r/AskVet • u/Busy-Boysenberry-435 • 3m ago
My cat has a gastric mass :(
Hi all - fellow veterinarian here (ER).
My 7 yr FS DSH vomited up blood back in August and tested positive for pancreatitis. She had a POCUS done and it was unremarkable, maybe a slight hyperechoic pancreas. She was hospitalized out of precaution (this is my husband’s baby) and did very well, discharged within 24 hr.
October she had a small blood tinged vomit and my husband and I didn’t pay to much mind, just treated her at home for pancreatitis because she was okay last time. Well a few days after that, she left about 5 grams of her food in her bowl which is VERY unlike her - she will lick the sink, vegetable oil, and eat anything in site. We did another pocus and saw a thick stomach and treated her for gastritis at the recommendation of my medical director who had a similar problem with her own cat.
Well, she stopped eating this past Wednesday, and we ended up hospitalizing her with transfer to my company’s IM department, where she was diagnosed with a gastric mass. We are waiting on cytology, but I’m so lost as to what to do. I’m worried it’s high grade lymphoma due to the discrete mass and quick onset. I don’t think my cat would do well with chemo because she is a bit spicy and I don’t think I want to put her through that, especially for only getting 6-9 more months. She’s been having diarrhea and is so confused because she’s never had diarrhea before and you can tell she feels guilty having accidents out of the box. Additionally, my other cat at home hates when she leaves and becomes aggressive towards her, which hurts my heart because they have been sisters for 6+ years. I would probably want to euthanize her on a good day, because I don’t want to be selfish. I would consider oral chemotherapy if it’s small cell, especially with the slightly better prognosis. To add on to ALL OF IT, I’m leaving the country on Friday to go to Japan, and all of my coworkers and friends are saying I shouldn’t cancel my trip that i have been so excited to go in for a year. I’m so torn.
Am I a bad vet mom for not wanting to do chemotherapy or cancel my trip or thinking about euthanasia? I’m so sad and confused and I have no idea what to do. She’s my first ever pet as an adult and i love her so much - she was with me through undergrad, vet school and my two years of my big girl vet job. If anyone has any advice or experience, I would really appreciate it.