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photograph of ChimeMEET SOME OF OUR PATIENTS: “Chime"

Anyone with an allergy to cat hair, or a fear of cats, would be well advised not to visit Chime’s house. This large black ¾ Persian cross, (without the flat face) shares his home with a Norwegian Forest Cat and a Ragdoll, two of the largest, hairiest breeds around. (see row of bottoms below!) All three are kept immaculately groomed and regularly bathed (yes, it can be done if you start early enough) until their coats shine with good health.

photograph of Chime and friends tucking into foodApart from visits to the clinic for booster vaccinations, Chime was a very infrequent patient (not that we didn’t enjoy his visits) but one day, his attentive owner noticed a swelling on his right foreleg. All cats have a firm “knobble” about 1cm above the stopper pad on the foreleg (the pad a short distance from the main pad at the back of the leg) which is normal anatomy, and at first, when the owner described the swelling to us, it sounded like it was this she was noticing. However, when Chime came in for his booster and health check, we realised that this wasn’t normal anatomy but was some form of tumour. The word “tumour” may make you immediately think of cancer, but the word is used to describe any abnormal swelling of tissue in which the cells grow quicker than normal. In fact many tumours are benign and, if removed completely, will not grow again. The vet thought it may be a cyst, a harmless fluid filled mass, but when a needle was popped into the tissue it was found that the tumour was solid. It wasn’t painful, or causing any problems to Chime, but it was decided that it would be better to remove it before it grew too large. It was also advisable because at that stage we didn't know exactly what sort of tumour we were dealing with. Accordingly, the theatre was booked a few days later for surgical excision.

Chime was anaesthetised and the area over and around the lump shaved and prepared for surgery. He had had a bath just a few days before and so the bald patch on his leg contrasted quite markedly with the rest of his glorious coat. The surgery went very well indeed; some lumps can be very difficult to remove entirely, either due to them being very well attached to the underlying tissue or to them being quite extensive and it being difficult to find the tumour edges properly. However, Chime’s lump was quite small, not attached to any other structures and well demarcated (it had defined edges making it easy for the surgeon to cut away the entire lump). It was popped into a small container of formalin ( a tissue preservative) and sent away to a laboratory for analysis.

photograph of Chime and friendsChime made a very quick and uneventful recovery, and was collected by his relieved owner later the same day. The analysis of a tumour under the microscope (histopathology) can tell us several things. The most obvious thing is if it is malignant or benign, what other tissues are involved, i.e. is it just skin cells, muscle cells or, if inside the cat, what organ is involved, and, if the whole lump has been sent away, to check that there hasn’t been any bits left behind. The wait for the results (usually 5 - 7 days) is as nerve-wracking for the owner as the actual operation.

If the tumour proved to be cancerous, there would be the worry about spread (metastases) to other parts of the body. Luckily for Chime, he had no idea about any of the implications, all he knew was that he felt absolutely fine one day, the next he had a bald leg and some subcutaneous (just under the surface of the skin) sutures in it! Just 3 days later came the result: the lump was a Basal Cell Epithelioma - a non-malignant tumour of the skin cells. The report also told us that the vet had removed the whole thing and so there should be no recurrence at the site.

The histopathology was vital to reassure us about the nature of the mass- without it we could have worried about the possibility of a cancer. Although we can have some hunches about the type of tumour we might be dealing with, histopathology provides a more accurate diagnosis and prognosis and, although relatively expensive, is a very useful service in the veterinary world. Fortunately, Chime’s tumour wasn’t life-threatening and so he can return to his feline family minus nothing more than a few square inches of silky hair.

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