Discovering your senior dog has cancer is always heartbreaking — even more so when you realize it’s an aggressive type like a hemangiosarcoma in dogs. Who better to lean into when wrestling with this diagnosis than a veterinarian who has walked in your shoes. Dr. Julie Buzby, integrative veterinarian and founder of Dr. Buzby’s ToeGrips®, welcomes friend and fellow veterinarian, Dr. Erica Irish, to share her story of loving her senior dog through a canine hemangiosarcoma diagnosis.
Lulu was a special little lady, a 10-year-old black Labrador Retriever. She was what I would call my “heart dog” — a dog with whom your connection is so special and strong that it forever leaves an imprint on your heart.
I adopted Lulu when she was only a year old. I had never owned a Labrador Retriever before, and I was so nervous. “They’re way too active,” I thought to myself. “I don’t think I can keep up with one!”
After adopting Lulu, I realized I was completely wrong. I am 100% a Lab person. In fact, I don’t think I could go through life without one.
Lulu was always game for any activity whether a walk to the dog park, a game of fetch, or a trip to the kitchen for a snack. She slept at the foot of my bed every night, was always in a good mood, and was by far the most well-behaved of all my dogs.
Although Lulu was a healthy and lively girl, I knew from vet school that hemangiosacromas were common in Labrador Retrievers. In fact, there were days when I would come across information about hemangiosarcomas in dogs and immediately think of Lulu.
Wishfully, I’d look right into her eyes and say, “Don’t you dare even think about getting one of those!”
Lulu’s hemangiosarcoma diagnosis
On the evening of September 4, 2019, Lulu was eating her dinner just like she did every night. Suddenly she stopped half-way through her meal. Any Labrador Retriever owner will tell you this is highly unusual behavior!
She seemed to be okay as I patted her head and checked her for any obvious problems—she even gladly accepted one of her favorite treats. Unsure what was going on, I made a mental note to watch her closely for the next several days. Clarity would come way sooner than I expected.
The next morning, she didn’t want to eat anything. She was lethargic, sluggish, and tired. I had a sinking feeling that something serious was going on.
Since hemangiosarcoma in dogs causes blood loss and therefore, pale gums, I moved toward Lulu to check her gums. My heart dropped. Her gums were pale. I loaded Lulu into the car and took her to work with me that day, readying myself for whatever news the day would hold.
Little did I know, surgery to remove a bleeding hemangiosarcoma in her spleen was in the very near future.
What are hemangiosarcomas in dogs?
Hemangiosarcomas are malignant tumors originating in the blood vessels of a dog’s liver, heart, and spleen. While scientists don’t know what causes these tumors to form, they do know dog breeds like German Shepherds, Golden Retrievers, and Labrador Retrievers have a genetic predisposition to them.
Sadly, hemangiosarcomas are highly invasive and can quickly spread to other parts of the body. Hemangiosarcomas on the skin are also possible, but they have a significantly lower chance of moving elsewhere in the body (metastasizing) and rupturing.
What are the symptoms of a hemangiosarcoma in dogs?
A dog’s symptoms will depend on the affected organ and if the disease has expanded to other parts of the body. Hemangiosarcomas of the heart cause symptoms commonly associated with heart disease like coughing, weakness, lethargy, exercise intolerance, and difficulty breathing. These tumors can also cause your dog to collapse and, if the tumor ruptures inside the chest cavity, lead to sudden death.
Symptoms of a hemangiosarcoma in the liver or spleen tend to follow a similar path. They also have the potential to spontaneously rupture and bleed. If a rupture occurs, your dog may excessively pant, appear weak, refuse to eat, and possibly collapse. If not treated immediately, prolonged bleeding in the abdominal cavity will almost certainly lead to death.
How do you diagnosis and treat hemangiosarcoma in dogs?
Diagnosing hemangiosarcoma in dogs begins with a thorough physical exam by your veterinarian. If a tumor of the liver or spleen is large enough, your veterinarian may be able to feel it while palpating your dog’s abdomen. Your vet may suspect a cardiac tumor by listening to the heartbeat through the chest cavity.
An ultrasound is one of the best ways to confirm these kinds of tumors, but because hemangiosarcomas appear quickly, routine screenings for early detection are often cost-prohibitive. Other diagnostic tests may hint at the condition, but by themselves are inconclusive.
For example, blood work may indicate mild to severe anemia (low red blood cell count), and X-rays might show an abnormal heart, enlarged liver, or enlarged spleen, but that doesn’t automatically equal a cancer diagnosis. Additionally, some tumors are too small to recognize and go undetected until a dog presents with life-threatening symptoms.
Treatment for hemangiosarcoma in dogs
Dogs diagnosed with a tumor that is suspected to be a hemangiosarcoma have several treatment options. Your vet will be able to explain each option and provide realistic expectations to help you decide what is best for your dog.
1. Surgery
After a tumor is found, your vet may suggest surgery to remove the tumor, preferably before it ruptures. If the tumor is in the spleen, your vet will remove the entire spleen and submit it to a laboratory to reach a final diagnosis.
It is important to send the tumor to the laboratory because not all tumors are cancerous. Hemangiosarcoma in dog is a malignant (cancerous) tumor, but there’s always the chance the splenic enlargement is due to a benign tumor or process—which are “good” diagnoses.
It’s important to note that tumors on the liver and the heart are more difficult to remove surgically, as are hemangiosarcoma tumors that have spread to other body parts like the lungs, kidneys, brain, and spinal cord.
2. Chemotherapy
Chemotherapy is recommended in cases where surgery is not an option. Dogs with severe anemia will need blood transfusion(s), and all hemangiosarcoma patients need to avoid blood-thinning medications. Twice daily use of a unique herbal supplement known as Yunnan Baiyao may help prevent further bleeding.
Understanding “median survival time”
When determining the outcome for cancer in dogs, veterinarians look at the median survival time (MST). According to the National Cancer Institute, MST is the “length of time from either the date of diagnosis or the start of treatment for a disease, such as cancer, that half of the patients in a group of patients diagnosed with the disease are still alive.” In other words, MST represents how long patients (or our beloved dogs) survive with a disease after a certain treatment.
I’m sad to share that dogs with hemangiosarcoma who undergo both surgery and chemotherapy have a MST of six to nine months while those who undergo surgery alone have a MST of two months. Overall, only 29% of dogs diagnosed with hemangiosarcoma survive one year. How long a particular dog survives also depends in part on if their tumor had already metastasized (spread) at the time of diagnosis.
Lulu’s outcome
After running a few tests on Lulu that September day, I discovered she was actively bleeding in her abdominal cavity, increasing the odds of a hemangiosarcoma. Because she was severely anemic, surgery was extremely risky. Humane canine euthanasia would have been a loving and logical choice, but I chose surgery to give Lulu one last fighting chance.
A wonderful colleague started a blood transfusion for Lulu and performed her surgery. She found a large tumor on the spleen, the source of Lulu’s bleeding. At the time, we didn’t know if it was a hemangiosarcoma tumor, but because there were abnormal lesions on the liver also, the likelihood was the tumor was malignant — and the cancer had already spread. We submitted her spleen to the pathology lab for testing. A week later, the lab results confirmed her hemangiosarcoma.
Post-surgery, I chose to forego chemotherapy and focus on Lulu’s quality of life. Just like before, I gave her plenty of tasty treats, loads of attention, and gentle games of fetch with her almost every night.
Three weeks after surgery, over the course of several days, Lulu grew increasingly tired, lethargic, and uninterested in her food. My family and I knew it was time. We decided to say goodbye to our beloved dog.
Hemangiosarcoma in dogs
Hemangiosarcoma tumors are among the worst kinds of cancer in dogs. They are difficult to detect on wellness exams and may only become obvious when your dog is in an emergency situation. Hemangiosarcomas usually have a guarded to poor prognosis because they spread quickly or abruptly rupture without any trauma.
By sharing Lulu’s story, I hope you are now better equipped to recognize the signs and seek immediate medical treatment if you find yourself in a similar situation with your beloved canine companion.
While I do miss her dearly, I was happy Lulu could pass peacefully while my family said their goodbyes. She’s left nothing behind but treasured memories and tremendous love for all things Labrador.
Additional resources
If you’re making the difficult decision to say goodbye to your beloved dog, you may find comfort and answers in these resources:
Dr. Buzby’s complimentary ebook: Saying Goodbye to Your Dog: Counsel, Care & Comfort for the Journey
Preparing for your Dog’s euthanasia: 10 Thoughts for Peace
Grieving the Loss of a Dog After Euthanasia
Has a diagnosis of canine hemangiosarcoma touched your life?
Share your experience below. Our community is here to offer you comfort and support during this difficult time.
Trina says
As I am reading this we are currently going through this with our beloved Jack Russell mix. I know him so well and knew quickly something was off with him. Sunday morning he was just standing in the kitchen and then started moving slowly like he was tip toeing. It was like he knew something just happened. I tried calling him but he wouldn’t move my way. Odd behavior for him. My son picked him up and he winced a little. I felt his belly and it felt different so I looked at his gums to see if it showed anything. To my shock, his gums were white and his tongue was pale blue. I knew right away he was not well.
We took him to emergency and learned he was bleeding internally and needed emergency surgery. He had surgery later that day and the surgeon said he had a rupture on his liver and another very small bump that was biopsied. It seems we brought him in early but I am afraid of the diagnosis being hemangiosarcoma .
We have to wait now for his results but it sure appears to be what my worst fears are. Praying for a different outcome.
Thank you for sharing your story.
Dr. Julie Buzby says
Hi Trina,
What a scary and stressful few days you had. Great job realizing something was wrong, checking his gums, and getting him to the emergency vet quickly. I’m thankful that he came through the surgery safely and am hoping for good news for him! Please let us know what the results end up being. We are here to support you and your pup whatever the outcome ends up being. ❤️
Gine says
Two weeks ago, on a Saturday, Max, our Briard, a French shepherd, 11 years and 7 months old, had a walk in the morning with my husband. Max rolled in a meadow, chased a cat, barked at bicyclists.
At lunchtime, he begged for ham from our table. I told him “NO”, and he retreated under the table.
Then he got up, wobbly. His eyes were so strange! He could not walk properly. We brought him to a vet, the only one available on a Saturday, she gave him infusions, Those helped a little, he became more vivid.
We brought him home, and when he got out of the car, he could not walk anymore.
We drove him 100 km to a 24/7 animal clinic, they made x-rays. Found a very enlarged heart, spleen and liver looked critical
Ultrasonic showed lots of liquid in his heart, he got weaker by the moment.
His abdomen must have been filled with blood, too.
The vet doctor told us that Max had no chance to survive that night, recommended euthanasia.
That night, we said our final goo-byes to him, caressing him, I sang for him as evey night before bedtime. Then he got those deathbringing injections.
Final diagnosis after his death was hemangiosarcoma.
Julie Buzby DVM says
Dear Gine,
I am sorry for your loss of Max. I can only imagine how emotional that last day must have been, especially with everything happening so fast. I am glad you were with him as I’m sure your presence offered comfort and peace. May his memory live on and continue to be a blessing in your life. Thank you for being willing to share your story with us. Bless you. ♥
Barry says
I found this site really helpful over the past few weeks. Im so sorry for everyone who has lost a loved one. Thankyou for sharing your stories , its really helpful and useful. If your on here its because you love your animals and you have done right by them. Never look back at what may or may not have been. Its not helpful to anyone .
