Sick or not sick????

We decided to have some fatty lumps removed from my sheepdog but had to do bloodwork before surgery. The bloodwork indicated an extremely high enzyme level. I think our vet was thinking Cushings (although he had no other symptoms of it) and suggested an ultrasound to see why. The ultrasound shows a small mass on the adrenal gland. Our vet still cannot diagnose and suggests more bloodwork and a blood pressure test. The blood pressure test came back normal and the bloodwork came back the he does not have high cortizone level (our vets first guess was that the mass on the adrenal gland was causing too many cortizone hormores to be released in his system). Not sure what next step is or if I'm going to keep having him tested as he shows no symptoms of being sick. I might just not have the fatty tissues removed as they do not seem to be bothering him. So far it has cost about $900 for the 2 blood tests, ultrasound and blood pressure test. Has anyone had this happen to their OES??
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I'm not sure what you mean "fatty tissue'. are they sebacous cysts? If they are then it depends. Two of my dogs had them, Luke's would dry up and fall off. Beau had to have his surgically removed, several were quite deep and required sutures.
Fat cysts can often be left alone with no treatment, they don't usually go away, but they don't usually cause any harm. If there is a mass on the adrenal gland though, I would not just leave it. When something interferes with any glands or organs it can cause a whole host of other problems. Has the vet suggested a biopsy of the mass?
Thanks for the reply. I really appreciate it.

The fatty tissues are some sort of cysts. The vet aspirated them and they were benign. If we choose to remove them, it will have to be surgery as they are under the skin, not on top and will not dry up an fall off. They do not seem to bother him, but, if they get bigger they may. Since they have grown in the last year, we were planning on removing them. Then when his bloodwork came back with the high enzyme level, she did not want to do suregery on them until finding out why the enzyme level was so high.

The 2nd blood work came back but I have to wait until Monday to talk to the vet to see what she suggests our next step is. She may say he has to have surgery to remove the mass on the adrenal gland or she can go ahead with the planned surgery of removing the fatty tissues.

Now with the expense of the testing, I'm not sure if I can afford another $1000 to $1500 to have the fatty cysts remove and his teeth cleaned since they were basically elective at this point.

Wimsey is 11 1/2 but so far a very health 11 1/2. I'm not sure life expectancy of an OES but I'm read 10 to 15 years.

I guess I wouldn't mind the money so much if he showed signs of being sick but he seems so healthy and spry. I keep going back to if it's not broken don't fix it.
It has to be your decision, and if the dog is healthy other than some fat cysts, I personally would choose no surgery,anesthetic, pain and recovery time may be more of a risk at that age. That said however, I am not a vet, and I have not seen the cysts, so there may be other reasons they need to be removed. I would talk with your vet, express your concerns and let them know of your doubts. Perhaps get a second opinion.
Hi,

One of my dogs Blue has several of these fatty tissue cyst and I can feel them appearing in different places. Blue is 15 or 16 this month..eeks misplaced my papers and my memory is dim!

The vet aspirates them every 6 months to keep tabs on them as they have been benign. She suggested let them be as at an advanced age it's harder for them to have surgery and if they are benign to just leave them.

I can't comment on the other condition as I've never experienced that before. Just know we're here to offer support no matter what you choose to do.

Good Luck
Marianne and the boys
I agree with Willowsprite and Marianne - at his age, don't bother with surgery for the cysts. Drezzie also has a few fatty cysts that the vet biopsied and came back negative. Our vet said they weren't hurting anything - aren't attached to any muscles, nerves, so even if they grow a bit, they still won't hurt anything. I'd be more concerned about the mass on the adrenal gland.
Chris
Maggie has had a number of fatty growths and has one removed and biopsied. SHe is 9 1/2 and has just been diagnosed with Cushings. Maybe the lumps and Cushing are connected. I don't know. The only lump we have had removed was one that was under her front arm and was wrapping itself around the nerves and would have affected her walking. This was done about a year ago. IF the cysts (or whatever they are) are not causing a problem at Wimsey's age I would just let them be.
Usually that are rather slow growing and if they are not bothering maggie or interferring with anything vital, I just keep an eye on them.
As for the diagnosis of Cushings, I noted that you also posted below on a subject of Cushings. MAggies seems to be caused by a very small growth on the pituitary. My understanding is that it can be a growth on that or the adrenal gland near the kidneys and either would cause the over production of cortisone. I noticed with Maggie that she was just not a lively and was drinking a lot of water. She has lost 5 pounds in the last month and is down to a svelte 81 and seems to be feeling much better with the medication.

I would suggest that you obtain a second opinion before delving into costly and potentially serious treatment for Wimsey. I should think that kidney surgery at his age would be very taxing and there may be medications that can help with it.

Good luck with everything and let us know how he is doing.
I was on this site and came across a page about fatty deposits(lipoma)


www.thepetcenter.com

click surgery room,soft tissue and scroll down to lipoma

At the bottom they do show pictures of an actual surgery and it's pretty gross
The second blood test didn't show anything conclusive either. The vet did say the small mass on the adrenal gland could be removed but the surgery would cost 2500 with no complications and that if there are complications they could be life threating so not really recommending that. We could do more tests if money was no problem but that could also be very costly and since he seems healthy she is basically recommending we watch him. She did say that since the bloom tests are not showing anything, she does not think the mass on the adreanal gland is causing the high enzymes. She can't recommend any medication since they can't pin point what's wrong at this time.

Thanks for all the help and support.
Please let us know what happens.
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