From:
dr_bruce_williams
Date: 2002-01-14 21:23:00 UTC
Subject: Re: Insulinoma - surgical or medical management??
--- In Ferret-Health-list@y..., Kim V <grferrets@y...> wrote:
> Hi,
>
> I have 2 ferrets (approximate ages 5 and 6 years)
> recently diagnosed with insulinoma. They seem
> completely healthy otherwise, although one has had a
> previous (single) adrenal surgery.
>
> My question: Which is the better way to treat
> insulinoma? With surgery or Pred? They are both
> currently on Pred twice a day and doing very well -
> all symptoms have decreased or disappeared.
>
> I appreciate any input - especially from the vets.
>
Dear Kim -
It is no secret - at least on this list, that I far prefer to do
surgery early on, and reserve medical treatment for non-surgical
candidates.
It is inevitable that these ferrets will become refractory to the
prednsione over time, and then surgery will be required. However, at
that point they may have become non-surgical candidates.
Surgery gives a 60% chance of cure if done early, and this number
decreases over time. The remaining 40% will develop additional
tumors within the next 10 moths, but that's the equivalent of a 10
year interval for a human.
With kindest regards,
Bruce Williams, dVM
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