Our story started a few weeks ago, our 11.5 year old Lab Arty was a bit weird through the night and off his food in the morning. My wife wasnt convinced his tummy wasnt a bit full looking . His eye lids were pale. I trust my wifes views so off to the vet. They done an xray to check for a stick or something and ended up finding a mass potentially on his spleen or liver . We were so scared. We got reffered to the vet hospital in glasgow internal medicine and got bloods done , all were fine slightly elevated liver . But no anemia . Then a CT the next day .
On CT they confiirmed spleen mass which was large, plus a slightly enlarged lymph node. But no sign of bleeding or spread anywhere. Found a small lesion an adrenal gland , but were not really bothered about that. Said quite normal for a 11.5 year old dog.
We were told to prepare for the worst. But potentially a 50/50 shot at it being ok …..online you will read anything from 70-30 benign if not bleeding and incidental finding or larger masses to spleen weight ratios are favourable. You will rwad cavitated masses are bad , but then other studies show its not really an indicator.
Truth is there all different really and each is very individual. all can be quite conflicting. I think its good to be informed , but its important to have vets you know and trust if possible.
The surgeons then decided they would take it out the next day. As regardless of the outcome , its best to remove it , as if it ruptures , its a pretty bad way to end. The op went well , we kept him in for a few days to monitor his heart and pancreas , but all good. Came back on saturday morning with a mad appetite. He has also lost 2kg in weight, they commented there were some adhesions , which ment a previous bleed . Which made sense as he was off his food a few months ago. But fine the next day . They also took a lymph node and a sample from a scar on his intestines.
We were convinced it was malignant and were trying to prepare. Been in bits for the past week. Ive spent more time with Arty than i have with people over the past ten years. Sounds daft but he sorted our lifes out, got us active and healthy . So much to thank him for.
We were going to go down the chemo route after some research , maybe with some holisitic support. Turkey tail mushrooms seem promising.
A week later got the news .
All benign , a hemotoma with necrotic tissue. Were so happy and to be honest .it was un expected. Still in shock as i write this. Were fortunate to have really good insurance and great vets near us. We cant believe it. Were so lucky and grateful.
My heart goes out to everyone on here and thank you for sharing your stories. They have pretty much got me through the past week.
I have never considered spleen masses in dogs until two weeks ago . Now im pretty well informed about them. I hope more research gets done and new treatments . Il definetly try support with some fund raising if possible . Thanks again everyone ,
Julie Buzby DVM says
Hi Barry,
Goodness, you and Arty have been through so much over the past few weeks. I can only imagine the roller coaster of emotions you have experienced. What a blessing the pathology results were benign, and your boy received a favorable prognosis. Thank you for sharing your story with us. I am certain this will offer others hope as they face similar situations. Wishing Arty all the best and praying for many happy years ahead.
Kendra Carano says
It has taken me some time to write this. Partially because I have been busy the last few weeks but largely because it’s still very hard for me to come to grips with and at times still hard to process. In reading the blog back in late April and surfing through these comments, I have felt not only an immense sense of relief, but also the sense that I am not alone in my journey and experience. Reading the story regarding Starla was what compelled me to comment myself. Reading her owner’s story and how relatively close it was to my situation, in the sense of timing, Starla’s name and the age. My late dog, Stella, was a Minpin Doxie. I got her when I was 19 and she was with me for 10 amazing years. One can imagine how important she was to me. She helped me navigate my 20’s and some of those years were by no means easy. She was pretty much all I had. I am not married, no significant other, no kids, it has always just been me and Stella. In April of 2023, I closed on a house in Florida and even the year before that when I came down here to give it a test run for six months, Stella was with me through it all. The drives from RI to FL, FL to RI and everywhere in between, Stella was by my side. For a while, people would make comments about Stella saying she was a little bit, “chunky.” To me she was a healthy 10 lbs. I can remember shortly after coming home from a trip, one or two years ago, I can’t remember exactly, but Stella’s breathing pattern seemed different. At the time, it didn’t seem drastic, so I really didn’t think much of it, but as always, I took her to our local vet in RI. Everything seemed to check out fine, so we went on our merry way. Fast forward to March of 2023, I wanted to establish Stella with a vet down here in Florida seeing as I was closing on my new house. I took her to the local vet and again asked questions regarding her breathing and mentioned a coughing pattern I had noticed. The vet at the time gave us some antibiotics, thinking it could be a bout of pneumonia and told me to keep an eye on it and if things got worse to come back in. Overall, though, everything seemed to still be normal. Over time, it appeared that Stella between last year and this year was losing weight. The vet in Florida did bring it up at another visit and had mentioned to monitor her weight and that if she had continued to lose weight to bring her in. Part of me kicks myself because I think I was just being naïve or telling myself what I wanted to hear and in someways ignoring the continued weight loss. I say all that, to bring this to the story of what happened with Stella. On April 3rd, at the 6am hour, I could hear Stella was awake and it sounded like she needed a drink of water. Think of a person who has cottonmouth and what that sounds like and that’s the sound I could hear coming from her crate. I shot up out of bed initially thinking, “oh my God, did she get sick, is she ok?” etc. I went to her crate, and it appeared she had thrown up what looked like some of her food along with bile. I threw her stuff in the wash, took her outside to let her go to the bathroom and get a quick drink of water and then I grabbed one of the blankets from the couch, laid it on my bed next to me, put her on it, wrapped her up (she loved her blankets) and we both went to sleep until my alarm went off at 815. When I got up, I did my typical routine and Stella was awake but seemed lethargic. I kneeled to the side of my bed where she was and pretty much just put my head next to hers and she nuzzled up against me. Stella was the dog that never really wanted to cuddle unless it was on her terms, so I was of course soaking up this moment. At the same time though, it also occurred to me that she really wasn’t feeling well. We laid there for a moment and then I picked her up and we continued with our morning routine. As usual, she went to her normal spot on the couch on one of her blankets and she was just laying down. As I made breakfast, I tried giving her a piece of cheese, which is usually taken quickly from my hands, but at this point, she was snubbing it, and I could tell she wasn’t really into eating. I just attributed this to her maybe having an upset stomach and figured she would come around to eating later. I wasn’t going to call the vet. My initial thought process was giving it until tomorrow to see what she’s like. In times past when she’s thrown up, she typically comes around to food and water by the end of the day and again that’s just what I assumed would happen. I was trying to stay around her so I could keep an eye on her and didn’t really want to leave the house. I did have to run a couple errands including the market, figuring I could make her chicken and rice, so I did that. When I returned home, she was off the couch and greeted me, and I had noticed that she did a pee and poop on the pads I left out for her. These were all good signs to me. I was thinking, “hey, she is up walking around,” her pee and poop looked normal, and she was able to jump back onto the couch and again, lay back in her spot on the couch. With the little reassurance I had, I figured I would be good to go to the gym which I was initially going to skip so I could be home with her to make sure she was good but again I thought I had seen good signs of life in her. Whenever I returned home from the gym, I noticed that this time she had done another poop on one of her pads and this time it looked like it was a softer stool and somewhat darker in color. Again, I didn’t think much of it, and I figured I was home for the rest of the day so that I could keep an eye on her going forward. At this point, she was still looking pretty lethargic on the couch, and I did not see her up until that point, try to go for any food or water. I immediately called her vet (4pm) and luckily they were able to squeeze her in before the end of the day. On the drive there, I was looking at her in her seat and she just was not herself. When we showed up, they took her weight, they did a blood sample, gave her some fluids, something to help her appetite, and a few other things. The doctor also gave us some wet food that would be easy on her stomach. I was told once we got home to give her an hour and then try feeding her the food they gave me. When I returned home, I prepped her chicken and rice in a bowl with some of the wet food the vet gave us and prepared my dinner. Typically, she would’ve gone right to her bowl, but as I was eating my dinner, I noticed she still wasn’t moving from the couch. I went over to pick her up, put her in front of her bowl and for a minute, it looked like she was going to eat, but she didn’t. She ended up taking a small sip of water, walked away and while walking back to the couch, she looked like she was walking somewhat sideways. At this point, I was starting to get concerned a bit, so I told myself that I would finish my dinner and try to take her outside. My thought process was, maybe she would have to go to the bathroom, knowing that they had pumped her with some liquids. When I tried bringing her to my slider door to go outside, I noticed she was struggling to stand on her own, which I had never seen before. I put my hands around her for support and then slowly tried to move them away again to see what would happen and still it was like she was falling down and couldn’t stand on her own. At this point, I picked her up and brought her to her bed which I had on the living room floor. She just continued to lay down and at that point I made the decision to call the local animal hospital. When I talked to them over the phone, they had advised that I bring her in to be seen, so that’s what I did. Luckily, we were taken in right away and the girl who was doing her initial check-in took her weight and her temp. I could tell that when she took her temperature, she had a puzzling look and told me she was going to take the reading again. She was still getting the same reading that she had gotten that first time, so she mentioned she was going to talk to the doctor, but before she left the room, she basically looked at me and asked me if I’d mind if she took Stella with her because she didn’t look so great. Of course, I told her she could take Stella with her because at the end of the day, I just wanted to figure out what was going on with her. Shortly after, I could hear Stella walking down the hallway and she entered with the doctor. Typical Stella, she was looking up at me and clawing at my leg to pick her up, so I did, and she just laid in her blanket on my lap. At this point, I thought it was somewhat funny because here she is walking down the hallway and I had told them that she wasn’t able to stand on her own at the house. When the doctor came in, he mentioned she seemed well, but unless he did a blood panel, there was not much feedback he could give me. I allowed him to do another blood panel, so he took her back but no later than two minutes after, he came back to the room. He had mentioned he did half of the blood panel and was holding off on the second half, but that he wanted to let me know that while he was drawing blood, he did a quick ultrasound of her organs. He had mentioned that he saw free fluid in which he wanted my approval to test. At this point, I had my immediate family on the phone so they could help me understand and so they could listen in as well. The doctor’s concern, as he explained it to me, was if it’s clear fluids then it’s fine, but if it’s blood, then he had a pretty good idea of what it is and that he would have a high level of concern. At this point, this is when he explained to me what is known to be hemangiosarcoma. I gave him the approval to move forward and test the fluid in her abdomen. In the matter of maybe a few minutes, he came back into the room. He said he had good news and bad news. He stated the good news was her organs all seem to be functioning fine. He had mentioned that her red blood count was super low to the point of concern, but along with that he came back with a syringe full of blood. At this point, you can imagine my head was spinning. It was such a crazy moment in time for