Our latest surgery involved a 10 year-old mixed breed with vulvar growths. At first glance, it could be vaginal prolapse or hyperplasia. Ovariohysterectomy, vaginal mucosal excision and prolapse transposition were recommended. Complete blood count only showed marginal platelet count and the surgery was scheduled 2 days after antibiotic and vitamins prescription. Under anesthesia, the dog was carefully monitored with its respiratory/heart rates. Unfortunately, the case was more complicated. Tumors were found in uterine body that looks-like cauliflower and fibroid in nature. The fist-size mass made the surgery laborious because of its location (near the urinary bladder opening), more ligations performed and vessels affected. Aside from that, the vulvar tumors were also removed while taking consideration the urethra. Because of her age, the dog had difficulty recovering from multiple doses of anesthesia and was confined for few hours. However, before the day ended, we decided to discharge her to be given home care by her owners. She had IV fluids, E-collar and prescription medicines and food. As of this time, she is recovering very fast - being able to walk, growl, eat well and mingle with her family. To be able to know the extent of tumor distribution it is recommended to undergo other diagnostic tests such as biochemical profile and xray.

Yesterday, we have a case of malignant tumor. I cannot tell the specific abnormal cells due to lack of diagnostic tests which I will suggest later to the owner. However, I saw and palpated lots of masses around the body, face, mouth and even on tongue. The prognosis is poor though the dog has good appetite and activity. I know that chemotherapy, detailed blood profile and tests are good options but one must know the limitations especially with regards to financial and extent of the disease. Prayers will do help.