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Featuring Demian Dressler, DVM and Sue Ettinger, DVM, Dip. ACVIM (Oncology), authors of The Dog Cancer Survival Guide

Articles by Dog Cancer Vet Team

Maximum Tolerated Dose Definition

Maximum Tolerated Dose: In conventional treatment, this phrase is used to describe the highest dose of chemotherapy that can be given without the patient’s having unacceptable, severe side effects or dying from the treatment. The higher the chemotherapy dose is the more cancer cells are killed; therefore, the aim of chemotherapy is to give as…

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Measurable Disease Definition

Measurable Disease: This refers to a tumor that can be measured for size with calipers or imaging techniques; also called macroscopic disease. You can see these tumors with the eye, unlike microscopic tumors, which are too small to see without magnification.

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Metronomic Chemotherapy Definition

Metronomic Chemotherapy: A relatively new approach to chemotherapy, which doesn’t attempt to kill cancer cells directly (like maximum tolerated dose does), but instead attempts to cut them off from their supply of oxygen and nutrition. Low doses of drugs are given on a regular basis to target the lining of the blood vessels feeding the…

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Natural Definition

Natural: This indicates not synthetic: originating from a source found in nature. While many guardians have a bias towards using natural substances in cancer treatments, it is important to remember that not all natural substances are safe. There are naturally occurring deadly poisons in mushrooms, a form of cyanide in peach pits, and toxins in…

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Normal Life Expectancy Definition

Normal Life Expectancy: The general expectation for a given dog’s natural lifespan, this number is based on the breed and/or weight of the dog. In general, small dogs live longer than big dogs. Taking exceptions into account, knowing your dog’s general life expectancy can be helpful when making treatment plans.

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Oncologist Definition

Oncologist: A veterinary oncologist is a veterinarian who has completed additional specialized training in conventional oncology. A general medicine and surgery internship is required, plus a residency in their chosen focus: chemotherapy (oncologist), surgery (surgical oncologist), or radiation (radiation oncologist). Once the internship and residency are complete – which can take three to five years…

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Oncology Definition

Oncology: Oncology literally means “the study of cancer.” This word is commonly used to describe the conventional veterinary approach to cancer care. Three primary treatment tools are used: surgery, chemotherapy and radiation. Other possible tools include some nutritional support and more recently, genetic therapy and immunotherapy. While oncology has some success with certain kinds of…

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Primary Health Advocate Definition

Primary Health Advocate: In Full Spectrum cancer care, I urge every guardian to take this leadership role (discussed on page 254 of The Dog Cancer Survival Guide). I do this because we do not yet have a cure for systemic cancer, and vets and oncologists are usually unable to provide a treatment recommendation that will…

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Initiation Definition

Initiation: According to the genetic mutation theory of cancer, initiation is the first stage of cancer development. In this stage, a cell’s DNA is damaged beyond repair, often including the DNA involved with apoptosis (natural cell death).

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Pain Definition

Pain: During cancer and/or cancer treatments, pain can have several sources, including tumors pressing on organs or tissues such as bones and nerves, tissues stretched beyond their normal lengths, blocking of circulation, inflammation resulting from cancers, and surgical incision healing. A dog in pain may isolate himself, seem apathetic, or limit his movement. Some dogs…

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Touch Therapies Definition

Touch Therapies: Touch therapies include massage, Reiki, T-Touch, and other energy healing modalities that involve hands-on, physical contact with the patient. Memorial Sloan-Kettering Cancer Center in New York City has integrated several touch therapies into their standard menu of cancer treatments because their research shows that touch therapies may help with outcomes like pain reduction,…

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Immune System Definition

Immune System: The body’s defense against external microbes and viruses, and also the body’s “cleanup crew” for deranged and mutated cells. Incredibly complex, it can be strengthened or weakened by nutrition, emotional states, sleep (or lack of it) and stress. A strong immune system deploys cancer-fighting cells to destroy cancer, but if cancer overwhelms the…

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Progression Definition

Progression: The final stage in cancer development (after promotion), when cancer cells have multiplied to become full-fledged cancers and can now divide uncontrollably, invade normal tissues, and may metastasize.

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Promotion Definition

Promotion: This is the second stage in cancer development (after initiation and before progression). If the immune system is unable to dispose of damaged cells, and if apoptosis genes fail to induce cell suicide, damaged cells persist. They also begin to grow and replicate, forming tumors or cancers.

