Blood test results assistance

Spider8ait1994

Hatchling Member
Original Poster
Hello,

Oh good grief, I am sorry, that is a rare diagnosis. So they are going to try to remove the area? That
should be successful though, if they feel confident. There have been several instances on the forum
here in which they had a tumor or growth removed in their beard.
How is he doing tonight, is his beard still a normal color?
I hope he is eating & basking normally. Overall he looks healthy & of good weight so I would think he
should pull through anesthesia & surgery without any issues.
Please let us know how he is doing.

Tracie
Yes they did say that they can have a go at removing it. So specifically they said my two options are treatment which would be a CT scan and aggressive excising of the mass OR no treatment which is just palliative care.
I am asking them about treating it with the CT and excision because from what I’ve read it seems that the type they usually find in the agamidae family has a lower instance of metastasising and given his otherwise decently healthy condition I figure he has a decent chance. He does however also have a high mitotic count so I know that can raise the chance of spreading but for now at least it doesn’t look like it’s spread elsewhere.
I know it’ll be expensive and the other matter is that unfortunately the only small animal CT machine in my general area is in the main big city for my state here in Australia which is a 2 hour drive from where I live.
I’ll definitely take a look on here at the threads about this issue and get an idea of what he’s in for.
That said he’s been good today. He ate again and was more awake today standing up tall and having a good bask under his lamps in the afternoon.
He did have a dark grey beard this morning but that cleared up once I fed him and gave him a tramidol injection.
Biopsy site still looks good, no bleeding, no abnormal discoloration or discharge and doesn’t look too swollen.
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Spider8ait1994

Hatchling Member
Original Poster
3 days post biopsy and he’s continuing to improve. He’s pretty much nearly his usual self again now. He ate 6.5ml of smoothie this morning and did some waving at his younger rescue brother Puff who he spotted while I was feeding him.
I’ve been storing excess smoothie in the fridge and giving it to him straight from the fridge which he seems to enjoy as I’d imagine the colder temperature would feel nice for his throat.
If anyone’s interested in what I use I just bought a little magic bullet blender for $59 AUD (specifically the Magic Bullet To Go model) that I find is great as it’s a smaller size and you can just put your ingredients into the ‘cup’ which screws onto the top and you blend it directly in the cup.
He’s tolerating the tramidol very well and he did pass waste today too so that’s great. It all looked healthy if a bit watery but that’s to be expected given what he’s been eating the past few days.
He seems to be fairly comfortable as he hasn’t really been darkening his beard color or acting like he’s in any distress.
As you can see in the photos I’ve posted in this thread I do have a soft ‘mattress’ and little pillow he rests on that I made him so I do think the pillow in particular is helping him as it’s somethig soft to rest his head on and is also slightly elevated so he can raise his head up without having to use his neck muscles too much while they’re tender. The bedding I made him also soaks up the warmth from his heat lamps so it all stays nice and toasty for him at his bedtime.
I also got in contact with the facility that would do the CT and surgery if I go for that (which at this point I plan to) so I have an estimate. They’d do an initial consult first which will run me $169 AUD and the estimate for the CT and proceedure could be anywhere between $1600 - $3500 AUD so pricey but not as bad as I was expecting it to be.
I’ll get in contact with his vet tomorrow and see about sorting out a time frame for getting the proceedure done.
 

Spider8ait1994

Hatchling Member
Original Poster
Ok so he’s all booked in for the initial consult with the veterinary oncology team which will be in 7 days.
In the meantime he’s continuing to improve post-biopsy and has had his last tramidol injection this afternoon.
I’ve also found another smoothie recipe that he absolutely loves so I’ll mention what’s in it here:
Steamed pumpkin (I used a Kent pumpkin), some frozen mixed veggies I defrosted first [peas, corn and capsicum/bell pepper], calcium + D3 supplement, Pisces reptile superfood, vetafarm lizard food pellets soaked overnight in some water, a little extra water to obtain a thick soup consistency.
He absolutely loves this one and has been consistently eating 10ml each day and will open his mouth for more when he’s finished a mouthful.
 

