Canine and Feline Geriatric Oncology

Canine and Feline Geriatric Oncology: Honoring the Human-Animal Bond, Second Edition provides a complete clinical approach to the most common neoplasias in geriatric dogs and cats. Provides the tools needed to diagnose and treat aging pets with cancer and to help clients make the best decisions for themselves and their animals Addresses the "what-ifs" that often arise during interactions with clients of aging pets with cancer and helps to determine when a pet should enter the hospice phase Features many vignettes and real-life case studies to demonstrate the issues faced by clinicians and owners dealing with older dogs and cats with cancer and end-of-life issues Fully updated and expanded with new and revised information, including new knowledge on palliative and hospice care and self-care techniques for carers

Foreword ix Preface xiii Acknowledgements xv Introduction xix Part One Chapter 1 Molecular Biology of Cancer and Aging 3 Chapter 2 Caring for Geriatric Cancer Patients: The Concept of Pawspice and What Is Needed Aside from Medical Care 29 Part Two Chapter 3 The Warning Signs of Cancer in Geriatric Pets 53 Chapter 4 Basic Types of Cancer and Their Biological Behavior 101 Chapter 5 Generating the Diagnosis and Prognosis of Cancer in Geriatric Pets 117 Part Three Chapter 6 Treating Cancer in Geriatric Pets 153 Principles and Philosophic Perspective for Treating Geriatric Cancer Patients 153 The Role of Surgery in Cancer Management and “When is It Too Much Surgery” 162 Chemotherapy in the Management of Geriatric Cancer 171 Adverse Effects of Cancer Therapy in Geriatric Pets 188 The Role of Radiation Therapy in Cancer Management 208 Immunotherapy, Cancer Vaccines, and Gene Therapy 216 Chemoprevention and Immunonutrition for Cancer Patients 223 Integrative and Alternative Medicine 234 Electrochemotherapy (ECT)/Electroporation (EP) 239 Metronomic Chemotherapy in Dogs 246 Chapter 7 Pain Control for the Geriatric Cancer Patient 265 Chapter 8 Decision Making with Advanced and Recurrent Cancer in the Geriatric Patient 301 Chapter 9 When and How to Decide That a Geriatric Cancer Patient Is Terminal 345 Chapter 10 Palliative Care: End of Life “Pawspice” Care 367 Chapter 11 Euthanasia for the Geriatric Cancer Patient 399 Chapter 12 The Veterinary Professional/Client Relationship: Supporting Your Clients – Supporting Yourselves 419 Chapter 13 Professional Support: The Well-Being of the Veterinarian and the Team 443 Appendix 1 Specific Tumor Protocols 451 Appendix 2 Handouts for Clients 465 Appendix 3 Canine and Feline Anatomy 477 Index 485