In this captivating episode of The Vet Life on Animal Planet, watch as a dedicated veterinarian does whatever it takes to bring relief to a precious feline friend suffering from a troublesome cyst. Witness the skillful hands of our expert veterinary team as they perform a cyst removal surgery, alleviating discomfort and restoring comfort to this adorable cat. Join us as we embark on a heartwarming journey to heal and nurture animals in need. With a focus on the well-being of our furry friends, The Vet Life offers viewers an inside look into the compassionate world of veterinary medicine.
About The Vet Life: Veterinarians Dr. Diarra Blue, Dr. Aubrey Ross and Dr. Michael Lavigne run a full-service veterinary hospital and animal shelter together in Houston, Texas. These guys are ready for anything and go above and beyond to care for all kinds of animals.
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Video Summary
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Princess, a 10-year-old intact cat, visited the vet for suspected pregnancy. Diagnostics revealed she actually suffered from pyometra (a uterine infection) and mammary tumors. After undergoing a successful hysterectomy and tumor removal, lab results later confirmed the masses were adenocarcinoma, a form of cancer.
Hi, doctor.
How you guys doing?
Good, good.
What's Princess here for today?
We think she might be pregnant.
OK, inside, outside cat?
Indoor.
She did get out on us.
She did get out, OK.
Has she gained any weight?
She feels like it.
And what about, is she eating or drinking?
No.
Has she been lethargic?
Yeah.
OK, we can do some tests to figure out what's going on.
Is she mean?
She can be.
She bit Dr. Blue, so be warned.
What's going on?
You're not mean, huh?
Keep them teeth in front.
Her file says it's been over two months since she's gotten out.
Yeah.
Princess.
She was pregnant.
She probably would have had kids by now.
Since the gestation period is about two months.
OK.
And palpating her abdomen, I'm not feeling any babies.
Hold on, mama.
Hold on, hold on, hold on.
I know, I know, I know.
Why are you doing this?
Oh, OK.
We're good, we're good, we're good.
Let her go, let her go, let her go, let her go, let her go.
It's OK, mama.
Mama, hey, hey.
Cats can get temperamental when they
get out of their own environment.
If she doesn't want me to do that,
she's going to let me know.
Even though she's not pregnant, her uterus does feel distended,
and it could be an infection called pyometra.
Pyometra is infection or pus filled within the uterus.
She's 10 years old and intact.
That's just something that's high on our list.
OK.
Anytime you have that infection building up within a uterus,
it could spill over into the blood,
cause her not to want to eat, not to want to drink,
and become lethargic.
I did kind of feel nodules around her memory glands.
It could be a memory cancer.
That is something we do see in animals that are not spayed,
especially at this age.
Definitely want to do some blood work.
And what that's going to let us know
is that she have thyroid disease,
that she have issues going on with her kidneys,
and she have issues going on with her liver.
OK.
She is temperamental, so we may have to just mask her down
or put her in what we call our little box with isoflurane,
which is gas.
OK.
All right, we'll be right back with you guys.
All right.
At this particular point, Princess
does not want to be handled.
So we put her in a sedation tank that has plenty of oxygen
flowing through it.
It's for her safety and for our safety.
Help me get her.
Let's get her back to the table.
We sedated Feisty Princess to get some blood work done.
Her owners thought she may be pregnant.
She definitely has some going on with her abdomen,
but it's not full of kittens.
The ultrasound is going to let us know
if we have any type of infection going on in the uterus.
So this here, that looks like a uterine horn.
You see it's filled with fluid?
I want to perform an X-ray to rule out anything else
that could be causing an issue, such as a foreign body,
inflammation of the stomach or the intestines,
or a possible mass.
Dr. Oz?
Yeah, ma'am?
Your X-ray's are up.
I don't want her to bite me.
Look at her tail.
Do you hear growling?
Looking here at the X-ray,
I don't see any signs of obstructive pattern.
I don't see any foreign material,
but this material here appears to be
that inflamed fluid-filled uterus
that we saw on a ultrasound.
You can't really see the memory tumors on here,
but you could actually feel the memory tumors
on physical exam.
I believe that we're dealing with pyometra
because when looking at the X-rays,
you can see some soft tissue inflammation
where the uterus should normally be.
All right, we're a little sedated, starting to wake up.
The memory tumors and the pyometra could all be related
because with every heat cycle,
you have a release of progesterone
that causes your animal to become
more susceptible to infection.