me because I was having a déjà vu moment and it was like every single word that was coming out of his mouth was something I had heard before, but in reality, I never actually did until then. I was in complete shock. Never in a million years did I think that day, that I would not go home with my sweet girl Stella. As the doctor laid out the options as clear as day for me, it’s almost like I couldn’t hear him because I knew in the back of my mind suffering was not an option for her. At this point, I was trying to come to terms with the fact that I was going to have to lay her to rest. He mentioned everything that was said in this blog from the surgery, to her chances of survival and how long they would be with chemo or without chemo, etc. Everything he stated was pretty much what was said in this blog to a T. The thought of knowing she would need a transfusion before surgery, during surgery, and probably after, was alarming to me. She had seemed to be losing blood at a very fast rate which made sense why her blood panel came back the way it did. At this point, Stella was just lying in my arms completely asleep, which was not normal for her in a vet setting. She was like that at the vet earlier in the day as well. As I continued to ask so many questions, along with my family on FaceTime, he was going through the ultrasound of her spleen with me and showing me some of the abnormalities he was seeing on the screen. He had made mention of a similar case that same week where a dog was in surgery and they made a call to the family, letting them know the outcome was not going to be good and that they had the option to put their dog down while he was already under anesthesia. He mentioned that the family agreed over the phone with him to have their dog laid to rest. In the whole time that he was telling me that story, I knew I could not let that be Stella. I could not confidently let her go through surgery knowing she had a 50% chance, maybe, making it out but also knowing what would be waiting for her on the other side, which would be chemo treatments or no chemo treatments, but still not a long life ahead of her either way. The biggest factor for me was I could never live with myself being in that families shoes, knowing my dog would be in mid surgery without me and then having to put her to rest and me not by her side. The options for Stella were really limited. The doctor had told me if I didn’t elect surgery that he highly recommended I euthanize my dog. At that point, I was in hysterics. I was in such disbelief. I had no time to prepare. I had run through pretty much every option with him. In fact, one of them was just taking her home for the night, one last time and monitoring her, but he had mentioned it was probably not something I would want to remember if it was as bad as they thought it was. At this point I had come to terms with the fact that laying my sweet girl to rest was the best option, even though it killed me to make that decision. Suffering just was never on the table for Stella, and I could never put her through all of that just so I could get a few extra months with her. I knew it would be no quality of life and my one promise to her, and I’d always say it, “you are going to live forever, but I will never make you suffer,” and in that moment I knew I had to keep that promise to her. That decision broke me, and it still does. I sit here writing this in complete tears. Stella was all I had. I have an amazing family, great friends and overall, a great support system, but anybody that knows me, knows that Stella was basically my child and everything I did, I always had her in mind. Because I was alone during this with only my family on FaceTime luckily, I called my best friend to come and meet me at the vet. The agreement was I would sit with her for a bit until the clock struck midnight because it had already been late in the night and once the clock turned to a new day, I’d lay her to rest. When my friend arrived, we watched the minutes count down and then I called in the doctor. Stella was able to go peacefully in my arms, wrapped in one of her favorite blankets in the early morning of April 4th, 2024. Although it really has not been long since I lost her, it feels like a lifetime. The one thing I struggle with the most is the unknown. How do I know for sure she had what the doctor said was hemangiosarcoma? What would’ve been her outcome if I did have her go through surgery? Why was I so naïve to her weight loss? Could I have done something to catch this earlier on? There are so many thoughts that run through my head. I will say that 99% of me knows I did the right thing, but it’s that 1% percent of lingering doubt. There is no price I wouldn’t have paid to keep Stella alive if I knew it meant quality of life for her. I want to say thank you for writing this blog, especially as a vet and as a pet owner who can personally relate. Reading this blog and knowing the knowledge and understanding you have as a vet, did help me come to terms a bit with my situation with Stella and helped me feel that the decision I made was the right one for her. Every day is a new day and I know this is not going to be an easy path to navigate. My 30th birthday is next month, and I always imagined she would be here with me. I’m grateful for the 10 years I had with her, they were certainly crucial years for me, and I know she knows that. I keep her spirit alive, and I still talk to her every day and tell her how much I love her. She’s by my side in her urn as I write this. Thank you for the work you do and for sharing your story. Thank you for also allowing us to share our stories, this was therapeutic in a lot of ways for me. To everyone in the comments, people going through this or people who may go through this, my thoughts are with you. Our pets are our family and words could never describe what they mean to us. Thank you!
Julie Buzby DVM says
Dear Kendra,
My heart goes out to you with your recent loss of Stella. It is clear she was dearly loved and a vital part of your life. You made the ultimate act of sacrifice and allowed your own heart to break so your girl didn’t have to suffer needlessly. Thank you for sharing your story with us and allowing us to know about Stella. I hope with time your heart will begin to heal and may her memory stay with you always and continue to be a blessing in your life. Wishing you strength and comfort as you face each new day.
shelby says
it’s as if you took the words directly out of my mouth. i can’t believe how similar everyone’s situations are and the love that we feel and the pain that it causes in our hearts to make a decision like this, especially as fast as it’s needed to be made. i feel so much peace knowing that i’m not alone in the way i’m feeling right now, after an almost identical series of events with my girl Kaya last Thursday. thank you so much for sharing your experience, and thank you to this original author of this post for giving us a way to have common ground in such a heart breaking experience. the unknown is absolutely tearing me up inside but you were exactly right, the quality of life would not have been there and in no way was i going to let my girl suffer after the light she’s been in my life from day 1. sending all the love to everyone who has lost a best friend to this, they’ll be waiting for us on the other side.
Julie Buzby DVM says
Dear Shelby,
My heart aches for you with your recent loss of Kaya. I am sorry you had to allow your own heart to break so you could spare your girl from unnecessary pain and suffering. It is clear she was dearly loved, and I am certain she knew how much she meant to you. As time passes, I hope the grief will fade and you will take comfort in knowing Kaya lived a happy life by your side. May her memory continue to be a blessing in your life. Wishing you peace.
Donna says
Two weeks ago my sweet 11 year old lab, Hunter, was diagnosed with subcutaneous hemangisarcoma.
He had a mass that was growing rapidly on the side of his chest/rib cage area. We aspirated it a couple of times and results were inconclusive. After doing ultrasound and CT scans, which showed no metastasis, he had surgery to remove the tumor. It was a subcuticular Hemangiosarcoma, within the deepest layer of his skin.
One year ago, Hunter had a splenectomy, which turned out to be a benign hematoma.. we were blessed and so fortunate that that was curative.
We are now faced with the decision to do chemotherapy with the HSA diagnosis or try a more holistic route to keep him comfortable and healthy. We met with one oncologist last week, and will be meeting with another one this upcoming week, to see what our options are. This is so difficult to go through.. we want to do what is best for him.
Praying for all of you that are dealing with this disease.
Julie Buzby DVM says
Dear Donna,
My heart goes out to you as you try to navigate this tricky path with Hunter. Hoping the oncologist will be able to offer some great information and guidance on how to proceed. Thank you for sharing your experience with us and feel free to keep us updated on how things are going. Best wishes to you and your sweet boy and praying for many happy days ahead.
Kathryn Matzov says
Our little Nugglez (She is a Victorian x Old English bulldog, we just call her little because of the size of the other two.) lay down one day in the middle of September, 2023 and wouldn’t get up. My son rushed her to the vet. They initially said they thought she had pulled a muscle or tweaked a nerve and they could make a referral. He was not happy and asked them to check further. She had a lot of blood in her abdomen and was quite anemic. He rushed her to an emergency vet, where they were extraordinary. She had stabilized a little, so they opted to do a CT scan overnight and possibly surgery in the morning. She had a massive hemangiosarcoma on her kidney. They also saw some spots on her lungs on the CT. We elected to go ahead with the surgery, and are very thankful for the puppy insurance. We did pursue chemo for her, and she had some complications through that. (One episode of dehydration and a more serious one of febrile neutropenia.) She bounced back to her wonderful, loving self after each hurdle. She has, unfortunately, developed pancreatitis, which seems to be more of a trouble than the cancer. Six weeks ago Jon rushed her back to the clinic where she had the chemo. She seemed to be having another bleed and was very uncomfortable. They recommended that she was not a candidate for further surgery, and that we should do our best to make her comfortable. The discharging vet suggested she may only have days to live. Six weeks later she is now having some days where she is quite lethargic. They could see a shadow/mass around her bladder, which seems to be getting bigger. She is, unfortunately, sometimes incontinent, so our couches are covered with waterproof pads. She loves the sunshine, liver and cheese treats, and (usually) the meats we cook for her (chicken at the moment). We are giving her nutri-cal, which she has quite taken to. We have Cerenia for her, and Zofran, for nausea, and 100mg pills of gabapentin for pain. (The 300 mg dose makes her very stoned and she walks into the walls.) She is now starting to have the pot belly look, and to breathe quite shallowly. I fear we will have to make a decision soon, but we are all so grateful for the time we have had. We lost my daughter-in-law to a random act of violence in March last year and Nugglez was her dog, a very special relationship. I hope that my son has the strength to go on after his Nugglez dies.
Also, thank you for sharing your stories. Having the personal and the vet experience together was very helpful.
Kathryn
Julie Buzby DVM says
Hi Kathryn,
Your comment hasn’t been removed! I am not sure why it disappeared from your view, but it was still waiting for me to review and respond. Sorry for the delay! Thank you for sharing your experience and being willing to share Nugglez’s story with us. I am so sorry for all the heart break you have endured over the past year. I can imagine that Nugglez’s impending passing will bring up strong emotions. It sounds like you have gone above and beyond to give her the best chance at life, and I am certain she knows how much she is loved. May her memory live on and continue to be a blessing in your lives. I pray for your comfort and peace for everyone involved. Bless you. ♥
Kim says
I lost my Luna to this cancer a few months ago. She was only 10.5 yrs old. The diagnosis came so suddenly. Like Lulu I knew something was wrong when she wouldn’t eat. She also was very lethargic so I knew I had to rush her to the emergency vet. My heart sank when the vet told me it was cancer and the tumor was bleeding. At that point they offered euthanasia but I wasn’t ready to let my baby go. I opted to take her home for hospice and spoiled her as much as I could over the course of a few days. I did at home euthanasia which was very comforting and Luna went peacefully.
It’s been hard with her passing. I feel guilty for the euthanasia. I know it’s what was best and she was dying. I just wish we had more time.
Julie Buzby DVM says
Dear Kim,
My heart aches for you with your recent loss of Luna. I am glad you were able to give her a few happy days at home before saying goodbye. What a blessing her passing was peaceful, and I am certain your presence was a comfort. Thank you for being willing to share your experience with us. May Luna’s memory be with you always and wishing you brighter days ahead.
