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post #1 of 19 (permalink) Old 03-14-2020, 05:47 AM Thread Starter
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Lymph Node enlargement

March of 2019 I was at my Cardiologist office for echocardiogram During that visit I asked the doc to take a look at a lump I had noticed on Hoss’s left rear leg. The doc advised oh that just his lymph node so noting to worry about.

So here we are 1 year later now going to my regular vet for yearly shots etc.
My regular vet Dr. Mary noted during her physical exam this same enlargement and asked how long has this been here and I advised her over 1 year. Also explained what the Cardiologist had told me of that being just a lymph node.
She gasped ....and said....yeah its a lymph node......and it is enlarged !
She went on to explain that lymph node can enlarge as their bodies react to certain things BUT they should not remain enlarged for over 1 year . Her concern is Hoss has not had any sick visits all year. Not dealing with any infections or other issues so why enlarged? She thinks this is quite odd.
So we agreed to do a fine needle aspiration and send this off to pathology to see whats going on inside this node.
I am going to attach a code of a lymph node chart and as time goes by post more information regarding this condition.
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post #2 of 19 (permalink) Old 03-14-2020, 05:51 AM Thread Starter
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So via the blue arrow this is the lymph node we are dealing with regarding Hoss.
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post #3 of 19 (permalink) Old 03-14-2020, 05:55 AM Thread Starter
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So attach is a copy of the pathologists report.
So we opted to further testing and fortunately they can work with the same fluid that was already extracted from Hoss during the fine needle aspiration to take a closer look at these cells.
Maybe someone can make these pics a littler larger for easier viewing ???
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post #4 of 19 (permalink) Old 03-14-2020, 06:01 AM Thread Starter
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So as of today we wait and hope for no problems.
As far as Hoss .....has no idea the enlargement exists. He does not mess with it and he runs around just like he always has in the past.
One thing I am learning is as owners we cannot examine all lymph nodes but there are a few that we can easily fine and monitor ourselves for enlargement monthly. So I will post more information lymph node exams soon and will continue to post on this thread as things evolve.....
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post #5 of 19 (permalink) Old 03-14-2020, 06:23 AM Thread Starter
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So lets find those nodes and monitor monthly for changes in size.

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post #6 of 19 (permalink) Old 03-14-2020, 06:43 AM Thread Starter
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Here is another video on a larger dog with less hair physician more detailed on hand technique to finds the lymph nodes.
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post #7 of 19 (permalink) Old 03-14-2020, 07:57 AM
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LaDi, excellent 2nd video!

What a good and calm Greyhound! Spock and Eva love palpitation at the vets office like that, maybe because of the Greyhound part of the Dobe mix?

This video, even though using medical terminology, really was great. I'm going to palpitate area under Eva's front leg per the video technique. It would be great if this video was re-filmed, using layman's terminology, so that all dog owners could learn from it. maybe a DT Sticky?)

Good luck on Hoss's test results...


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post #8 of 19 (permalink) Old 03-14-2020, 08:22 AM Thread Starter
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Hey Spock can you make my first two pics a little bit larger?

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post #9 of 19 (permalink) Old 03-14-2020, 08:26 AM Thread Starter
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Thanks Spock!
Now lets all keep track of those nodes ......would like feedback on your lymph node hunts!!
See if you can find them.....and then continue finding them every month ....
OK lets see who can I call out????
Meadowcat how many nodes could you find ?
Mel.....how about Hairy dog dog.......of course he is hairy ....how many could you find?
Practice makes perfect so I am gonna go try to find some nodes !!!!

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post #10 of 19 (permalink) Old 03-14-2020, 10:14 AM
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Just checked lump under Eva's right front leg, it's a lipoma cause I can move it all around under skin and it doesn't snap back.... Not axillary lymph node.
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post #11 of 19 (permalink) Old 03-14-2020, 11:17 AM
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The prescapular lymph node was the one we found enlarged on our girl Zuri (doberman). Matt found it as he was 'massaging' her as she sat so close to him, she almost demanded it

Subsequently, Rascal gets almost daily palpations and doesn't mind it at all. I hope all turns out ok with Hoss. It's nerve racking, the waiting game.
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post #12 of 19 (permalink) Old 03-14-2020, 11:41 AM
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We got to know where they all are over the years, as we have had a couple of dogs with issues. Keeping good thoughts for your pup!
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post #13 of 19 (permalink) Old 03-14-2020, 12:25 PM
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I know where the lymph nodes that can be felt (normally) and remember all too well when my Aussie was first suspected of lymphoma that his all felt normal and at that point even his blood tests were normal--he was on high doses of prednisone and two weeks later all of his palpable lymph nodes were enlarged and by the end of the month all of the palpable nodes were enlarged and the prescapular, submandibular and axilary nodes were huge.

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post #14 of 19 (permalink) Old 03-14-2020, 12:41 PM Thread Starter
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Wow everybody!
Thanks for your comments.
Like everything else all we can do is TRY to be familiar with these places and report to vet with any concerns.
Will be in touch.

