Flynn 11 y/o Foxie Cross - Right adrenalectomy- Good Bye Flynny We will miss you

Yay for 2 years for flynny I hope one day I can post the same:D sorry to hear of your colleague,s passing. I'm glad you and Flynn are doing well x

oh dear what a shock at your colleagues passing :( That is so sad. I'm glad though that your last memory with her is a fun one. A perfect setting for a memory.

Well maybe the big difference between the adenoma and the carcinoma is whether it would metastasize into surrounding organs or just via size be invasive. If it is a size issue only then another surgery if it grows the same way as this one did would be in another year. If it is even slower, then probably a couple years if at all. You'd have to see how Flynn is at that point in his life.
But it is down the road at least.
I have a love hate relationship with prednisone. I know it's necessary in some cases, but it is so hard to get off of and the side effects can be pretty bad when on high doses long term. (my golden was). 1 mg though doesn't sound too bad, with a plan in place at the beginning for how long to be on the dose and how and when the weaning off will start. It's the open ended, lets see how it goes, and we'll judge it as time goes on, that is really scary I think.
A plan is just down right smart and good. We love plans!!

Have a good night. Get some rest. Hope Flynn isn't feeling too ucky from not having the Temgesic.

Oh and I manage to get an "emergency" hair appointment today, took off work during the main part of the day to get it done. Then had to work late tonight to make up for it. LOL Still, I'd say it's worth it. Now at least I can show my head out the front door now without the neighbors screeching and running inside their homes in horror!

hugs,
Sharlene and Molly Muffin

Thanks Tracy and Sharlene

Yes I agree about the spreading to other areas Sharlene, what has added to the confusion is the small mass that was found on his mesentery. But I have to wonder whether that has been sitting there since his original liver resection two years ago. It was definitely seen and biopsied and declared benign before adrenalectomy one year ago and it has not grown in the past year. :eek::eek: You would think if it was metastatic it would have done something in that time and the rest of his omentum, mesentery are clear according to his surgeon. At original liver surgery he did have a spot of direct spread from liver to omentum. Old surgeon had clear margins then. :confused::confused: So I think that mesentery mass is from original tumour and now its gone for good!

I found this excerpt in a book about adenomas I thought interesting and could apply to Flynn. I have wondered about the androgens, IMS Mike mentioned it at our initial consultation, I think I might press to get them checked. Will talk to local Mike about it when I see him next.
Hepatocellular Adenomas

These tumors are more common than hepatocellular carcinomas in dogs and are uncommon in cats. They may be associated with increased liver enzyme activity, particularly AP. Dogs with atypical adrenal hyperplasia associated with high androgens or progesterone may be predisposed to hepatocellular adenomas. Rather than single mass lesions, some dogs develop multiple adenomas in different liver lobes. Hepatocellular adenomas may achieve massive size and encroach on normal structures by outgrowing their central blood supply and developing a necrotic core that may serve as a nidus for abscess formation. They may rupture, causing critical abdominal hemorrhage. Differentiating adenoma from hepatic adenocarcinoma in a patient may be controversial; this may be pedantic because wide resection is curable in either case. Tumor margins should be demarcated for the pathologist on submitted specimens to judge adequacy of mass resection (tumor free margin).
http://www.merckmanuals.com/vet/digestive_system/hepatic_disease_in_small_animals/hepatic_neoplasia_in_small_animals.html#v3268802

I think I have found out why he was a bit sluggish this morning, poops looser and look like a bit of blood and mucous in it today. So I think we are heading towards that Prednisone whether I like it or not. :(

Happy thanksgiving to those that celebrate it :) xxxx

hmmm, that means that any dog that has cushings, increased cortisol with liver enzymes increased could be susceptible to developing adenomas in liver nodes.
A good reason to get ultrasounds whenever possible I'd think.

If it was associated with the main liver mass that was removed that may be why it hasn't grown in the last year. Makes sense. Supply wouldn't be there to feed it any longer.

Oh fooey, mucus and blood, sounds like you are going to go down that road after all. Hopefully it will help.

So, you can see now and I won't scare the neighbors. Sounds like we should be good for awhile at least! LOL

hugs,
Sharlene and Molly Muffin

Awww Flynny had been doing so well. We had appointment with Mike this morning for suture removal. When I have a shower Flynn goes and waits for me on the bed in the spare bedroom which is right next to the bathroom. I was drying my hair then he comes in looking awful, all shaking, hang dog, leaning up against my bed, back a bit hunched when he walks. I could immediately tell something was wrong, lucky we were on our way out the door to the vets. Mike said as soon as he spotted him in the waiting room he could tell something was amiss by the way he was standing. He thinks he has tweaked his back possibly jumping off the bed. His tummy checks out fine, nice and soft so he does not think it is anything to do with surgery. he took out the sutures.

He has had a shot of Temgesic and home to rest up and I have to call him in a couple of hours to let him know how he is. He said he would usually give anti inflammatory but does not want to with Flynn so soon after surgery. He said this can happen following surgery as even though they are feeling better if they jump while still splinting their tummies they can have musculo skeletal problems. :(:(

I was due to go to a friends birthday this arvo and Flynny was going to his Nan and G'dads. but I have him cuddled up on the floor in the longue, he is still shaking heaps. Poor boy, so we are most definitely staying home :(

Oh no. Poor Flynn, and poor Trish. So darn scary when they do something and tweak themselves like that. Hopefully this is something that will sort itself out with some time. A muscle pull or something. Just as long as it is nothing inside.
Not more bed jumping Mr. Flynn!

hugs,
Sharlene and Molly Muffin

He is crying a little, might be the shot of temgesic making him feel funny. But he is lying there with his eyes wide open :( he hasn't cried since he got out of the hospital so he must be really sore.

He couldn't have pulled anything inside of him or torn anything right? That is all healed up nicely? Local Mike confirmed.

That would probably be one of my biggest worries. That and I disc I suppose. Backs can be so painful.

It's so hard to see them in pain, when all you want is to fix it for them.

Hang in there. I'm here with you. Getting ready to take the muffin out for a walk but will be back.

hugs,
Sharlene and Molly Muffin

Hey you

I am here lottering and just read your post. Bless him, rubbish when they have a set back.

Hopefully the Temgestic will kick in for him soon. Sucks to see them so upset. Good that you can check in with local Mike later

Sending you a big hug and scratches to the wee man

Mel
Xxxxx

No, he doesn't think there is anything torn inside of him because tummy is soft. He does not think it is a disc because he cannot palpate any particular sore spot. His back was slightly tilted to the left. I just went outside to hang a load of washing and he must have tried to follow. He got out there but then just stood there and I carried him back in. Just sitting with him beside me now. Day 10 today, thought it was all going a bit too smoothly!