Drache613

BD.org Sicko
Staff member
Moderator
Hello,

Oh so sorry, I guess I didn't realize you were in Australia! He does look pretty good there, alert &
should be healthy overall. I agree, he should have a good chance at full recovery since his weight
is fine & he is in great physical condition.
He is a lucky dragon, to get such a well thought out healthy smoothie! I am glad to hear that he really
likes it also. Nutritional support is important for times such as this that he's going through. We are all
pulling for him.
At least his biopsy wound is doing well & he hasn't had any trouble thus far.
If there hasn't been any spreading then I think it will turn out very well for him. I really hope he's going
to respond quickly & heal up!
So how far is it to the vet's from where you are? At least they were willing to work with you & do the
procedure.

Keep us posted on him!
Tracie
 

Spider8ait1994

Hatchling Member
Original Poster
Ok so he’s all booked in for the initial consult with the veterinary oncology team which will be in 7 days.
In the meantime he’s continuing to improve post-biopsy and has had his last tramidol injection this afternoon.
I’ve also found another smoothie recipe that he absolutely loves so I’ll mention what’s in it here:
Steamed pumpkin (I used a Kent pumpkin), some frozen mixed veggies I defrosted first [peas, corn and capsicum/bell pepper], calcium + D3 supplement, Pisces reptile superfood, vetafarm lizard food pellets soaked overnight in some water, a little extra water to obtain a thick soup consistency.
He absolutely loves this one and has been consistently eating 10ml each day and will open his mouth for more when he’s finished a mouthful.
Hello,

Oh so sorry, I guess I didn't realize you were in Australia! He does look pretty good there, alert &
should be healthy overall. I agree, he should have a good chance at full recovery since his weight
is fine & he is in great physical condition.
He is a lucky dragon, to get such a well thought out healthy smoothie! I am glad to hear that he really
likes it also. Nutritional support is important for times such as this that he's going through. We are all
pulling for him.
At least his biopsy wound is doing well & he hasn't had any trouble thus far.
If there hasn't been any spreading then I think it will turn out very well for him. I really hope he's going
to respond quickly & heal up!
So how far is it to the vet's from where you are? At least they were willing to work with you & do the
procedure.

Keep us posted on him!
Tracie
the usual vet he goes to is 30-40 minute drive from where I am which isn’t too bad since he doesn’t mind car trips (and enjoys listening to his favourite music on the way which is Fleetwood Mac) plus this vet is very knowledgeable and definitely knows what they’re doing.
His usual vet can do most procedures but they don’t have a CT machine being a more regional vet.
The one they’ve referred me to for the chromatophoroma is about a 2 hour drive away and in doing some research about this vet I’ve found they have a very skilled veterinary oncology department and are actually considered THE best veterinary oncology team in the country.
The two vets are in contact so everyone’s keeping updated on what’s going on so this upcoming visit to SASH (Small Animal Specialist Hospital) is the initial consult with the team there to go over his background, current condition and plan out the next steps and then it sounds like after that we’ll organise a second visit for the CT and surgical proceedure there.
This first appointment I’m also planning on asking them about if they want to send what they remove for research into the type of tumor since it is a rarer one and maybe having a decent sample would help people to better understand how it behaves and such.
But like you said at this point I’m confident he’ll have a good outcome given his otherwise healthy condition and I’ve done some more research on chromatophoroma and spindle cell tumors in general and found that they tend to favour the upper respiratory and gastrointestinal tract and that tumors in the glottis region seem to have higher success with surgical removal.
He’s also now passed waste three days in a row which is great as that has previously been an inconsistent occurance and I have noted that everything looks perfectly healthy with no abnormal color, consistency or blood present.
 

