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How Long will my cat Live?

Cats that are treated live longer than cats that are not treated but I also mentioned it can be frustrating because it can be hard to predict not all cats will have a great response, welcome back everyone this is the third installment in my mini series of cat cliffnotes where I’m trying to give you a nice overview of the basics that, in this article we’re going to be talking about the prognosis and some of the prognostic factors there will be a separate article that we will be talking about all the different chemotherapy options because there’s more than one treatment option for cats with lymphoma so, let’s talk about how we treat and the prognosis for cats with lymphoma so the fifth thing that I want you to know about lymphoma and cats and I mentioned it in the beginning is this is a very treatable cancer so cats that are treated live longer than cats that are not treated but I also mentioned it can be frustrating because it can be hard to predict not all cats will have a great response and you know in dogs 85% of dogs that get a multi-agent chemotherapy respond well very high remission rates and much easier to predict survival times cats tend to be a little bit harder to predict when we look at the high-grade lymphomas the one that they’re getting sicker quicker so it can be a little bit frustrating usually what I describe to pet owners is there’s two subsets the cats that respond well that go into our mission are usually the long-term survivors and there’s a subset of kitties that don’t respond well that can be very frustrating and those of the kitties that were changing protocols or stopping treatment so again it is it highlights the importance of getting them into remission as we’ll talk about in the last section which is the prognostic factors but it is a very treatable cancer I do think it’s worthwhile to start treatment and see how they’re doing because I have cats that do respond really well so Jojo if you go back I’ll put the link below it’s a cat that I treated in 2010 guys,

it’s currently 2019 and he relapsed about two and a half years later he had the mediastinal form which I warned the owners was not one of the good forms we went through the chop multi-agent protocol he relapsed two and a half years later in the abdominal form went through another six months of chemo and Jojo is now in Florida doing well you know nine years later so there will be you know cats that can be long-term survivors I have Jackie who are treated for GI lymphoma and you know lived three years so another way to see some of these stories is to go through the playlist and you know look for you know cats that I treated for lymphoma but I do have a whole vlog on Jojo and Miku who is a kitty that I treated for nasal lymphoma that’s out six going on seven years with a combination of chemotherapy and radiation so there are long-term survivors if you decide against treatment I definitely recommend prednisolone a steroid but you want to get all the information and make an educated decision again in the next vlog I’m gonna go through the different chemotherapy protocol options that there are but again I want to know it’s a treatable cancer cats tolerate chemo very well and I would treat my own cat and I have finally the six thing that we’re going to talk about is what is prognostic or predictive for cats with lymphoma and you know when I was studying for boards I had a list of all these things especially you know common cancers like dog lymphoma and cat lymphoma but I always try to break it down for pet owners and for you you know what are the more important predictors and when I’m standing in the room with her client with a client and a family I do the same thing so there’s lists of things that I could go through but I think that the most important predictors for cat lymphoma are are these so being feline leukemia negative cats that are feline leukemia negative do better than cats that have the virus that are positive so we know that if you have the virus you’re not going to respond as well to chemotherapy usually that response is much more short-lived so I do still have some owners that elect to treat anyway and the cap will you know can do well for a couple of months but they don’t usually have the good long term survival that the responders that are negative do so again being feline leukemia positive is a negative predictor it’s a lot of words in one sentence okay the second prognostic factor is location so some locations carry a better prognosis than others so I mentioned that the nasal location cats with nasal lymphoma tend to do better than the liver location or the spinal cord location with that said I can always prove a case where I had a kidney a cat with Kinney lymphoma do better than a nasal case so nothing is a hard set rule and,

I don’t want you to say well she said you know my cat has that form I’m not going to treat I just want you to know statistically but your cat is not a statistic just want you to have the information so location is much more important than the staging system if you happen to watch my articles on mammary cancer and dogs and cat we did talk about the w-h-o of the world health staging system,

I didn’t mention it in caps in dogs we talked a little about the staging system it’s just not that important so the FeLV status and the atomic location is much more important I’ll come back to the gi location for cats because it’s a little bit confusing cats that are sick at diagnosis from their cancer don’t do as well as cats that are asymptomatic for their cancer so if your cat is losing weight vomiting diarrhea you know with gastrointestinal and FOMA is not going to do as well as a cat that’s showing minimal signs with their nasal lymphoma so again cats that are sick from their cancer and this is true for dogs with lymphoma as well we call that sub stage B but animals that are sick from their cancer that has been shown to be a you know from study to study to study to be a negative prognostic factor the last one is the protocol that you choose so we know that cats that get treated with a multi agent protocol usually and we’ll talk about this in the next one a chopp or a cop chemotherapy protocol do better than if they get a single agent protocol like loma Steen and that they do that is better than just steroids alone which is better than no therapy at all so again that is been shown to be prognostic and the other thing that has been and I mentioned this before is cats that go into a complete remission on their protocol tend to live longer than cats that just have a partial response or stable disease but so cats where their lymphoma so if they had a mass of their GI tract or big lymph nodes and their abdomen that all returns to normal on their chemotherapy protocol and then stays in remission on their chemotherapy and then afterwards so getting cats into a complete remission which often means I’m doing like an ultrasound because remember I can’t measure their lymph nodes the way I can dog lymphoma so usually halfway through their chemo protocol we’re going to be doing an ultrasound but I’m also monitoring their weight did they’re vomiting resolved to their diarrhea resolve all those other things are there going to be pieces of the puzzle that we’re going to use to assess whether or not the cat is in remission because again that complete remission is so important for cats and their prognosis before I wrap up I do need to talk up

-all seconds about GI lymphoma because you know we talked about four cats with great lymphoma that go into a complete remission and get a multi-agent chemotherapy protocol that there was these two subsets the cats that respond and do better and then the subset of kitties that don’t respond that are going to be our short-term you know survivors so the cats that usually get no treatments usually about a month with steroids maybe you know two to three months they’re responders on a multi agent chemotherapy protocol for high-grade GI lymphoma usually about a year you know sometimes we’ll see about 25% or alive at two years so again getting in that complete remission is so important for cats but again there’s still a subset of kitties that are non responders and they only live a couple of months even on a multi agent protocol and those are the ones that were stopping or changing protocols because they’re not achieving the complete remission for cats with low-grade lymphoma again the slowly developing one those are usually treated with different types of protocols like steroids and chloromethyl which is lucre and usually their remission is defined as resolution of sign so vomiting diarrhea weight loss all of those improve and those kitties usually about you know a year and a half to two years some studies say about 75 to 80 percent of those cats are alive at one and a half to two years so they do much better than the cats again just highlighting what differences that there are between cats with low grade and high grade lymphoma for sure well that wraps up my mini-series on cat lymphoma thank you so much for readingif you read all three articles you got the top six things that I want you to know about cat lymphoma as I mentioned there will be a separate article where I’m gonna dive deep and talk to you about the best chemotherapy options whether you want to do a multi agent chemotherapy option or you’re looking for something a little less intense that requires you know less expense and less visits to your veterinarian or your oncologist so be sure to subscribe so you know when that article comes out did I forget anything do you have any additional questions about cat with them please comment remember I can’t make specific recommendations about your cat but I’m really here to help I know it’s overwhelming I’m sorry that you’re here but I hope that you found this information helpful again thanks so much for readingand I look forward to seeing you at the next article about the different chemotherapy treatment options for cats,

About Tony Jack

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