Caroline says
I just happened to find this site after googling Hemangiosarcoma. My 10 year old Starla, a King Charles Cavalier, was diagnosed in late December with this horrid disease. My groomer was the one who found her tumor. The tumor at the time was flat and felt like it was on her rib. When I took her into the vet, I wanted it to just be a fatty tumor but knew when the vet got blood that it was something else. The sample the vet sent off was inconclusive and the vet said we can remove the tumor. I was all for it. On the day of the surgery, I got a call to be updated and the vet said that when she opened the site, the tumor was bleeding profusely and it was wrapped around her rib and muscle. She said she was only able to remove some pieces to send off to get a diagnosis. But in the conversation, the vet said unfortunately I think this is going to be hemangiosarcoma. I had never heard the word and immediately started searching on the internet for any info. I was devastated. To this day, Starla is still her happy self. You would never know anything is wrong. Since I was still holding out for hope, I decided I needed to go to a vet oncologist for more info and what I should be doing to help my Starla. Once I got the official diagnosis from my vet and was told it is hemangiosarcoma, I made the appointment to see the oncologist. At our appointment, I didn’t feel very hopeful. We did a ultrasound and I was told they saw 3 small nodules on her spleen but unless it’s removed, it’s hard to know if it’s cancer. The surgical oncologist at that appointment also felt her lump by her rib and said he felt it can be removed. Both the oncologist and the surgeon also recommended chemo. So at this time, I was all about saving my Starla at any cost. I went ahead and schedule her for surgery 3 weeks later. The surgery date arrives, I drop her off and cried a lot because I was so scared. Here I was dropping off my Starla, who is her happy self and looks just fine to have a massive surgery. Tumor removal and I decided to remove the spleen too because of the fear those nodules are cancer. I get home and my phone rings. The surgeon said he was concerned that in the 3 weeks since he had felt her tumor, it now felt bigger. He said he was not comfortable going ahead with surgery unless I did a CT scan. I was just so heart broken. I feel like I’ve hit a road block every step of the way. I started thinking maybe this is a sign I’m going over board. But since she was there, I said go ahead and do the CT scan and we agreed that once they got results, we would then think about if surgery is the best thing for Starla. A week later I got the call with results. I was told that the tumor by her rib is wrapped around her 6th and 7th rib. The surgeon tells me he would need to remove the 2 ribs and muscle. Then he would need to do chest wall reconstruction. And if she was stable enough after that, the spleen would be removed too. I was also told they saw small nodules on her lungs but pretty sure it’s benign but he then added we can never really be sure. I was so over whelmed with all this info and shut down. I was also upset because when I asked the surgeon multiple times, please just tell me what would you do if you were in my shoes? He really didn’t give me much of a response to that question. When I asked would she still need chemo, he said I don’t have to do chemo but it’s highly recommended. When I asked how much more time am I giving my precious Starla. His response was it’s hard to know exactly. Maybe months? 6 months? Hopefully a year. At that moment I felt so hopeless and now am just torn as to what I should do. Should I go forward with this massive surgery and chemo? Am I just doing this for me? Or should I just do palliative care and enjoy my Starla as she is now. Happy until she’s not ok? I think I’m also so scared of what her end will look like. Any advice or suggestions would be very much appreciated because I honestly feel so alone in this decision. It’s just so sad and scary.
Julie Buzby DVM says
Dear Caroline,
My heart aches for you as you try to navigate this tragic situation with your beloved pup. I hate to sway your decisions in any way because I want you to do what is best for you and Starla. But honestly, I have to say, if this were my own dog, I would forgo the surgery and focus on palliative/hospice care. You have to trust your intuition as you know Starla better than anyone. I tend to focus on quality of life instead of quantity, especially when facing these types of aggressive cancers and life-threatening conditions. I know you would do anything for your girl, but sometimes the best we can offer is love and joy for whatever time we have left. Don’t take this precious time for granted and make the most of each day you are gifted. I will attach links to other articles with more information and how to know when it is time to let go. Praying for comfort and peace for you both. Bless you and your sweet girl. ♥
1. Dog Hospice Care Can Bring Peace and Dignity to Your Dog’s Final Days
2. Using a Quality of Life Scale for Dogs
3. When To Euthanize A Dog With Hemangiosarcoma: A Vet’s Guidance
4. Preparing for Your Dog’s Euthanasia: 10 Thoughts for Peace
Caroline says
I thank you so much for your response and share what you would do if you were in my shoes. Truly, I am so thankful to read your honest thoughts. Especially, since you have been through this. Since I last wrote you, I have been lucky to meet and talk with others who have been through this and hear their experience, regrets and what they would have done differently. I realized that no matter what I did, it wasn’t going to cure her. I was maybe buying her some time. As it is, I’ve notice her tumor is growing rapidly. To think in December when we first found out about this, you really needed to dig to feel the tumor. Now it’s the size of a golf ball. I’ll be honest, I’m scared watching it grow but again she’s still her happy self. Just wanting to be by my side, food, walks and play time. After many tears and a long talk with my husband, we both decided that palliative care was the way for us to go. I just want her happy and to enjoy whatever time we have left together vs seeing her through a massive surgery and chemo. I started her on the turkey tail and the Yunnan Baiyao. She will be 11 on 3/21 and I’m just excited to celebrate another birthday with her.
Julie Buzby DVM says
Dear Caroline,
I am glad you have found peace with your decision to pursue palliative care. I think you will be happier this way and it will leave you without regrets. I pray Starla will continue to find joy in her days and wish you all the best as you lavish her with love and affection. May her sweet memory stay with you always and be a blessing in your life. ♥
Caroline says
Today I came home to find Starla hiding in a corner with labored breathing. I checked her gums and they were so pale. She felt cold.. We decided to let her cross over to the rainbow bridge. I thanked her for letting us get to celebrate her 11th birthday last week on 3/21..It was a fun day at the beach. A place she loved. I just can’t believe how fast this cancer took her. I am also still at ok with my choice to let her enjoy the time she had left with us in peace. Thank you again for your kind words and sharing your opinion with me.
Julie Buzby DVM says
Dear Caroline,
My heart goes out to you with your loss of Starla today. What a blessing she didn’t have to suffer, and you were there during her final moments. I am so glad you were able to celebrate her 11th birthday together. Praying for healing and comfort for your heart. Bless you. ♥
Jeannie N says
My 13.5 year old Golden Retriever Riley Rae was diagnosed with a cardiac hemangiosarcoma when I took her in for a tooth abscess. Upon auscultation of her heart the vet noticed it was slow and irregular with some PVCs on EKG. We took her to UGA for a cardiology consult to discover she had a mild pericardial effusion with runs of irregular heat rhythm. The vet started her in Sotalol a heart medicine and said he had no idea how she was alive and still thriving. He said this dog is running on pure love. We took her home and our vet added 3 Chinese herbs and I made her homemade food and Alma powder. Her tooth abscess stayed away after the 2 weeks of Clindamycin 500 mg. She did beautifully for one month. We saw the vet who checked her CBC every 2 weeks and the tumor looked like it quieted down. It had been about 10 days since her labwork and a few days ago we noticed her drinking more water than usual. Then when we went to bed at night she did not follow and slept in the living room. In the morning we had to coax her up to go outside and go potty. We took her on a short walk each day. We thought it was hip pain. The day before yesterday after going potty outside she coughed multiple times coming back to lie down then none for the next few hours. She ate her normal breakfast of oatmeal. We left the house for a few hours and returned to find she had vomited multiple times, lost her urine, and defacated on a large mat we had by the door. She put her head up when I walked in but it was tilted and she did not seem to see me. I gave her the red pill with some water but she vomited it up so we gave it to her again. She could not stand up and continued to vomit intermittently. When my husband got home and my son came she put her head up and looked toward them but that was it and she then became less responsive. After about an hour of no improvement from the red pill we made the difficult decision to call a vet for in home euthanasia. From the time I got home until the vet arrived it was 4 hours. As her biggest fans the 3 of us sat with her and loved on her that she so graciously had bestowed on us for over 13 years. I dont regret not doing the surgery as she was living her best life until the day prior. We focused on quality of life for her. In fact when we walked her the day prior we saw a group of 9 12 year old kids who begged to pet her. They circled around her and we had to beg her to join us again after several minutes. She was thrilled. After she left us we did find her bowel movement from the night before and it was dark red. My only regret that I did not investigate more sooner so I could give the red pill a bigger chance to stop the bleeding instead of assuming it was hip pain. I also wish I had never left her alone that day as I am uncertain how long she had to wait for me in that deteriorated. condition. I hope this helps someone preserve their dogs dignity in their final hours.
Julie Buzby DVM says
Dear Jeannie,
I am so sorry for your loss of Riley Rae. She sounds like an amazing pup, and I am certain she brought immense joy and happiness to your lives. Thank you for sharing her story with us. I hope with time your heart will begin to heal and the grief will fade. May her memory be with you always and continue to be a blessing in your life.
Jennifer Flynn says
I have been through 3 Gsds with hemangiosarcoma. Taboo, my search and rescue partner from the fire department and FEMA team, Tailyo my resident nut job and most recently Moose my Schutzhund competition dog( 13 x ipo 3, 3 world teams ) Moose was 10.5 and I suspected we had something going on at his annual check-up in May. He had lost weight despite no change in diet or exercise( he was fed high-quality raw and swam- a lot!) and started giving him a cooked food snack midday with 1-2 lb gain. He started getting opportunistic staph infections. Call it a 6th sense from 26 years as a paramedic or just being that close to a working partner I just knew. I took the summer off and we swam every day. I had not let him do bite work since he retired to protect his neck and back, took him for a bite session and just cherished every minute. In September he started drinking more water and his appetite became insatiable On a Monday in October while heeling and playing around with the ball I noticed his abdomen was a little distended, so I called to reserve the pool. It was closed for cleaning and I swear that dog understood me when I said if you want to swim you have to wait till Thurs. He did just that. Thursday morning we went swimming and I knew as I put the vest on him (he yelped when I touched the belly) that the hemangioma was bleeding and bleeding bad I figured if you are gonna go, do it swimming, He swam for a 1/2 hour and then came over without a fuss to be dried. ( this is not normal and we had knockdown drag outs over the years during drying time) it was the most pleasant drying time ever and we had a talk about what would happen next and how much I would miss him. I offered him his breakfast and for the first time ever in his life, he refused food. A little snafu going to the vet I mistakenly went to the clinic he had gone to all his life and they turned me away 5 minutes out. He held on another 45 minutes to the emergency vet and walked into the clinic. They confirmed my diagnosis of hemo abodomen and we put him down. I had decided prior to this( after much research and 2 previous dogs that lived -until they didn’t ) that I would not do surgery and when it was the time it was time. He was put down peacefully with his head in my lap. I sat with him at the crematorium for 4 hours and watched it all as I had with the 2 before him. Some people may say that is morbid, but for me it provides closure. It’s not for everyone and that’s ok. Some people may have done it differently and that’s okay.
Julie Buzby DVM says
Dear Jennifer,
I am so sorry for all the loss you have endured over the years. What a blessing to have shared your life with such wonderful dogs. Thank you for being willing to tell your story. You are right that not everyone grieves in the same way, but I do see the beauty in staying until the very end. Your words have touched my heart and I hope you have found some comfort and peace. May the memories of Moose, Tailyo, and Taboo continue to bring joy to your days and remain in your heart forever. ♥
Michelle says
Thank you for sharing LuLu’s story and my heartfelt condolences to you and all privileged to love and be loved by her.
Our beloved Miss Clare (ClareBear) who turned eight in June was an English Cream Golden Retriever. She was a born therapy dog, no need to be trained as she simply new who needed her and when. I awakened last Sunday morning to what I thought was her vomiting, instead she was heartbreakingly non responsive. We rushed her to our emergency vet and she took her last breath as she was placed in the arms of a staff member. We were told she had significant blood in her abdomen and most likely experienced a burst vessel or tumor, probably hemangiosarcoma. She had been seen six days earlier for her annual physical and there were no clues.
We were in shock on Sunday and when we awakened the following morning to the reality of her absence, we were and continue to be devastated. The silence is deafening and the loss of routines beyond painful.. We have received incredibly loving support from our veterinary hospital, friends, family and neighbors who adored her sweet personality and marveled at her exquisite beauty.