Drache613

BD.org Sicko
Staff member
Moderator
Hello,

I hope everything goes well for him! A 2 hour drive isn't too bad, especially if there is a specialist there
that will be worth it. I have read some on those types of growths, etc too. There is a high success rate
with them, as they don't seem to spread like others do which is great. He seems to be doing really well
so this should technically all go pretty smoothly.
The two vets coordinating it all sounds great. That is hard to find these days. That would be a good idea
to send off the tissue to the pathology for a full report. I would think that they would do that automatically
but maybe not always.
So he loves to listen to Fleetwood Mac, pretty good then!
We are all pulling for him! Let us know how things are going.

Tracie
 

Spider8ait1994

Hatchling Member
Original Poster
Hello,

I hope everything goes well for him! A 2 hour drive isn't too bad, especially if there is a specialist there
that will be worth it. I have read some on those types of growths, etc too. There is a high success rate
with them, as they don't seem to spread like others do which is great. He seems to be doing really well
so this should technically all go pretty smoothly.
The two vets coordinating it all sounds great. That is hard to find these days. That would be a good idea
to send off the tissue to the pathology for a full report. I would think that they would do that automatically
but maybe not always.
So he loves to listen to Fleetwood Mac, pretty good then!
We are all pulling for him! Let us know how things are going.

Tracie
Will do.
He’s still doing great and had his last tramidol injection 5 days ago and seems to be doing alright without continued pain relief.
He actually woke up earlier this morning than my younger dragon and got himself out of bed to have a wander around his enclosure before climbing up to his basking ledge.
I also found a freshly shed mealworm in with the feeder insects so figured I’d see how he goes eating that one since it was still soft and he handled chewing and swallowing that alright, he only needed some help getting it into his mouth since he doesn’t see too good close range nowdays.
I think he’s also getting ready to shed his tail too as I’ve noticed the scales are getting paler there and he’s definitely not losing weight.
Pretty sure he misses his outside time but since he has stitches I’m keeing him indoors so he doesn’t get himself too dirty.
 

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Drache613

BD.org Sicko
Staff member
Moderator
Hello,

I bet he does miss going outdoors! I am glad to hear he is in great spirits & is moving around out
of his tank, too. At least he ate a little bit also, even if you had to help him out some.
His tail is definitely getting ready to shed, hopefully soon for him.
Let him get as much rest as he needs, bless him!

Tracie
 

Spider8ait1994

Hatchling Member
Original Poster
@Drache613
He’s having his specialist appointment now and we’ve just done the initial consult. The specialist has said that the biopsy results indicate his tumor is aggressive but he is otherwise healthy and she’s actually doing the CT scan today so I’ll have the results of that in a few hours.
If surgery is still viable once we get the CT results it’s looking like the surgery will be next week.
He does seem to be otherwise well and no further masses were detectable upon palpitating his abdomen.
He’s also now 570 grams so he’s a good weight too.
 

Drache613

BD.org Sicko
Staff member
Moderator
Hello,

Well, hopefully the tumor is able to be removed easily without any further complications.
How did the results turn out, are they going to go ahead with the surgery?
I am glad to hear he is doing good, overall so he should be healthy enough to go through
a surgery such as this.
Please keep us posted on him!

Tracie
 

Spider8ait1994

Hatchling Member
Original Poster
Hello,

Well, hopefully the tumor is able to be removed easily without any further complications.
How did the results turn out, are they going to go ahead with the surgery?
I am glad to hear he is doing good, overall so he should be healthy enough to go through
a surgery such as this.
Please keep us posted on him!

Tracie
Haven’t gotten the results back yet so if I don’t hear anything by tomorrow I’ll call and find out what’s going on with that.
My plan is that if the results show it hasn’t spread and it is an operable size to go ahead with surgery but if the results show it has spread surgery wouldn’t be worth it for him so if that’s the case it’ll be keeping him comfortable for as long as he’s happy and willing to keep going.
And if the results show no spread but a large size I’ll talk more the the specialists and work out what we’ll do from there and what options there are.
 

