 

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Furballsmom

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Wow. So, just to clarify to be sure I'm clear, that's the same area he was licking like crazy, before it swelled, practically overnight, into this nasty thing?

It sounded to me as though he doesn't have a history of emotional or other type of over - grooming?

Could he have gotten bitten, or did something other than an insect jab him there?

Anyway, you'll be able to edit posts after you post a few more, but there is a time window.
 
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Canuck79

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Wow. So, just to clarify, that's the same area he was licking like crazy, before it swelled, practically overnight, into this nasty thing?

Could he have gotten bitten, or did something other than an insect jab him there?
No, before he was licking his belly, but there was no swelling and he did not lick it raw. I only noticed that he had licked all the hair off, which I thought weird, and when combined with the more-than-usual vomiting I took him in to get checked out. The vet found nothing, and recommended a change of diet.

Then this monster tumor appeared out of nowhere.

There are no other animals in the house. He is an indoor only cat. And I don't know what could have bitten him as I've never seen an insect in the house anywhere - and I hate insects so much that I keep a very keen eye out for them.

Nobody seems to know what to tell me. His blood tests didn't tell us much other than he has high blood sugar but is not diabetic, and that he has a low CBC(?) count. And that he is also now anemic from not eating anything for a week.
 

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Hi. I need to re-read your posts a few more times, but this sounds like something that you could use a consult with a specialty vet group - internal med vets, who often have oncologists, among other specialists, on staff. This might be easier to get than a university medical vet, depending on where you are located. Often vets will know of these specialty groups and can give you a referral to them. Whatever testing your vet has done can be shared with them as a starting point.
 
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Canuck79

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Keep getting food into him.

Do you have a university medical veterinarian department you can contact?
I've never even looked. I just take him to my local clinic / animal hospital. They have a number of DVM's. Should I be asking around about a veterinary university instead?

Happy to report his appetite appears to be returning, slowly but surely. He usually eats 1/4 cup dry in the morning and another at night. It's been a struggle just to get him to eat 1 tbsp over the past week and he's barely touched his water. But today he's gone to his food dish twice and eaten almost a half cup, and drank half his water dish, so I'm taking that as a good sign!!
 

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Hi. Definitely, this needs a specialty hospital with a veterinary internal medicine specialist. The initials after their name would be DVM DACVIM.
The black spot on it, has that been there? Can you get a copy of the blood work and post.
Do you have black widows or BrownRecluse Spiders in your area?
I am not a vet. But , if he was my cat, I would get a referral from your vet to a specialty hospital and get an abdominal ultrasound done ASAP. That can tell you much better than X-ray as to what is going on in this situation. I wouldn’t let anyone else stick the lump unless it’s a specialist.
I hope everything works out.

For the Mirtazipine, ask for the transdermal formula. It is an ointment that you rub on the inside of the ear.
 
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Canuck79

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Hi. Definitely, this needs a specialty hospital with a veterinary internal medicine specialist. The initials after their name would be DVM DACVIM.
The black spot on it, has that been there? Can you get a copy of the blood work and post.
Do you have black widows or BrownRecluse Spiders in your area?
I am not a vet. But , if he was my cat, I would get a referral from your vet to a specialty hospital and get an abdominal ultrasound done ASAP. That can tell you much better than X-ray as to what is going on in this situation. I wouldn’t let anyone else stick the lump unless it’s a specialist.
I hope everything works out.

For the Mirtazipine, ask for the transdermal formula. It is an ointment that you rub on the inside of the ear.
You're probably right that this needs a specialist. I'm not feeling very confident with the vet I've been taking him to thus far - multiple blood tests, radiographs and exams have provided no answers. Brown recluse spiders are not native to my area (Northern Alberta), but we do have black widows. I don't ever see spiders in my house, but that doesn't mean it isn't possible he was bitten by one. I suppose it's possible the sitter could have accidentally carried one in with him while I was away. Or one could have hitched a ride with me from the grocery store before I left.

I can try to get a copy of the blood work. If I can I will post it here tomorrow.

Thanks for the suggestion about the mirtazipine. I'm hoping that will no longer be necessary as he (hopefully) improves.

I had another appointment with the same vet for tomorrow and they wanted to try to take another sample. Since the swelling hasn't gone down in any measurable way, I wouldn't want them to try it again yet anyway. But again I think you're right and that should be left to a specialist.
 

Furballsmom

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This could be an opportunity to try some canned food for him. Kibble has more calories but also more empty carbs and no extra moisture. Canned has moisture, less carbs and additional nutrients :).
 
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Canuck79

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This could be an opportunity to try some canned food for him. Kibble has more calories but also more empty carbs and no extra moisture. Canned has moisture, less carbs and additional nutrients :).
I've been trying all week to get him to eat canned food. He won't touch it. I've tried tuna, chicken, turkey, salmon. The only thing he ate was the tuna and then only a bite, then wouldn't have any more. The only thing he will eat right now is the royal canin recommended by the vet, and temptations treats.

Usually, when I pull out the canned food, he hoovers it up. It was his weekend treat for years.
 
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Canuck79

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Just an update for anyone following this thread.

I had him back at the vet this morning. The tumor (abscess I believe they're calling it) had apparently grown quite a bit in the three days since his last visit, so they convinced me to let them cut it open and drain it. The surgery was successful and he will have a tube in his chest for the next 5 days to allow any additional fluid buildup to drain as well. They tell me he's doing well. They are also no longer convinced he has cancer, as they found scar tissue under the abscess. They still can't say for sure what caused it - looks like nobody can and it's just a freak occurrence. But he may pull through after all.

What a rollercoaster.

I hope to be able to post a photo of a healthy kitty here several weeks from now. Thanks to all for your advice and comments!
 
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