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post #15 of 19 (permalink) Old 03-23-2020, 09:02 AM Thread Starter
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OK further testing is back from the University regarding enlarged Lymph Node ............appears to be good news !!! Bug I emailed you a copy of the newest report.
Now vet wonders why reactive ?
Maybe joint pain or something ?
She plans to take a close looks at the hips etc later once we are though the tough times of this pandemic.......but meanwhile suggest joint supplement ..... she suggests a product called........Phycox.............thinking that might make this lymph node less reactive......if joints are the problem.
Anyway was a great relief to know no cancer cells identified in this specimen!!!!



3/7/20 (Order Received)
3/21/20 11:36 AM (Last Updated)
TEST RESULT
Immunoglobulin Polyclonal
Gene
T Cell Receptor Polyclonal
Gene
Lymphoma PCR
(PARR)
Interpretation
Site: Lymph node
Type: Aspirate
INTERPRETATION
The PARR assay did not reveal clonal rearrangements of immunoglobulin or T
cell receptor genes. This finding indicates lack of evidence for neoplastic
lymphocytes in this sample. We estimate that we detect clonal rearrangements
of immunoglobulin or T cell receptor genes in 85% of cytologically or
histologically confirmed lymphoid malignancies in dogs, when the assay is
performed on tissue with the cytologically or histologically suspicious
cells. Therefore the results should reduce your suspicion for
lymphoma/leukemia, but not rule out these diseases.
Referral test performed at the Clinical Immunopathology Laboratory at
Colorado State University.
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post #16 of 19 (permalink) Old 03-23-2020, 11:38 AM
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Great news!
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post #17 of 19 (permalink) Old 03-23-2020, 04:48 PM
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Quote:
Originally Posted by LadyDi View Post
OK further testing is back from the University regarding enlarged Lymph Node ............appears to be good news !!! Bug I emailed you a copy of the newest report.
Now vet wonders why reactive ?
Maybe joint pain or something ?
She plans to take a close looks at the hips etc later once we are though the tough times of this pandemic.......but meanwhile suggest joint supplement ..... she suggests a product called........Phycox.............thinking that might make this lymph node less reactive......if joints are the problem.
Anyway was a great relief to know no cancer cells identified in this specimen!!!!



3/7/20 (Order Received)
3/21/20 11:36 AM (Last Updated)
TEST RESULT
Immunoglobulin Polyclonal
Gene
T Cell Receptor Polyclonal
Gene
Lymphoma PCR
(PARR)
Interpretation
Site: Lymph node
Type: Aspirate
INTERPRETATION
The PARR assay did not reveal clonal rearrangements of immunoglobulin or T
cell receptor genes. This finding indicates lack of evidence for neoplastic
lymphocytes in this sample. We estimate that we detect clonal rearrangements
of immunoglobulin or T cell receptor genes in 85% of cytologically or
histologically confirmed lymphoid malignancies in dogs, when the assay is
performed on tissue with the cytologically or histologically suspicious
cells. Therefore the results should reduce your suspicion for
lymphoma/leukemia, but not rule out these diseases.
Referral test performed at the Clinical Immunopathology Laboratory at
Colorado State University.
AHA! Hadn't looked at DT until now and see that Phycox is the dog formula your vet is recommended. LDi--I just looked it up and the active ingredients are glucosamine and MSM--with minerals (unspecified and other stuff also unspecified.)

This is one of the things that drives me crazy about some of the dog/cat specialty supplements--Phycox costs a mint--the Costco supplement that I've used on dogs for years (originally recommended by my vet as a substitute) is
Glucosamine HCL (1500mg) with MSM (1500mg)-375 tablets per container. Recommended dosage is two tablets (which I give with breakfast and dinner.

Same active ingredients. I don't use the dog products for fish oil either and give added Vitamin E which is what most of the dog products add. Get them from Costco too. A whole lot less expensive for the basically the same products.

Just sayin'

dobebug
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post #18 of 19 (permalink) Old 03-23-2020, 07:29 PM
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This is one of the things that drives me crazy about some of the dog/cat specialty supplements--Phycox costs a mint--the Costco supplement that I've used on dogs for years (originally recommended by my vet as a substitute) is
Glucosamine HCL (1500mg) with MSM (1500mg)-375 tablets per container. Recommended dosage is two tablets (which I give with breakfast and dinner.
If you don't have a Costco handy, both Leo and my husband take the Sam's Club Member's Mark brand, with the same active ingredients plus 3.3 mg Hyaluronic Acid. The only reason I fork over the money for the dog formula soft chews for Lily is that she tends to choke on the giant human pills, even if I split them in half.


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post #19 of 19 (permalink) Old 03-26-2020, 12:12 PM
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Yaa Di! Its good that you do not have to deal with the scary thoughts anymore.
Give him a nice head rub from me and Redboy!
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