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Pyschoimmunoneurology Definition

Pyschoimmunoneurology: This field of study examines the complex connections between mental function (stress, depression, anger, happiness) and body function and disease. It brings together the fields of endocrinology, psychology, immunology and physiology to elucidate how the body interacts with itself and its environment. In short, this is the scientific study of a facet of the…

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Rescue Protocol Definition

Rescue Protocol: If a dog has gone into remission, but then has a relapse, another course of treatment may induce a second remission. That second treatment is called a rescue protocol.

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Micrometastasis Definition

Micrometastasis: This is the spread of very small numbers of cancer cells to distant sites through the circulatory system. Micrometastasis is usually undetectable (or undetectable with our current diagnostic tools), due to the small numbers of cells that have spread when the diagnostic tool is applied.

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MRI Definition

MRI: MRI stands for magnetic resonance imaging, which is an imaging technique that uses powerful magnets to generate electromagnetic fields. These fields pick up information in the body and broadcast it to a radio antenna. The resulting image is a series of “slices” much like what is seen in a CT scan, with much more…

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Staging Definition

Staging: Staging is the evaluation of a cancer to determine how far it has spread or metastasized. Diagnostic tests used to stage cancer may include lymph node aspirates, lymph node biopsies, chest X-rays, abdominal ultrasounds, CT or MRI scans, and occasionally bone marrow or internal organ aspirates and/or biopsies. Generally, the lower the stage number…

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Supplement Hierarchy Definition

Supplement Hierarchy: Many supplements are discussed in this book, and some guardians ask which are most important. For this reason, I created a hierarchy that lists supplements in their order of importance. Starting with the supplements at the top of the hierarchy and adding others as time, budget, and the dog’s preference or tolerance will…

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Radiation Therapy Definition

Radiation Therapy: Radiation therapy is a conventional medical treatment that sends high-energy particles, usually photons or electrons, into tumors. These particles interact with the atoms in the DNA of the cancer cells and destroy them. This, in turn, destroys the cancer cells. Radiation also kills cells by increasing the amount of harmful free radicals within…

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Palliative Definition

Palliative: A palliative treatment is one that alleviates symptoms associated with the illness. It improves the quality of life, but does not extend survival time or cure the illness. A familiar example is the use of painkillers, which do not treat the cancer, but do help to reduce discomfort. Another example is palliative radiation therapy,…

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Surgery Definition

Surgery: Surgery is a conventional treatment that removes tumors by cutting them out of the body. While the ideal goal is complete removal, this is not always possible. In these cases, palliative surgery may be recommended: removing some, but not all, of the tumor (also known as debulking). Surgery is generally done under anesthesia, and…

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X-ray Definition

X-rays: X-rays are a form of electromagnetic energy, which can be used to take images of the interior of the body by projecting them onto a film sensitive to their wavelength. Because X-rays are flat, two-dimensional films and the body is three-dimensional, the area being imaged is usually X-rayed from two 90˚ angles. These two…

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Gained Life Expectancy Definition

Gained Life Expectancy: How long do we expect a dog to live if he does not get treatment for his cancer? How long do we expect him to live if he does? The difference between those two numbers is the “gained life expectancy” of that treatment. For example, if we expect that a dog has…

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Treatment Plan Analysis Definition

Treatment Plan Analysis: At this point, there is no cure for systemic cancer, so there is no “one right plan” for cancer treatments (the right plan would be the one that cured the cancer). Treatment plan analysis is the process of looking at all of the available treatments for your dog’s cancer and making a…

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Quality of Life Definition

Quality of Life: How enjoyable is life for your dog? Sometimes cancer treatments may extend longevity, but also increase the number of side effects a dog experiences. If side effects can’t be managed or become too severe, life quality may go down. On the other hand, life quality can also be deliberately increased. Paying attention…

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Full Spectrum Definition

Full Spectrum: This is Dr. Dressler’s phrase to describe an unbiased, results-oriented, strategic approach to cancer care. The goal is to optimize life quality and increase longevity. As a Full Spectrum vet, Dr. Dressler considers and treats all aspects of cancer, including diet, lifestyle, and the psychological well-being of both the patient and the guardian.…

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