警花的成长-50 battle ground-edited

谢谢宠坛各位叔叔阿姨的祝福和鼓励。祝福的话永远不嫌多。警花妈妈虽然不能一一感谢，大家的祝福都收藏转带给警花了。

星期二，跟radiation oncologist 电话长谈了一下。他说虽然这个技术在宠物医院治疗的data不多，但从有限的data来看，效果还不错。虽然是放射治疗，但跟traditional 放疗不一样。也叫gamma knife. 在人类，用于脑部肿瘤治疗较多。在动物，特别是adrenal gland tumor, most tumors shrink 30% and patients can live about 3 years. It is minimal invasive, side effects is not very significant. Maybe some irritation, diarrhea. Most patient tolerant the treatment without significant side effects. But the tumor is very close to her right kidney, maybe can cause a little damage.

想到手术时的consult说的可能要切断 part of liver, maybe kidney, 而且要在大动脉和静脉周围动手，这些副作用不值一提了。而且也没有可能当天见不到的可能性，警花的肿瘤可能是locally aggressive, 这个治疗虽然不能像手术那样拿掉它，能缩小或维持现状也行。毕竟她已经12岁了，如果8岁以下，我还是会选择手术。12岁的German shepherd 相当于七八十岁的老人，手术不仅危险，恢复也是问题。如果radiation 挺过去，能活3 年，她15 岁了。 想来想去，决定stereotactic radiation. 现在还不知道这个决定是否正确，但尽力了。

既然决定了，把周三的手术取消了。radiation oncologist needs Addional CT for positioning purpose. We decided to do another CT on Wednesday. He also wanted to do Cushings disease test to see if the excessive thirst and urination is due to Cushings disease. That was scheduled on Friday. 
 

The second CT scan is 2weeks from the first, the tumor size remains the same. Her Cushings test is back positive. So it's very likely her tumor is producing excessive hormones causing the Cushing disease. That being said, the tumor is likely a slow growing benign tumor. As long as the treatment can shrink or maintain the size, we can live with it.

Google result:Following stereotactic radiosurgery, the tumor may shrink over a period of 18 months to two years, but the main goal of treatment for benign tumors is to prevent any future tumor growth. Malignant tumors. Cancerous (malignant) tumors may shrink more rapidly, often within a few months.

把这个放在这里，希望能对其他毛孩子有帮助。帖子重新编辑了一下，因为对治疗的描述不清楚，怕误导其他毛孩父母。

 

所有跟帖： 

• 这技术听起来不错，妈妈考虑得周全，祝福! -小矮人COCO- ♀ (0 bytes) () 12/15/2020 postreply 13:57:03

• 说实话不知是否是正确选择，只有时间决定了。 -警花MM- ♀ (0 bytes) () 12/15/2020 postreply 14:02:08

• 有时特别是复杂情况还靠运气。 -小矮人COCO- ♀ (0 bytes) () 12/15/2020 postreply 14:13:58

• Please pray for her and for me -警花MM- ♀ (157 bytes) () 12/15/2020 postreply 15:54:05

• 一定为警花和妈妈祈福！ -小矮人COCO- ♀ (0 bytes) () 12/15/2020 postreply 16:57:00

• 不用纠结结果，一切都有天意，警花不是好好的吗。 -beauchat- ♀ (0 bytes) () 12/15/2020 postreply 14:33:00

• the tumor is likely a slow growing benign tumor? 如果这样放疗还是最好的方案吗？ -ssll- ♀ (0 bytes) () 12/15/2020 postreply 14:37:08

• 同意，放疗开始的时候有可能刺激肿瘤增大，压迫附近的脏器，也有可能不会，再咨询一下？ -好吃不如饺子- ♀ (0 bytes) () 12/15/2020 postreply 15:08:52

• Radiation oncologist 说这个跟conventional radiation therapy 有点不同。他的m -警花MM- ♀ (0 bytes) () 12/15/2020 postreply 15:38:33

• For dog: The right adrenal gland is covered by the vena cava, l -警花MM- ♀ (77 bytes) () 12/15/2020 postreply 15:52:01

• 考虑到就好，你的决定一定是最好的！祝福警花和妈妈！ -好吃不如饺子- ♀ (0 bytes) () 12/15/2020 postreply 16:17:22

• 这也是我纠结的一个原因，没有真正的确诊。穿刺活检也没有确诊。 -警花MM- ♀ (130 bytes) () 12/15/2020 postreply 15:33:49

• 就是gamma knife -警花MM- ♀ (204 bytes) () 12/16/2020 postreply 02:53:45

• 祝福警花！妈妈选择的治疗应该是对的，毕竟警花12岁了，两年前Calie的医生也让开刀检查 -Calie- ♀ (542 bytes) () 12/15/2020 postreply 15:35:55

• 谢谢。心里好怕，怕做出错误决定。帮倒忙。 -警花MM- ♀ (0 bytes) () 12/15/2020 postreply 15:40:27

• 祝福警花，最终能化险为夷 -心在途中- ♀ (0 bytes) () 12/15/2020 postreply 15:36:00

• 谢谢。希望我的选择没让孩子白受罪。 -警花MM- ♀ (0 bytes) () 12/15/2020 postreply 15:42:42

• 很艰难的决定，但不是没有道理的。娃娃们的年龄状态 -MrsKwok- ♀ (83 bytes) () 12/15/2020 postreply 17:22:37

• 祝好 -hujian- ♂ (0 bytes) () 12/15/2020 postreply 20:07:44

• 理智的决定不容易，抱抱！ -郝斯佳- ♀ (0 bytes) () 12/16/2020 postreply 07:44:00

• 继续为警花祈福。 -雪儿豆王- ♀ (0 bytes) () 12/16/2020 postreply 08:27:11

• 祝福警花！ -JJmom831- ♀ (0 bytes) () 12/16/2020 postreply 20:08:27

• 祝福警花，祝福为她操着心的爸爸妈妈。 -tryonetry- ♀ (0 bytes) () 12/17/2020 postreply 20:06:00

• 谢谢分享信息，也祝警花早日康复！ -waterfallgarden- ♀ (0 bytes) () 12/20/2020 postreply 07:59:13