From:
williamsdvm@comcast.net
Date: 2002-09-09 01:28:14 UTC
Subject: RE: Dodger - next step
To: ferrethealth@smartgroups.com
Message-ID: <11206512.1031534894369.JavaMail.root@scandium>
Author wrote:
> Now that Dodger has recovered from his surgery and we know that he IS insulinomic, it IS the right adrenal gland and it IS a hepatic biliary cystadenoma, I have several questions.
> 1.What could have caused the slow movement of the barium through his stomach (2 hours and it was only half-way through, not even near the duodenum)?
> 2. Should I be concerned about the bloating and stomach distension since we did not find a blockage?
> 3. Should we go back in and remove the cystadenoma or wait?
> He is now 2 weeks out of the surgery and 3 weeks post a Lupron injection (2 mg). The Lupron was administered as he was considered too high-risk for surgery. He is doing great and is very healthy, on .5mg pred bid.
Dear Renee:
1) Don't know, but if you have bloating and stomach distention, that is enough.
2) I wouldn't worry about the bloating and distention unless if recurs. You have enough to worry about.
3) With insulinoma and adrenal disease, and the slow rate of growth of most bilibary cystadenocarcinomas, I think I would opt to monitor it with ultrasound. If I may be blunt, it would not be unusual for a ferret with insulinoma and adrenal disease to to require additional surgery for it, which gives you another opportunity to be in there and can take out the tumor at that time. I would not go rushing back in there right now if you can monitor it.
With kindest regards,
Bruce Williams, dVM