We are daily remembering her in precious stories and with grateful hearts for eight years of unconditional love. And we are everyday reminded that there is no coincidence that dog is God spelled backwards. 🐾💔🐾
Julie Buzby DVM says
Dear Michelle,
My heart aches for you with your recent loss of Clare. She sounds like such an amazing girl, and it is clear she had a huge impact on all who were blessed to have known her. Thank you for sharing her story with us. May her memory live on and continue to bring joy to your life. Wishing you comfort and peace for your heart.
Elizabeth says
Like way too many others, our pup was also 10 years old (only a few months at that too). Why does that seem to be the age? Being a maltipoo, we were praying to at least have around 5 more years with her since our beloved toy poodle before her made it to 15. 😞
Elizabeth says
I didn’t even mean to end up reading about this, something I know too well unfortunately, tonight but just a casual google search for usual dog health questions lead to reading a story of a dog suddenly showing signs and now I can’t help but look up if there’s any way to prevent or at least catch it early enough just in case now that we have another pup. He’s only 3, but the trauma from losing my MyMy in such a sudden way of course still hurts and of course I don’t want any chance of experiencing it again. It happened to us exactly 3 years and a month ago—which I was so surprised to see almost exactly lined up with the dates of your sweet Lulu. However, our Miley puppy was a maltipoo and it was obvious it spread too quickly she went downhill within 3 days, eventually having to say goodbye on September 13, 2019 (I especially hate friday the 13ths now 💔). If only we had known, we could’ve comforted each other during that time as we unknowingly were suffering almost in the same way. 😔 All those little memories of her trying to act herself, still giving us a quick kiss that unknowingly to her was goodbye yet she was obviously struggling through even that is so bittersweet. I’ve done a good job of pushing aside the thoughts just trying to focus on today, but of course the pain is still so deep. I’m not even sure if I can sleep now tonight, I want to feel her presence again but am so thankful to be cuddled up with the little boy that followed her. I can’t stop fearing for him now and every moment I’m able to have him in my arms isn’t enough but I’m trying to be stronger & not dwell on it to enjoy all the good I can. 🥲 please tell me there is people investigating ways to detect it at an early enough rate to save the infected pups or at least figure out how to prevent it. It feels sooo hopeless with that possibility looming over with absolutely no way to prevent it. Dog lives are too short as it is, they don’t need to be even shorter. This is deep, but I sometimes wonder if Earth is actually hell with all the bad that can happen & it’s to test our worth to not succumb to it. Dogs not having more time on Earth kind of supports that, they’re just too pure for it they don’t need to be in the tests as long as us humans unfortunately do. 😔
Julie Buzby DVM says
Dear Elizabeth,
My heart aches for you as you continue to mourn the loss of Miley. It is clear she was loved dearly, and I am certain she knew. I pray you can find a way to hold her memory in your heart forever but continue forward with life’s journey, leaving behind the hopelessness and fear. Miley would want you to enjoy life and find happiness in each day. I am glad you have your boy pup by your side to remind you there is still good in this crazy world. Wishing you comfort and peace for your heart. Bless you. ♥
Stephanie says
I so sorry Elizabeth about the loss of your sweet fur baby to this horrible disease. Tmw we are going to have to put down our second dog due to this. Our Zeus is, a 10 yr old Great Pyrenees and has quickly been robbed of his incredible strength, determination, and ability to watch over his family, which he most loves. Our previous dog to taken from us in the exact same manner was Bear, a sweet beautiful red Golden, that basically helped me raise my kids. Hopefully, advancements in prevention, early detection, and treatments can be made to give it’s victims more of a fighting chance.
Julie Buzby DVM says
Dear Stephanie,
I know today will be full of emotions as you say goodbye to your beloved Zeus. Praying his passing is smooth and peaceful. Wishing you comfort for your heart. Bless you both. ♥
Leandra G says
Lulu sounds like she was just a sweetheart. I’m sorry for your loss. It certainly leaves a hole in our hearts.
We lost our border collie mix, Foster, this year to what our vet believes was a rupture of a Hemangiosarcoma tumor. We had no idea. Very traumatizing and hard to witness as a nurse of many years but no clue how to help. You’re right when you say there is no time to spare. He was gone in just minutes.. couldn’t even get to the car. We try to find comfort in the 10 loving years we had with him. But the guilt is ever present that he had to suffer in any way, no matter that it was brief. Thank you for sharing Lulu’s story and for the information. I wish I had noticed signs or given more weight to a few things looking back.
Julie Buzby DVM says
Dear Leandra,
I am sorry for your loss of Foster. I know you would have done anything to give him more time. It is clear he was dearly loved, and I am certain he knew. Even though his final moments were difficult, I am sure your presence was a comfort. Thank you for sharing Foster’s story with us. May his memory continue to be a blessing in your life.
Bonnie Marshall says
I’m glad found these articles tonight, because today, September we had our sweet Maycie put down. She was a Lab cross, about 12 years old; we don’t know exactly because we adopted her from a local shelter in 2012. Our journey with this awful disease began in June when Maycie seemed extra lethargic after our granddaughters had spent the weekend with us. We took her to a vet who did some blood work and a basic ultrasound. The vet then told us Maycie probably had cancer, and we could take her to a bigger city for a better ultrasound at a cost of $1,000 or more, euthanize her right then, or just take her home and make her comfortable. We didn’t want to euthanize her or take her to the bigger city, we took her home. That vet gave her an antinausea shot, some antinausea pills, and antibiotic pills. Three nights later she had a seizure and a rough day the next day; it was on a weekend. We took her to a different vet clinic on Monday, June 26, and they did a splenectomy on June 27. The tumor/spleen was rupturing as they started surgery, but she lived through it and only spent two nights in the hospital after the surgery. She recovered well from the surgery but the pathology report was hemangiosarcoma.
We tried Yunnan Baiyou twice but it seemed to make her vomit so we didn’t continue. I did give her the red pill twice when she had bad days and it seemed to help.
We had a good summer with lots of walks. Over the last couple of weeks she got progressively weaker and more lethargic, and didn’t have much of an appetite. She was still happy and didn’t seem to be in pain but her abdomen was swollen and her gums and tongue were pale. We didn’t want her to suffer if her liver or other internal organs ruptured.
It is so hard. I have cried buckets and. my husband is having a hard time too, even though we know it was the right thing to do.
Julie Buzby DVM says
Dear Bonnie,
I am sorry for your loss of Maycie. I know saying goodbye was the most difficult decision you have ever had to make for your sweet girl. But I am certain it was the most loving option and gave her freedom and peace. I hope with time your heart will heal and take comfort in knowing you gave Maycie the best life. May her memory be a blessing to you as you continue life’s journey. Wishing you and your husband happier days ahead.
Stacy says
Today, we both received the dire diagnosis and made the gut-wrenching decision for euthanasia. Our girl was only 8.5 years old. just a week ago, she was zooming, was jumping and spinning for her kibble (she was so incredibly food motivated), and snuggle-wrestling in the morning.
All that to say, the tumor and rupture went undetected for a week by routine exams, X-rays, and blood work. it ultimately came down to the internal bleeding that had been found. surgery was deemed high risk, and we ultimately worried about her quality of life even if the surgery was successful.
My sweet girl was so brave this week as we tried so hard to understand what was making her feel so lousy. She will be so dearly missed.
Dr. Julie Buzby says
Hi Stacy,
My heart breaks for you on the loss of your sweet girl. Hemangiosarcoma is such a difficult and heartbreaking diagnosis because it can take our dogs quickly and with so little warning. You are in my thoughts as you grieve this loss. May you find comfort in all the wonderful memories you shared. ❤️
Emily Torres says
Thank you so much for sharing your story. Our Bailey who looks remarkably like your Lulu, is on her second week post splenectomy and malignancy. I believe our time is near to say our goodbyes. Thank you so much!
Julie Buzby DVM says
Dear Emily,
I pray your sweet Bailey will feel completely loved during these final days. Spoil her rotten and make the most of each day you are gifted. Wishing you strength to navigate this difficult path. ♥
Victoria Smith says
I would like to start off thank you big time for having this place to inform pet parents and have everyone share their stories. I’m finding a lot of comfort in knowing that we are not alone and educating ourselves, though I wish I did that before we got here.
Just like many of pet parents in here we found ourselves in a crisis and what felt like we lost the ground under our feet. Our 10 year old pup Afina has been doing just fine and even though slowing down just a bit she was enjoying her life up until a week of so ago. We said goodbye two days ago and I’m still agonizing about the decision.
We’ve noticed her belly was a bit swollen a few weeks ago. That was right after her evening walk so I though she just wanted to go potty. Though the belly didn’t get much smaller I brushed it off. She was acting very normally, Not a single sign that she was not well. I was trying my very best to keep an eye on her, but because she was acting like herself I can’t coming up with exercises why the belly seems to be a little bigger. I just had my third baby too so my focus was not a 100 percent on her. Another week later I noticed her spine sticking out. Naively I brushed it off as aging thing..quick google search was telling me that older dogs can have that arch on their back and even though it seemed to happen over night it wasn’t too unusual. She was still acting absolutely normal, one night I placed my hand in her lower bank and I realized that I could feel her hip bones without any effort. Call me stupid, but instead of taking her straight to the vet I just got concerned. Unfortunately at the same time our newborn got sick and I had to rush her to the ER. When I came back from the ER I noticed that Afinas neck was super thing and the leash was hanging on it super lose. That’s when I got alarmed. We took her to the vet and that’s when we recieved the shocking news. Lots of blood in the abdomen, anemia…x-rays showed potential tumor. They gave her appetite stimulants, pain killers and antibiotics. Told us that without the surgery she has 2-3 months, the surgery would maybe give her another 2-months. I was crushed by hopeful. After all she was still acting normal. 2 days later we brought her in to another vet for a second opinion. They did the ultrasound and told us that she had days to live….her abdomen bleeding was bad and they couldn’t drain it anymore, spleen had a big tumor that most likely cause the bleeding. Loved had multiple tumors and stared to shut down according to the vet. Heart had murmur. After we brought her back home everything changed. She stopped eating except for occasional treats, she was getting weaker every day, though she still mastered the stairs and jumping up and down the couch. The second vet suggested we don’t give her pain meds because she heart won’t take it. Though she didn’t seem to be in pain, she wasn’t able to fall asleep, she kept readjusting constantly unable to get comfy it seemed. She was drinking lots of water and she started having more and more episodes of very heavy breathing and some wheezing. I was just watching her 24/7. I was scared she would go into distress or collapse on me and the kids. I was agonizing but couldn’t let her go.. she would get a burst of energy and surprise me by eating her treat and I would immoderately have hope. But every time she would get that really heavy breathing I was very scared that I wouldn’t be able to act fast enough if things took a bad turn. Here I was caring for a brand new life and holding on to the life that was leaving me. My husband wanted to let her go and getting really frustrated that I was prolonging her suffering. I don’t know what I was waiting for. I didn’t want her to get really bad before it would be obvious to me that it was time. But then I notice her ears that were so warm all the time getting cold. I started calling the vets that examined her but none of them would return my calls. I even called for telehospice but they didn’t have any availability. That afternoon Afina seemed to go on a walk with her pack. So I took all the kids and we went. She was slow but enjoyed the walk. After we came home she happily growled at the mail man and other dogs from our patio. But then her breathing was really bad. At night her breathing was on and off. When she was having really heavy breathing she kept looking at me. And I was trying to calm her down and promised her that it will be okay. I started to accept that she was suffering and it was time. In the morning the vet called and she walked me though once again telling me that her prognosis was not good and she will go soon and the vet wanted us to be prepared. She also said that because Afina was such a strong dog she could hang on for longer but she wasn’t having a great time. I considered it a sign and told my husband that I was ready. Just like that very spontaneous. We took her to the vet while the kids were still in school and let her go….when they brought her in the room all hooked up with the IV I wanted to wrap her up in the blanket and take her home, or take her to another vet and get a different prognosis. I wanted to give her another chance. But instead I said my goodbyes and stepped out, because I couldn’t bring myself to watch her go and for some reasons I did t want the baby to be there for it, her dog sitter and her godmother stayed with her and my husband. She feel asleep on her godmothers lap, peacefully. My husband said she was very relaxed in the end. I still have tremendous guilt in how it all ended and second guess every decision that we’ve made. We’re still waiting for the results from her abdominal tap. I want my husband to follow up with the vet and he thinks there is no need for it now. I’m beyond scared to find out that maybe it was not cancerous and we let her go too soon. The guilt is crushing me. I still need closure..I miss my girl so much and even though I cannot bring her back I want to know in my heart that we did good for her and I’m really struggling without it…
Dr. Julie Buzby says
Hi Victora,
My heart goes out to you. What a crazy few months you have had between the joy of welcoming your third baby and the pain of losing your dog. Based on what you have told me, I think you absolutely made the right choices for Afina. You sought several opinions (which all unfortunately came to the same conclusion), you had some more precious time with her, including that last walk with her pack, and then you set her free from her suffering. It is clear how much you cared about her and what a wonderful life she had with you and your family. Saying goodbye was the hardest but also the kindest decision you could make for her and it was time to let her go. I hope that in time you find some freedom from the guilt you feel now and that you can look back on her memory with joy. Thinking about you during this difficult time!
