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Ask Dr. Michael Salkin Your Own Question
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog
Satisfied Customers: 28566
Experience:  University of California at Davis graduate veterinarian with 45 years of experience.
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My boxer cross went annual check up only to be told all his

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My boxer cross went for his annual check up only to be told all his lymph glands were swollen. Vet did a needle biosopsy came back with no cancer. However it's a long story glands still the same after antibiotics. He's
Submitted: 1 year ago.
Category: Dog
Customer: replied 1 year ago.
He's 8 and a half with arthritis so chemo would never be an option. Could there be any reason why glands swollen
Expert:  Dr. Michael Salkin replied 1 year ago.
You're speaking to Dr. Michael Salkin. Welcome to JustAnswer.
Customer: replied 1 year ago.
Hi
Customer: replied 1 year ago.
Hello are you there
Expert:  Dr. Michael Salkin replied 1 year ago.
Lymphadenopathy (swollen lymph nodes) in an 8.5 year old boxer or boxer X should be considered to represent lymphoma until proven otherwise. It's not unusual for a needle aspirate to miss the focus of neoplasia within a lymph node. A full biopsy might be necessary to spot the cancer. We also can see swollen lymph nodes with systemic infections - particularly tick-borne diseases and mycoses (fungal infections) and well as systemic inflammation as seen secondary to abscessation, wounds, and dermatitis. Lymphoma is the most common etiology and systemic mastocytosis and multiple myeloma are additional differential diagnoses of importance. Please respond with further questions or concerns if you wish.
Customer: replied 1 year ago.
He's had antibiotics but still the same. This is about a month on now he's obviously getting old has arthritis but he's still healthy eating and drinking. I know a full biopsy is the only way to really know but could it be anything else
Expert:  Dr. Michael Salkin replied 1 year ago.
The antibiotic would need to be doxycycline if I wanted to see if a tick-borne infection (Lyme, Ehrlichiosis, anaplasmosis) were present. Response to that antibiotic would be quite prompt - usually within a few days. Yes, as mentioned above a systemic fungal infection or another cancer such as mastocytosis or multiple myeloma should be considered. Please continue our conversation if you wish.
Customer: replied 1 year ago.
Ok thanks. I'm guessing the worse. He's definely hasn't an infection. So can you tell me what to expect as he looks so well old but well.
Expert:  Dr. Michael Salkin replied 1 year ago.
Lymphoma will eventually cause a quick decline - normally within 30 days of the initial clinical signs. Anorexia and cachexia (wasting) are common but any symptoms would be predicated upon where in the body the lymphoma is present. In other words, if found in the chest, dyspnea and tachypnea (difficult and rapid breathing) might be seen. If found in the abdomen, fluid might collect in the abdomen and gastrointestinal signs - vomiting and/or diarrhea - might predominate. Please continue our conversation if you wish.
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Expert:  Dr. Michael Salkin replied 1 year ago.
Thank you for your kind accept. I appreciate it. I can't set a follow-up in this venue so please return to our conversation - even after rating - with an update at your convenience.

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