You Want To Do WHAT With My Spleen?
Written
by: Dr. Lisa Peterson
Over the last few months
I have had the pleasure of working with many wonderful furry
family members. Two special Golden Retrievers had very similar
experiences in my care. Maggie is a 9-year old, spayed female
Golden and is part of the Bill and Jore Dreyer family. The Joe
and Jennifer Bartolotta family have Bubba, an 8-year old male
neutered Golden. While these two dogs have likely never met,
they have something unusual in common: I have removed both of
their spleens. Removed their spleen you ask? Don’t they need
that? Surprisingly neither Maggie, nor Bubba are missing their
spleen will continue to live full active lives.
The spleen is part of the immune system. Its
main functions are to produce, filter and store blood. This
organ is located in the front part of the abdominal cavity on
the left side, nestled next to the stomach. The three major
situations that a veterinarian would deal with the spleen are
injury, (i.e. hit by car), twisted blood supply (in conjunction
with a twisted stomach) and masses on the spleen.
There are two major categories of splenic
masses; benign and malignant. Benign masses are ones that will
not spread disease to the rest of the body like a malignant
mass. Unfortunately, there is no way to definitively tell if a
splenic mass is benign or malignant without removing the entire
spleen and having it analyzed at the lab.
Maggie and Bubba’s stories start quite
similarly. They each were vomiting and both were evaluated by
abdominal ultrasound at the Wisconsin Veterinary
Referral
Center
in Waukesha
by a veterinary radiologist as part of the medical work-up to
figure out the reason for the vomiting. While each dog’s
vomiting resolved, a mass was found on their spleens. The
decision on how to proceed with each dog was made after long
discussions between me and the owners. The benefits of surgical
removal of the spleen are potentially removing a serious cancer
before it has a chance to spread and/or preventing the future
rupture of the mass which can be potentially life threatening.
The negatives of surgery are the inherent risks of major
abdominal surgery, and the potential that the dog might never
experience any major health problems due to its splenic mass
(depending on what the mass actually is) and thus could have
avoided surgery.
The disease that was looming over both Maggie
and Bubba’s heads was hemangiosarcoma. This is a devastating
malignant cancer of the spleen that is very common in large
breed dogs, especially golden retrievers. Often times, I am only
able to diagnose hemangiosarcoma when it is too late. The owners
will have noticed their dogs have been feeling bad on and off
for a few days, to weeks. The patients may come in after
collapsing. By this time the splenic mass has ruptured and the
prognosis is grave. We usually humanely euthanize these pets the
same day they are diagnosed.
Maggie and Bubba’s families each discussed the
pros and cons of surgery with their families. Each family came
to the conclusion that they would like me to remove their dog’s
spleen. Both patients did very well for the surgery. It is a
major abdominal surgery, but our team at New Berlin Animal
Hospital did everything we
could to make sure they both did well during the surgery and
recovery. Five days after each dog’s surgery I was able to call
the family with great news; their dogs did NOT have cancer!
Neither family will have to worry if their dog’s spleen will
cause their beloved family member grave health concerns, and are
thoroughly pleased with their decision.
Maggie now has a new little “sister”, a
precious golden retriever puppy named Kaycee. Bubba is back to
playing with his three golden retriever “siblings”, Stella,
Sophie and Rufus. Luckily, dogs can live completely normal lives
without their spleens. Their bodies have additional mechanisms
that can mimic many of the duties of the spleen. They won’t even
know its missing! The story of these two fabulous dogs are just
one reason why being a veterinarian is the best job!
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