Kata says
My 13-year-old mixed dog was diagnosed with hemangiosarcoma during a routine check-up at our vet. They told us that she has a 4,5x6cm mass on her spleen and it has already metastasized to her liver (and possibly to her lymph nodes since they were also swollen)
The vet told us that she would not advise surgery in this case, because it would only give her a few more weeks. We were devastated, because she did not show any signs besides being very itchy (she was treated for allergy, but since nothing helped the vet became suspicious, but it was too late)
Now I’m in a very hard situation, because she is still enjoying her life, loves to eat, goes on her daily walks, plays, and seems happy, so I don’t want to euthanize her too soon, since she is still enjoying her life very much, but I also don’t want to wait too long until the tumor raptures, I would hate to see my furbaby in so much pain. Our vet told us we can probably wait with the euthanasia until she shows some kind of decrease in appetite or life quality, but I’m afraid. What if the tumor raptures in an unexpected situation? I don’t know what to do.
Julie Buzby DVM says
Dear Kata,
I am so sorry you are navigating this difficult path. Unfortunately, there really is no right or wrong answer in this situation. I wish I had some great advice or could tell you what was best. I understand how emotional this must be and it is clear your girl is dearly loved. Here is a link to another article that may help a bit: When To Euthanize A Dog With Hemangiosarcoma: A Vet’s Guidance
Praying for your strength and comfort as you face the days ahead. Bless you and your sweet girl. ♥
Rachel says
What a wonderful dog Lulu was. Those eyes… She reminds me so much of our Abbey, my heart dog. She is a purebred American Pitbull Terrier (according to doggie DNA testing). Did not know this cancer existed or affected Pitbulls specifically, Abbey was found in the middle of the road and has been by my side for the past eleven years.
Like so many stories here, she was active and happy until one morning she collapsed and an ultrasound showed enlarged spleen and blood in her abdomen. After an emergency splenectomy, we found out she had hemangiosarcoma and it had spread to her liver and the lining of her intestine.
She immediately was so full of life and play after she healed from her surgery and we have decided to move forward with doxorubicin chemo.
She handled the first dose fine. One day of diarrhea and a little fatigue. It’s been long walks and happy times every other day.
We are due for her second dose in 2 days. Today she collapsed again and our vet said she was having a bleed and we needed to be able to deal with it.
This was all new info. We give her 2 Yunnan Baiyao a day and today we used the red “emergency pill” included in each pack. Her gums almost immediately went from white to pink and she seemed to feel better.
Our oncologist explained that most hemangiosarcoma dogs bleed a little or a lot throughout the course of the disease and the blood is reabsorbed; it’s being able to handle that and help control it, which Yunnan Baiyao has helped with.
Before today, I thought all bleeding was critical. I now know that some bleeding is expected and normal and we have to help our pups through these periods. Yunnan Baiyao has been a blessing.
If you’re considering chemo, don’t be afraid. It’s nothing like human chemo.
We told our oncologist we’d do 1 dose and if there were bad effects, no more. Could not believe how little the chemo has affected her.
Any extra quality time we get with this love of my life is worth it. Just wanted to put this info out there, as I knew none of this before today, though my research and discussion with experts has been extensive.
My heart goes out to all of you and your dogs who are dealing with this most horrible cancer. Supplements, diet, a supportive environment and a marriage of Western and Eastern medicine have proven to be the best course for now. Sending everyone on here hope.
Julie Buzby DVM says
Hi Rachel,
Thank you so much for sharing your experience with our readers. I am confident your story will offer hope to others in a similar situation. I get questions about side effects of chemo in dogs all the time and I want people to know that in most circumstances, the side effects are much milder than in humans. I was glad to see you pointed out this detail! And yes, isn’t Yunnan Baiyao amazing?! What a blessing you have been gifted extra quality time with your sweet girl. I am hopeful there will be many happy days ahead to continue making memories. Wishing you and Abbey the best. ♥
Regina vlach says
So my Rocky boy just turned 11 on Feb 9th, in jan we went for routine exam, vet found lump dud xray he was bleeding inside mass on spleen, heart lungs were good, I opted to taking him next day to vet hospital I was referred to. Surgery was around 530 pm, he came out around 7pm I slept at hospital with him, wevwent home next day. Now, rocky wasn’t shoeing any signs, except for going for a walk he come back lay on kitchen floor so I thought his arm was bothering him since he slipped. So after surgery on Jan 24, we went back on Thurs for recheck on blood started going up, then again following week, went up again, we were hopeful. Then his bday on Feb 9th seemed OK, then on Feb 14th I got home from work he wasn’t moving much, I said let’s go back to hospital, ultrasound showed he was bleeding again and he had henagiosarcoma results were. So we went home I cried there for good hour then we went home, I monitored his breathing I slept on his bed with him thsrs in my room, then I noticed he walk few steps be out of breath, so on Feb 16 I made hardest decision of my life to let him go theyvsaid it mastesized in omentum and liver had lesion it on. My rocky was my soul mate my life my world we snuggle on couch we sleep together, I’m looking all over for him. I can’t live without him, I blame myself for not finding this before it bled, but I didn’t see signs, he was 114 lb yellow lab he always layer around watched me cook bake felt ok I thought, so would he be here now if I caught it before it bled? I’m a great mom just feel I should of found it, but research I did says aren’t signs until it bursts I guess. I miss my boy so much it hurts
Julie Buzby DVM says
Dear Regina,
My heart goes out to you with your loss of Rocky. Please don’t blame yourself for the tragic events that led to his passing. You didn’t do anything wrong and most likely there were no signs of an issue prior to the bleeding. Even if you had found out about the mass earlier, I am almost certain you would have experienced the same outcome. I understand your grief and it is normal to ponder the “what ifs”. I only hope you can allow yourself some grace and let go of the unnecessary burden of guilt you are carrying. Praying for strength and comfort for your heart. May Rocky’s memory be a blessing. ♥
Hector Gonzalez says
We are dealing now with our beloved Leyla. 14 year old English Springer spaniel, we got the bad news yesterday. Bleeding from a big tumor in her spine. We brought her home, we decided not to go with the surgery, she is weak and old. So we are going with the two a day Yunnan Baiyao maybe this will stop the bleeding and she can feel a bit better. My heart sunken when I heard the news, it’s been horrible 24 hour for us a family. Just thinking not having her around me it’s very painful, she grew with my kids, nos 22 and 20. So she has been part of our life’s for a very long time, we just want her to have her last days, weeks, around the people she loves. We are giving all the love we can now, and just hope that the Yunnan Baiyao stop the bleeding. Thank you all for sharing this, it’s beautiful to see all this people I don’t know support everyone. I hope I can share better news soon. I’ll keep everyone posted to share the results of using the Yunnan Baiyao. It’s been only 24 hrs since we got the news and started the process.
Julie Buzby DVM says
Hi Hector,
I am sorry Leyla has been given this devastating diagnosis. I think it is a wise decision to bring her home and let her live out her days surrounded by those she loves most. I hope the Yunnan Baiyao was able to stop the bleeding and gift you with some extra quality time together. Praying for you and your family as you navigate this emotional path. Bless you.
Sheila says
My dog was diagnosed last Tuesday with heart based hermangiosarcoma. It happened sereptitiously as her vet listened to her heart before doing a dental exam and heard a murmur. After X-ray ultrasound and blood tests we got this sad news. Our dog is 12 years old and although has been slowing down with age, is doing completely well. Playing a bit. Eating ok. So I don’t know what time line we are on. Since we found this out almost by accident when would the ‘start date’ of prognosis be? It is confusing to me she has a terminal cancer. She is acting no different than she has for months.
Julie Buzby DVM says
Hi Sheila,
I am so sorry your girl has received such a devastating diagnosis. I am glad your vet was able to detect the murmur and have the necessary testing done to get these answers before attempting anesthesia. Unfortunately, your “start date” is the day of diagnosis. The disease has already progressed to the point your vet could hear audible changes in the function of your girl’s heart. With cancerous process such as hemangiosarcoma, it is common for dogs to remain fairly “normal” and stable for a while and then have a sudden decline in health. There may not be much warning leading up to a critical/crisis situation. My best advice is to make the most of the time you have together. It is also a good idea to prepare and make decisions about what you want her end-of-life process to look like before you are in an emergency situation. The more decisions you can make ahead of time and services you can have lined up ready to go, will make a difficult and emotional time less stressful for everyone involved. Here is a link to another article with more information: When To Euthanize A Dog With Hemangiosarcoma: A Vet’s Guidance
Praying for your strength and comfort. Give your sweet girl a hug for me. ♥
angie says
My Teddy dog, a mix of husky, am staff, & rott, but looks like a black lab, had a large hemangiosarcoma tumor removed Oct 14. It was near his backbone & stomach. They took muscle, (left lumbar/flank). Today he received his 1st Torigen Autologous Cancer vaccine. Is It is bad/wrong to play fetch? Will it make any cancer still in Ted bleed? He is acting his very very active self at 7 yrs.
Julie Buzby DVM says
Hi Angie,
I understand your concern for your dog’s wellbeing since starting his first dose of cancer treatment. These are great questions, but unfortunately since I haven’t examined your dog myself, I can’t make specific recommendations. I wouldn’t think there would be a bleeding risk just because of the vaccine but can’t say for sure. Your best option is to call your vet and discuss these issues and see what they think is best for your boy. Hoping all goes well and he has many happy days ahead.
