Date: 2010-07-08 06:55:10 UTC
Subject: [ferrethealth] adenoma on/in prepuce
noodle is a marshall's boy; about age 3 (was a rescue, so, that's best guesstimate).
he's been diagnosed with an adenoma on/in the prepuce.
initially, there was a lot of inflamation and dark blue/black discoloration as well as some bit of pus. he was treated with clavamox for the usual 10 days and the pus cleared out as did most of the discoloration and inflamation. he still has some, though. he doesn't seem to be having issue with urination - although, he could probably put a bit more than he has been (he's a raw eater, so, actual water intake isn't as high as it was when he was a kibblekruncher and i don't see much other than a slight difference when comparing to what the others are doing). he has not exhibited anything to indicate he's having any trouble going, either. in general, his health is good. in fact, he gained a bit from the last visit a couple weeks ago.
the vet wants to do surgery to remove the adenoma. she will, of course, test what is removed to see what it is (benign/malignant). at this point, she's not talking anything other than a basic tumor that should be easy to remove with no lasting effects (she didn't bring up the possibility of malignancy at all).
i searched here for info and really didn't find much. what i did find is years and years old.
in 2002 pat posted asking for info about prepucial adenocarcinoma and
dr murray commented that these things, when malignant, are not related to adrenal disease at all. http://ferrethealth.org/archive/YG12792 dr heller also responded with the comment that she hasn't seen good results with this surgery for this condition (malignant).
lisa leidig responded to that post, by pat, and another one, by megan, with a link to an article by her vet with regard to the malignant type. here's one of the to megan: http://ferrethealth.org/archive/SG2736
the link is not good at this point. i'd love to read that article, too!
pat also made an additional post and commented that she already knew the tumor was malignant and that she was going to due ultrasound to see if it had metastasized before doing surgery. it had, so, she didn't.
another person posted a response about questions about a 'blue belly' and specifically called it 'apocrine tumors'. i googled that and found this article by dr murray http://www.smallanimalchannel.com/media/ferrets/ferret-health/tumors-in-ferrets.aspx.pdf
so, my questions are: how likely is this to be malignant? if it very likely to be (say 65% or more), would it be advisable to do ultrasound first and/or do an aspirate (if that's even possible with these) before putting noodle through full-blown surgery (since he's not, at this point, having issue with urination)? is the 'blue' coloration any kind of indicator as to whether this is malignant or not?
i posted some pics under 'adenoma on/in prepuce, noodle'
thanks for any feedback!
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