My Dog Has Osteosarcoma: Should I Allow Amputation?

by Dr. Demian Dressler · 206 comments

dog cancer OsteosarcomaHi Everyone.

Osteosarcoma is a common cancer in the dog.  Most of the time it occurs on the long bones of the legs in large breed dogs.  And most of the time a veterinarian or veterinary oncologist will recommend amputation of the affected leg.

You will likely have some strong feelings about it, as one who loves a living, breathing being facing the removal of a limb.

This is a heavy duty question.  Since it has a lot of emotional charge for those interested in preventing pain and suffering, it can be a hard choice.  The choice warrants careful contemplation to make sure you are able to cope with the situation.

At least two factors should be  considered. The first is life quantity, which is also life expectancy.  The second is life quality, which of course is how good  life is.

Let’s look at life quantity first, or life expectancy.

First, get an idea of the average life expectancy of your dog.  Be careful with this.  These numbers are just averages, just like they are for people.  There is an excellent review of dog life expectancy  here.

Once you have ascertained what a dog’s potential life expectancy is, you need to weigh how much more time are we looking at for your dog.  Your vet can help with this by discussing the impact of your pet’s individual health problems.

We want to see whether, at the time of diagnosis, your dog has already reached the expected life length for most dogs like yours.

If your dog is close to what one would expect for average life length, the motivation or payoff for the surgery should be considered carefully. If your dog is not yet there, one might consider going ahead with the surgery.

It should be noted that most dogs with this kind of cancer do not survive beyond a year, with amputation alone (read more here).

However, this does not mean that your dog will pass away within a year, as you have access to continued treatment from your vet, oncologist, and the information contained here.  There will be more in upcoming publications being edited right now.

For the time being, I will point out that some clients have had benefit with modification of diet, lifestyle, life quality boosting and addition of supplements or comfort care medications.  Common examples of these can be found in The Dog Cancer Survival Guide, but I feel that the supplement I use has helped some dogs under my care (of course I am biased in this since I was the one that put Apocaps together).

One last intangible is your particular dog’s personality.  Some dogs just have this will to live, and sometimes one can perceive this pretty clearly.  They just want to keep going.  They are driven.  This will to live, a tenacity, boosts lifespans.   Remember to consider this factor too.

That’s life quantity.

This is the first step. Next we look at life quality on three legs.  We will look a little at the surgery itself, some issues that affect life quality on three legs, and more.

I will post more on this issue in the next entry.

Regards,

Dr Dressler

About the Author: Dr. Demian Dressler


Dr. Demian Dressler, DVM is known as the "dog cancer vet" and is author of Dog Cancer Survival Guide: Full Spectrum Treatments to Optimize Your Dog's Life Quality and Longevity. Visit his blog and sign up free to get the latest information about canine cancer. Go to http://DogCancerBlog.com.  

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{ 206 comments… read them below or add one }

Monique March 10, 2012 at 2:02 pm

My Great Dane is about 7.5yrs and is 160lbs. With the cancer in her back paw we can no way remove her leg since she isn’t the type of dog that can walk on 3 legs. We she was first diagnosed she could barely walk. It was so aggressive to start. The lump went from a pea to an egg size in a couple of weeks and it was in her chest when we took the X-rays. We thought she had a sprain toe when we brought her in since she was running around two days earlier. They didn’t think she would make it more then a couple of weeks. They put her on an anti-inflammatory and she is like a new puppy. Rough playing with the other dog and doing wonderful. That was three months ago. I’m so glad we didn’t do the treatment in our circumstance since she is truly enjoying her life playing, we did it different we would have 6 month recovery with the surgery trying to walk on 3 legs and chemo. She would be in much more pain. I think everyone has a different outlook on what is best for their dog. She loves to travel in the RV and just came back from another trip, loving her life. We are lucky for every good day she has. She is an amazing dog that someone left in the shelter for us to find.

Dr. Demian Dressler March 16, 2012 at 12:53 pm

Dear Shell
I am sorry to hear about this.
Once month is a long time for a dog to have a cancer. Cancer in dogs can and does kill them, make no mistake, and I would encourage you to act quickly and take action if you are going to. These cancers spread internally without you being able to tell as most dogs appear healthy (“act fine”) and then they don’t. There are steps to take after the procedure to help with remaining cancer cells in the body. I would educate yourself on the statistics concerning your dog’s cancer with surgery, with chemo, and with any other steps the vet or oncologist brings up. The treatment plan analysis section of the Guide will help you-you should read it. Here is a short version:
http://www.dogcancerblog.com/what-is-treatment-plan-analysis/
Best,
Dr D

Jacqui March 17, 2012 at 8:50 pm

My 10 year old great dane was put down today. She got excited about going for a ride, did a hell mary off my landing, and broke her leg. Ran her into the vets and come to find out she had bone cancer (which is incidentally why the bone broke). They gave me 4 options…1 I could put her in surgery and have the bone pinned, but though the healing the cancer would spread to her lungs and they gave her 4-6 months…2 fix her leg and put her in kemo, causing her much pain and unneccesary suffering for best esimate a year, 3 amputate the leg and hope the other one didnt have cancer (since one was broken they didnt want her to lay on that side to xray the other) along with her being able to support herself on 3 legs (she could stand on 3, but because of her size she couldnt get up from sitting or lying positions)…and the 4th…put her to sleep. We opted for the humane choice and put her to sleep. At 10 years young she took her last breath today at 3:52pm today and fell into the deep sleep. Hope to see her again when my journey here is over…untill then may she forever rest well.

Linda Johnson April 6, 2012 at 10:06 am

Hi my lovely 11 year old baby girl rottweiler Chelsea has just been diagnosed with osteosarcoma and im so gutted, she had a fall I thought it was sprained slept downstairs with her that night but still no better next day so took her to vets for x ray and was diagnosed with it, now she on tramadol and cant walk she looks sad, I am just spoling her with chicken and will put her to sleep on Tues and will be there to hold het when we say goodbye, she was a loyal friend tome and I will be a loyal friend to her but will miss her always xx goodnight Chelsea xx love you with all my heart xxx

Netti April 26, 2012 at 10:18 am

My greyhound was 6 when he was diagnosed
With osteosarcoma. Options were amputation with 3 month prognosis, amputation
With chemotherapy for 6-12 month prognosis or euthanasia. He had amputation and 2 out of the 5 rounds if chemotherapy. (we couldn’t afford more) and he’s still here 5 yrs later. We took him off kibble for a while, cooked for him, we have him a few bottles worth of artimism. Then we basically forgot about him ever being sick and let him live his life. He still ran and gets around ok on 3 legs.

Dr. Demian Dressler May 9, 2012 at 4:33 pm

:) That is the best outcome possible, Netti!
Dr D

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