Nikki Bartinelli says
Hi!
Thank you for sharing your story and please accept my sincere condolences.
My story is almost exactly the same as yours, it’s uncanny.
My 11.5 year old soul puppy, Lola, my literal best friend had a episode Saturday June 19th, she was acting unlike herself and seemed in pain when I touched her side very gently. We were ready to take her to the ER but she perked up and went for a walk when we brought out her harness to leave. No more wincing happened after that walk and she was acting fine so we didn’t go to the ER. A week later she woke up early Friday morning and was lethargic and sad, walking very slowly. I contacted our mobile Vet and she came out that day and examined her. She checked her gums and they were pale. She then x-rayed Lola and found the mass in her spleen. We immediately took her to the ER, our vet called in to them and they were waiting for her. She had a splenectomy and they also removed 1/2 of her liver on June 26th. She came home and recovered that Sunday. I got that dreaded call on Tuesday July 5th that it was indeed hemangiosarcoma. I also opted not to give her chemotherapy. We just loved her up, spoiled her rotten which was normal anyhow. She went on small walks twice a day. I knew what to look for when it was her time. She was ok until she wasn’t. She woke me up at 4am on Saturday July 30th and I knew this was almost her time. She wouldn’t eat, she looked sad and walked very slowly. I was panicked to find an at home euthanasia vet and couldn’t find one until Sunday at noon. Well we snuggled and I brought her water every few hours so she could drink and her human brothers and Dad all loved on her too. She made it until Sunday and was more alert but not her normal self, obviously. We were all with her and she was so incredibly beautiful and peaceful when we helped her to the rainbow bridge on her favorite pillow and favorite couch. My heart was never so shattered with another pup before. She will forever be my heart dog. Thank you for letting me share.
Julie Buzby DVM says
Dear Nikki,
I am so sorry for your loss of Lola. You went above and beyond for her, and I have no doubt she knew how much she was loved. I am glad you were able to be with her until her last breath. Thank you for being willing to share your experience as it may be helpful to other readers in a similar situation. I hope Lola’s memory will stay with you as you continue life’s journey. Blessings to you and your family.
Lisa flood says
My 7 year old Weismaner was just diagnosed after having his spleen removed and 2 masses removed from his omentum. He’s ok right now and I’m still in shock from the results. Starting to plan his journey from here. Are there any herbal or holistic medicines that help?
Julie Buzby DVM says
Hi Lisa,
I am sorry your dog has received this difficult diagnosis, but glad the surgery was successful. I am sure there are herbal supplements and alternative therapies that could help your boy. Since I haven’t examined him myself, I can’t make specific recommendations. Your best bet is to find a holistic vet in your area and schedule a visit. Telemedicine may be an option if you can’t find one locally. Wishing your guy a full recovery and many happy days ahead.
Donna says
Dr. Buzby, I’m so glad I found this post. My dog was recently diagnosed with Cushings Disease and when they did the ultrasound they found a small nodule on her spleen. My vet has recommended having her spleen removed. She’s about 11 years old and I’m not sure what to do. Everything I have read does not seem to have a good prognosis, so I’m not sure I should have the surgery done and put her through the stress and pain. My goal at this point is to give her the best quality of life for whatever amount of time I have left with her. Her surgery is scheduled for next week and I will certainly move forward with the surgery, if that’s what’s best for her. Any thoughts or recommendations would be greatly appreciated.
Julie Buzby DVM says
Hi Donna,
I am glad your vet found the splenic nodule early before it caused any issues. I know you must be worried about prognosis and how this surgery will affect your senior girl. If your dog is fairly healthy, then I vote to have the spleen removed now. The mass could be benign, and removal would be curative. Here is a link to another article with more information: Splenic Masses in Dogs: Types, Diagnosis, Treatment, and Prognosis
I understand your concerns and even routine surgeries can have unexpected complications. I hope you can find the answers you need to make the best decision for you and your pup and find comfort in your choice. Feel free to leave an update if you have a chance. Wishing you both the best.
Angela says
Thank you Dr. Buzby, for sharing your photos and story of Lulu. She was the picture of my lab Flori who has just returned from the vet. We don’t know her diagnosis yet, but I have a sinking feeling. I lost my lab mix boy at age 12 to metastatic hemangiosarcoma of the spleen. I caught it before it ruptured only because his hind legs were swollen and purple. I had a CT scan done following surgery and it was throughout his body. He was in extreme pain. I put him on morphine and took him home 123 miles from the hospital that provided the scan and gave him all the love and affection I could in the ensuing 24 hours until his kind veterinarian came to the house and euthanized him. Flori was there with him. I prayed the same would not happen to her but it seems that as vigilant as I have been and knew the signs of lethargy, I couldn’t stop this demon. My veterinarian has a feeling it’s involved the heart. She currently has ascites and the vet says she saw a cloudy mass near the heart. Tomorrow she will do an ultrasound on her abdominal area. She sent X-rays to cardiology for a reading.
I want to thank you and those who have commented above as I know what to expect if the heart is involved. I understand it could burst and it breaks my heart. Flori is only 10 and such an amazing hiker and loving creature that every person she meets gets a personal greeting. She pulled me through Covid and the loss of her brother. As soon as I receive the diagnosis I will opt for euthanasia. I can’t bear to see her suffer one day and certainly not a month like her brother post op. I won’t subject her to a surgery. Your emails have convinced me. My heart breaks for all of you. Thank you.
Julie Buzby DVM says
Dear Angela,
I am so sorry you are facing this diagnosis again in one of your beloved pups. It sounds like you are doing everything you can to make an informed decision and choose what is truly best for Flori. My heart goes out to you during this difficult and emotional time. I have no doubt your sweet girl knows how much she is loved and hope you can make her transition smooth and peaceful should it come to that. Feel free to leave an update if you have a chance. Bless you both. ♥
Angela says
Dr. Buzby, I am grateful for your response. I received the news today from the cardiologist confirming cardiac hemangiosarcoma. She is eating well, sleeping well and though her breathing is fast it isn’t labored. She doesn’t cough and her gums are a healthy pink. She has fluid in her belly which has dropped a bit with lasix. How will I know when to end her life when the only problem is exercise intolerance? I don’t want to wait until the tumor bursts or she is in full blown heart failure. Can that happen when she’s bright and eating and curious? I want to have her euthanized at home so I will need to arrange a date. The weekend is nearly here. I don’t want to put her down too soon. Any information would be helpful. Thank you.
Julie Buzby DVM says
Dear Angela,
My heart goes out to you as you try to make decisions about Flori’s quality of life. Unfortunately, deciding on the right time to say goodbye can be tricky. There is a chance the tumor could rupture, or heart failure could happen quickly with little to no warning. If you want to avoid these possible situations, you may have to go ahead and set a date for the vet to come to your house. I will attach links to other articles with more information and good comments from other readers. Praying for comfort for your heart and strength to face the day. Bless you both.
1. When To Euthanize A Dog With Hemangiosarcoma: A Vet’s Guidance
2. Preparing for Your Dog’s Euthanasia: 10 Thoughts for Peace
3. In-Home Dog Euthanasia: Heartfelt Answers to 12 FAQs
Janet says
I euthanized my sweet gentle French Bulldog Mac due to suspected hemangiosarcoma on August 30. He is not one of the breeds listed as frequently having this cancer and I had no idea it could strike so suddenly. He seemed a bit lethargic during his last week or so, but as a 13-year old Frenchie, he was not a ball of fire anymore so it was easy to think he was just old and arthritic. And he wasn’t looking bad, just a little tired. No pale gums or collapsing, although he was lying down more than usual. He’d just had a full panel of bloodwork the week before, nothing unusual. A couple days later I noticed his breathing and heartrate were elevated. No panting, just higher respiratory rate. Took him to the vet the next day and they diagnosed pneumonia and sent us home with antibiotics. Three days later, no improvement and I was getting worried. Vet thought maybe congestive heart failure so we scheduled a visit with a cardiologist for the next day. That evening, his breathing became even more rapid and shallow and he just looked scared. He’d lie down but not sleep, eyes wide open and looking back and forth. So I took him to the emergency vet and they diagnosed hemo-abdomen, then upon x-ray and ultrasound found a tumor on his spleen and two in his liver, with “suspected” metastasis to the lung. They told me he was not a candidate for surgery due to the metastasis and recommended euthanasia that night, telling me he probably would have died at home that night had I not brought him it. That he might not survive the surgery and if he did, he would probably only live a few weeks, most of that time recovering from the surgery. To say I was stunned is an understatement. What is so hard is the lack of definitive evidence. “It’s most likely hemangiosarcoma.” “He probably won’t live more than a few weeks even with surgery.” I’m a person that likes proof and I’m racked with doubt over my decision. I know there are no guarantees, but I wonder if he would have pulled through… maybe it was not malignant… and he was tough little guy. I am angry with the veterinary profession for not discussing this tragic cancer with me over the years and recommending x-rays or ultrasound during senior wellness exams. I know the chances of catching it early might be slim, but there must be something that can be done. This was horrific, a nightmare. I miss Mac terribly and feel that I failed him somehow.
Julie Buzby DVM says
Dear Janet,
I am so sorry for your recent loss of Mac. I know you are grieving and struggling with the “what ifs”, but you definitely did not fail him. You took action quickly and had him evaluated by the emergency vet. I think you made the right decision to end his suffering and I would have wanted the same thing for my own pup. I understand you are angry that Mac’s life was cut short, but I don’t think the veterinary profession has earned the blame for this tragic and unpredictable outcome. As you mentioned, hemangiosarcoma is not common in French Bulldogs. That is probably why this topic was never discussed. There are so many different types of cancer and cancerous processes that it would not be possible to go over every possibility with each client. X-rays and ultrasound usually require sedation. No matter how careful we are, sedation always carries a risk. I am not sure it would be in a dog’s best interest to recommend this procedure be performed every year, especially if no symptoms are present. Also, splenic tumors can form very quickly. So, it is likely that even if your pup’s abdomen had been evaluated with ultrasound at a yearly appointment, these tumors could have formed sometime after the visit and then progressed to this stage before his next yearly visit was due. My heart goes out to you as you work through these emotional and difficult days. I hope with time your heart will heal and you will be comforted by the memories of all the good times you shared.
Andy says
Thank you for sharing, I just lost my beautiful 10 year old Border Collie who was also a rescue dog. Alfie was such a loving dog, he would nuzzle up to strangers for a cuddle and win their hearts. In the days before we lost him he was playing ball, walking, finding sticks and dropping them at our feet. A day later he struggled to getting into our car after a walk on the beach. I kept an eye on him, he was Lethbridge and breathing heavily but when I noticed his gums had suddenly gone pale I phoned our vet for an emergency appointment. They did the ultrasound and took a sample from his abdomen It was so sudden and I’m devastated, but reading your story has given me some comfort knowing that I hadn’t missed an opportunity to save Alfie. Thank you. Andy
Julie Buzby DVM says
Dear Andy,
I am so sorry for your recent loss of Alfie. You noticed the signs of a crisis and acted quickly. I am glad you were able to get some answers and know that this was not your fault and couldn’t have been prevented. What a blessing that Alfie spent his last days playing and enjoying life to the fullest. I hope with time your heart will heal. May Alfie’s memory be with you always.