Spider8ait1994

Hatchling Member
Original Poster
@Drache613
Good news for him.
CT results came back and showed there’s no spreading that’s occurred and the tumor is an operable size.
The specialist spoke with the surgeons who’d be doing the proceedure and they believe they can remove the entire tumor. The only thing is that due to the location and it’s close proximity to important structures like the windpipe and arteries they won’t be able to get as much of a margin as they’d like to so that does mean there IS a higher risk of it re-occuring in the future but for now they believe that removing the mass is the best option for his immediate health and comfort which is something I agree with so that surgery is booked in for next week (5th September australian time).
As for his current condition with everything he’s doing good. Still awake and alert and moving around his enclosure. I tried him on superworms this morning and he did eat 20 of them and didn’t have any trouble of discomfort in chewing and swallowing them. The only thing was he needs help getting them in his mouth because his short range vision isn’t great nowdays but I have taught him a process for that so I’ll grab the worm with the feeding tweezers and tap one of his front feet to indicate which side it’ll come from then I touch the worm to his lips and he knows to snap in that direction to get the worm so with that he’s having a 95% success rate of getting the worm as opposed to like a 10% success rate when he tries without assistance. Not to mention assisting him makes feeding quicker rather than him taking about a half hour to eat a decent amount on his own.
As for the specialist vet SASH I’m very pleased with them and the quality of their work. I’m not exaggerating when I way that it’s like a literal human hospital complex only for animal patients with all the layout, services available and proceedures for hygeine and comfort so if you ever come across others from australia looking for a specialist vet for more complex reptile issues I’d definitely reccomend North Ryde SASH.
 

Drache613

BD.org Sicko
Staff member
Moderator
Hello!

That is great news to hear, it sounds like he is doing pretty well!
At least the tumor had not spread at all, which will make it pretty easy to successfully remove it
all. Hopefully they will get it all, despite the margin of surgical procedure. It will definitely help out
for his immediate health, I totally agree. Bless him.
It seems he has a good appetite which is important. That is really cool how you have gotten him to
learn where to get his food. I guess it is a cooperative effort but a great way to have a bond.
I'm happy the vet specialist & facility is knowledgeable & professional. They should do a great job
with him. It's so hard to find one that is knowledgeable & caring both.
So next week is his surgery, we will all be thinking about you both! I am sure they will keep him over
night at least, maybe two nights to be sure he is stable.

Keep us posted on him.
Tracie
 

Spider8ait1994

Hatchling Member
Original Poster
Hello!

That is great news to hear, it sounds like he is doing pretty well!
At least the tumor had not spread at all, which will make it pretty easy to successfully remove it
all. Hopefully they will get it all, despite the margin of surgical procedure. It will definitely help out
for his immediate health, I totally agree. Bless him.
It seems he has a good appetite which is important. That is really cool how you have gotten him to
learn where to get his food. I guess it is a cooperative effort but a great way to have a bond.
I'm happy the vet specialist & facility is knowledgeable & professional. They should do a great job
with him. It's so hard to find one that is knowledgeable & caring both.
So next week is his surgery, we will all be thinking about you both! I am sure they will keep him over
night at least, maybe two nights to be sure he is stable.

Keep us posted on him.
Tracie
Yes they said that he’s most likely be kept overnight while he recovers from the proceedure.
I tried him today with some regular greens to see how he goes with them and he was able to eat them with assistance however it did take him a bit so he’s not quite ready to go back to regular greens just yet.
Pretty much his whole tail is getting ready to shed now and it’s also looking like he’s getting ready to shed a patch on the rear right side of his head too.
The surgeon who will be part of the team for his proceedure is going to phone sometime in the next few days to go over specifics of the surgery with me so I’ll know more about what they plan soon.
Just today they sent me through a photo they got of him while they had him for his CT and he’s definitely his usual self with regards to taking interest in the camera.
SFS_AnimalPhoto_230828_111944.jpeg
 

Drache613

BD.org Sicko
Staff member
Moderator
Hello,

He looks very sweet there, with no black beard. It really seems that he is happy & is doing
well overall so bless him! You are doing such a great job with him, & I will be thinking about
him sending good thoughts over so he pulls through his surgery without any problems.
I'm glad you have a caring vet who is trying to help out for him.
He is definitely going to shed, which is a great sign. Do keep us posted on him.

Tracie
 

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