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Oh, man. We're back from the oncologist. It's hard to know where to start.
It turns out, she may not have soft tissue sarcoma afterall. She might have amelanotic melanoma. Or, she may have two different kinds of cancer - which would be really bad. Here's what happened:
He looked at the tumours - the chin tumour is actually having an okay day. I had cleaned it with antiseptic soap, and it is dry and less traumatized today. Not bleeding or oozing. The mammary tumour I could tell he was worried about - also the one on her leg which has grown. He said if it IS soft tissue sarcoma, it may just be too aggressive for the chemo.
But - the pathology came back on the bum tumour. IT is most definitely NOT soft tissue sarcoma. It is amelanotic melanoma. You might remember, that was one of the possible cancers identified early on - but then the further stains came back as soft tissue sarcoma. But apparently, STS and melanoma look very much alike under the microscope, and her cancer cells are very poorly differentiated, which has made it difficult from the beginning. The oncologist said the pathologist who concluded melanoma from the bum tumour is one of the best pathologists in North America (actually, he said THE best). So he is now sending her every slide and report from every other patholgist since the beginning, and having her look at them all and see if she sees melanoma in the other ones.
If it IS all melanoma, it explains why the chemo appears not to be slowing tumour growth much. It would also mean we stop the chemo which is making her so nauseous, and she starts on the melanoma vaccine therapy, which is MUCH easier on their systems. It won't cure her either, but it would slow the growth.
If there are two kinds of cancer, it's just not good at all, and I don't want to even talk about it.
He did give her an injection of Cerenia - and a few days of Cerenia pills to follow up. He said she should get her appetite back by tonight. She was hungry when we got home, but would not eat kibble. She took the A/D food. Now she is snoring on the floor by me. He also told me I could feed her tuna for the rest of her life and she wouldn't die of mercury poisoning. I may just call it a day on ever going back to kibble, and switch her to Fromm wet food. Maybe I'll try to mix them. It's funny, she REALLY loves drinking the broth - she has finished the entire carton - but she will not eat it mixed with kibble. She is officially anti-kibble.
Oh, and I'm going to get some salmon oil capsules to try to replace the Sashas Blend. I can tell she is missing it - she is much stiffer.
Thankfully, there is nothing we can change for two weeks anyway because she had chemo last week - so there is time for all these answers to come.
(If you're still reading, thanks for hanging in).