It's not a hundred percent chance
that your cat's gonna develop memory tumors
and a pyometra if you don't spay,
but it just increases the chances.
The cure for pyometra
is to completely remove the uterus.
So we're gonna send Princess home,
wait for her blood work results
to see if she's even a candidate for surgery.
Princess, the 10-year-old cat with pyometra, she's back.
Her blood work cleared for surgery
and the owners decided to go ahead and move forward
with the uterus removal.
She also has some memory masses
that I'm gonna take a look at.
So you know, whenever Yaya was dealing with this cat,
she kind of flipped down.
So be careful.
Let's see.
Yeah, see, she...
Ooh, okay, nevermind.
We're gonna do fear-free for this cat.
So we're gonna put a trash bag around her chinnel.
I know, Blue, I know.
We're gonna sedate Princess.
So what we're gonna do is just close the trash bag
and put the tubes in here with her.
I know, Blue.
Oh, you feeling it, huh?
Eyes are relaxed, that third eyelid is rolling back.
That means we're getting good and sedated.
Given Princess' age and the fact she's never been spayed,
I'm concerned about what I'm gonna find.
See how distended this is?
Yeah.
That's why I recommend getting a spay at a young age
because the more hormones that are being produced,
the greater the probability
of her developing memory cancer.
So, you know, she's-
It's from like each heat cycle?
Each heat cycle, yeah.
Spay done.
Got the uterus out.
Now I'm gonna take a look at the memory masses.
I don't think this is just the mass.
I think we have something else we're dealing with here.
This is just fluid.
This could be just memory cysts.
Well, I'm gonna drain this one
and see what we're dealing with.
And you're gonna send out the fluid for analysis?
I'm gonna send that out.
So are you still gonna take the other ones off
since you know they kind of cystic now?
Or are you just gonna-
Just the hard, nodular ones,
the firm ones, I'm gonna take off.
She already mad, hell.
The less we gotta take out, the easier.
Awesome, so we're just gonna clean her up.
I'm gonna call mom, let her know what's going on.
Good to go.
Great job.
Everything went really well during the surgery.
I'm gonna send out those masses.
Hopefully it comes back as just hypertrophy,
meaning enlarged and swelling tissue.
That, along with the cystic fluid,
I'm hoping and praying that it's not cancer.
Hey, Dr. Ross, Princess Owner is here.
Okay.
You gonna get out for me?
No, no, no, she wants you to bring her.
You scared, huh?
Not scared, just cautious.
When they say I'm not scared, I'm cautious?
That means you're scared.
Ain't that right, mama?
Look at her, come here.
Ooh!
She didn't let you touch her?
Oh yeah, she blew me a kiss.
Oh, okay.
Hello.
How you guys doing?
How are you?
There's your baby.
Hi, mama.
Missed you, baby.
Come here.
Really excited to see this baby.
So she did really well.
She's been eating.
I did remove some fluid from the cyst.
Now, the uterus, the tissue was thickened,
and it had fluid-filled horns.
So when you're talking about uterine horns,
those are basically the tubes
that come from the body of the uterus,
which at the end of the horns, you have the ovaries.
Anytime you have an infection of the uterus,
you can have pus-filled uterine horns.
I do wanna send it out to the lab.
And how long will it take to get those results?
It usually takes seven days,
and I wanna see her back for a recheck.
You know, I would just continue
just making sure she's eating, she's drinking,
she's not lethargic or listless.
Make sure when she comes back and see me,
give her a chill pill.
We'll try.
All right.
Well, that's awesome.
We'll try.
Thank you, Dr. Ross.
Good seeing you again.
Thank you, guys.
Princess is a 10-year-old cat
that just had surgery about two weeks ago.
We got the results from the memory masks
we sent to the lab.
Those masks that we removed,
they did come out as cancer.
Oh, no.
So we do have cancer.
It's adenocarcinoma.
How bad is her cancer?
The immediate survival range is 14 months.
This was a hard answer to get
for what she's going through.
It's gonna be hard.
Anytime we have to give bad news to a client,
it's always hard.
I know it's your baby,
but the good thing is that we know
what we're dealing with now.
She is almost 11.
Mm-hmm.
I'll call the oncologist,
see what they recommend,
and then we'll kind of go from there.
All right.
She has a good life.
We form a relationship with these pets
as well as the clients,
so when the news hit them heavy,
it hits us heavy as well.