Valerie Mitchell says
Thank you for sharing your story… I lost my Bentley in April 2021 to this same cancer. He was a beautiful black standard poodle just a week shy of his 7th birthday when it ruptured.
I could tell for the previous 6 months he was slowing down but thought this crazy big boy was growing up and calming down. That last day he staggered when I was taking him out for a walk so we went back inside. He laid down on the floor and never got back up. His gums were pale. Carried him to the van and to emergency vet where he was diagnosed (he was bleeding out) and had to be euthanized. Due to the pandemic we didn’t even get to say goodbye. Even now my emotions are raw. He was such a good boy. It was all so sudden.
I’m so grateful for the months I had with him while I worked from home with him at my side every minute. He loved that attention.
Julie Buzby DVM says
Dear Valerie,
I am so sorry for your tragic loss of Bentley last year. I know it was hard to lose him so suddenly and my heart breaks for you that you weren’t able to be with him in his last moments. I am sure the veterinary staff was gentle and loving to him. I have no doubt he knew how much he was loved by you. Thank you for being brave enough to share your experience with our readers. I hope your story will help someone else in a similar situation. Praying with time your heart will heal. Bless you.
Carol Bryant says
I know we have talked privately but I am still in shock over this type of canine cancer. I am floored and gutted by the sudden and tragic loss. I consider myself an uber diligent pet parent, and this was by far the worst canine experience of my life. I cherish the life I had with him but so very much will never understand how or why this happened. So scary. Thanks for all you do, Julie.
Anne-Marie says
My heart dog died unexpectedly from this illness on May 16, he was not quite 9 years. He was my true soul dog, a complete comedian and character. He was a rescue and his mix was Great Pyrenees, German Shepherd, Chow, and Sharpei and unknown, 75 1bs and a lap dog. I noticed he was slowing down in March, I thought it was because his leg ached. Then I put it down to the Texas heat as it was unusually hot the last month of his life. The final week I thought he had eaten something bad, or caught giardia but he was still smiling. The last walk he did a short sprint and nearly collapsed- I thought it was dehydration but it was his tumor on his heart bursting. During the night he breathing was bad and I rushed him to the clinic first thing. I told the vet his breathing was bad multiple times but he ignored that. His blood work was normal but it took them a few attempts and two legs to actually take blood. He had an anti nausea shot and fluids. We were sent home. By the evening he was exhausted and had bloody diarrhea, I rushed him back in. They performed xrays. As the blood moon reached its total eclipse I received the news that he had a large tumor on his heart and fluid around it and in his abdomen, prognosis was dire. This was 11 pm. My husband joined me at the clinic and we rushed him to the best animal hospital in Houston. They drew blood from his cavity and told us they could run tests the next day but his prognosis was terrible, he had an aggressive advanced stage cancer. At 4.30 am he was euthanized with his loved ones by his side. I am still in shock, he was my baby, my love, my cuddles, my shadow. I have had many pets but my Monty was the most devastating loss ever, more so than close relatives. It was too sudden and unexpected, cruel and I cannot stop crying. Reading your story lets me know I am not alone…
Julie Buzby DVM says
Dear Anne-Marie,
I am so sorry for your tragic loss of Monty. He sounds like a once in a lifetime dog. You made the most loving decision to allow your own heart to break so he could have peace and rest. I have no doubt he knew how much he was loved. I hope with time your heart will heal and that his memory will be a blessing to you and your husband.
Jodi Silvia says
Sadly my Doberman mix Chet was just diagnosed Saturday. He had symptoms of a light “cough” intermittently. One day he would be completely normal, once in a while appeared sad. Had a vet appointment in a week for this but sadly I came home from work and he was not active. Went outside to do his business with his siblings but quickly ran back in the house. No squirrel chasing or barking at birds. I looked at his gums (I’m a nurse) and they looked pale
They were also sticky. Went to ER vet. Ultrasound showed a large mass on spleen. Spleen removed and the bad news received on Saturday. I have the option of chemotherapy and the chemotherapy known as the “red devil”. I don’t want him to spend two months stressed in and out of the vets to prolong the inevitable for me. I don’t want him to suffer at all. He’s a great dog and deserves happiness.
He has been eating like a champ, burgers, steaks and chicken. Whatever he wants. Appetite is ravenous. I’m not ready to lose him. Thanks for sharing your story. I was beating myself up for deciding not to give chemotherapy.
Julie Buzby DVM says
Hi Jodi,
I am sorry Chet has received such a difficult diagnosis. I don’t think you are doing anything wrong by declining the chemotherapy. Feed that boy all the wonderful stuff he wants and cherish every day. I pray these last months are filled happiness and joy. Give Chet a great big hug for me. Bless you both. ♥
Lynne says
In November 2021 my 7 Year old GSD , Woody started to slow down and didn’t want to go on walks. He looked like his abdomen was slightyly distended. I had only recently heard of hemangiosarcoma , and right away I wondered about Woody. I took him to the vet and he had an ultrasound , but vet wasn’t sure if it was the spleen. We decided on surgery and his spleen was removed and he had a litre and a half of blood in his abdomen. The vet suggested we just put him down but I said no , just take his spleen and whatever else you had to do and sew up and we’ll take him home. His surgery went great and he was back home. The spleen was sent away and came back , hemangiosarcoma and a huge I’m sorry. I started doing research and found a man who had beaten his cancer with a concoction of things. I tried it out. I gave Woody , 20ml of liquid fenbendazole for 4 days and 3 days off. I gave him a little over half a tsp of turkey tail mushroom twice a day, as well as yunnan baiyao on the days he didn’t have the fenbendazole. On occasion turmeric. I mixed all with his food, it was easy since he has a raw food diet. After a year, Woody is still alive and thriving. My vet is amazed as he and the oncologist said this wouldn’t work. I had nothing to lose. I’m so sorry that so many are losing their beloved pets to this deadly disease. I hope you will go online and do research on this. Woody is living proof that it can work. Prayers to all of you
Julie Buzby DVM says
Hi Lynne,
This is very interesting! I love when I get to learn new things and find out about alternative treatments. I am so glad that Woody is still thriving and by your side over a year after his diagnosis. Thank you for being willing to share your experience with our readers. Bless you and your sweet boy.
Amanda says
Hi! Thank you for sharing. My lovely dog Suzan just got diagnosed. She is my first (& only) dog and I am freaking out about it. She is on the older side and I haven’t noticed anything out of the ordinary with her. I know she can’t live forever but just knowing that she has it doesn’t make it any easier. I’m so glad I found your article to help me understand and help decide what I should do.
Julie Buzby DVM says
Hi Amanda,
I am sorry Suzan is facing such a difficult diagnosis. I am glad you found the article to be helpful and hope it will provide you with some comfort and understanding as you navigate this difficult road ahead. Praying your sweet girl can enjoy the time she has left and you can make some lasting memories. Best wishes to you both.
Karin says
It brought me so much peace just now having to euthanize my dog. My 11 year old service dog german shepherd, Rosie put to sleep today. This horrific dease snuck up on me in just 3 weeks. Rosie showed 0 signs of being off until she stopped eating. I put her on boiled chicken. A week prior to today she started having abdominal swelling. She fought like a champion to stay by my side. After 1 xray and tapping her abdomen and coming up with blood. Your article made me realize at this point I did the right thing by her today.
Thanku Karin
Julie Buzby DVM says
Dear Karin,
I am sorry you had to say goodbye to Rosie under such tragic circumstances. You absolutely did the right thing by offering her relief from her suffering and giving her peace and rest. I know you will miss her terribly but hope your heart will be comforted by the wonderful memories you shared. Bless you. ♥
Margaret says
Hi Dr. Buzby,
Our 14 .8 year old LABRADORABLE yellow labbie ,Ben, was diagnosed with hemangiosarcoma a few days ago. He is living out his best life and he is such a trooper! We are keeping him comfortable and things are good for now. Ben is our Baby and I would just like to say to the others that have reached out and shared their stories, that I appreciate that and what ya’ll went through and are going through! Thank you for sharing Lulu’s story as well.!!! Ben went to his toy box tonight and got his favorite baby- his “Cup o’ Noodles” that he got about 5 years ago so it was a good night! FYI we call him Noodle and Goosey as well. Anyway, Ben is my heart and I just want to do best by him. He is the biggest part of our family and I will make sure that he goes out in style and surrounded by the people that love him and that he loves too!
Julie Buzby DVM says
Dear Margaret,
I am glad Ben is happy and living his best life despite his diagnosis. I pray his last days are filled with love and joy. Savor every moment and go make those wonderful lifetime memories that will comfort your soul on the difficult days. Best wishes to you both. ♥
Liz Scott says
My 13 year old Border Collie is severely aneamic and the other day collapsed a few times. Shallow breathing and disorientated. Yesterday the vet suspected a tumour but said scans and x-rays were needed to know for sure and then surgery& biopsy. My lovely Patty has a painful spot in her tummy but not the spleen the vet said. I am in the UK – I am on a limited income as a pensioner so cannot afford the 2 – 3 k sterling this would cost unless I borrow. The vet said even if this course was taken her life span would probably be only a few weeks or months. So, euthanasia tomorrow although today she’s been eating ok, alert, present. I’m thinking love means be kind and gentle and prevent what the vet described as a time bomb. Without the tests though I’ll never know for sure what the issues are. I have got a lot from your website that’s helping. The uncertainty is distressing me but I keep coming back to love. Do what is loving but my heart is breaking. She was there for me during my cancer journey.
Julie Buzby DVM says
Dear Liz,
My heart aches for you and this difficult situation with your sweet girl. I do think you are making the right decision to say goodbye before something tragic happens. It is always better to let go one day too early rather than one day too late. I have no doubt that Patty knows how much she is loved. I pray your heart finds comfort as you allow her to find peace and rest. May her memory be a blessing.
Jane says
Thank you for sharing your story. I have a 7 year old golden retriever. She is 100% my heart dog. She also has Addison’s disease and chronic dry eye. I also call her my dog with 9 lives. She recently has lost 2 siblings to hemangio and her mom died at 7 y.o. from hemangio. We recently did blood work as she was having a vomiting spell. We did this initially to check her electrolytes due to the Addison’s . Luckily all those were normal but in the panel she ran she found her to be slightly anemic. The vet thought this could be from chronic use of a DES capsule to control spay -induced leakage. We stopped it and re-ran her blood 6 weeks later and it showed normal hemoglobin and RBC. So no anemia at the time. In the back of my mind I’m still scared we may have hemangio glooming. The vet did say to consider getting an ultrasound done. This has to done at a specialty clinic with an internal medicine vet.
My question to you since you have professional and personal experience — would doing an ultrasound now be worth it as she seems normal? Or is this a waste of money and potential heartache before needed?
Julie Buzby DVM says
Hi Jane,
I completely understand your concern about hemangiosarcoma, especially with the family history your pup has. Your girl is lucky to have you advocating for her and being so attentive! There is definitely a chance that you could spend a large amount of money on testing that all reveals normal results. But I’m not sure you can put a price on peace of mind. If not knowing is going to eat at you, it might be a good idea to go ahead with the ultrasound as long as it can be managed with your budget. If the ultrasound is normal, then you will have a baseline to compare to in the future should any new worrisome symptoms arise. I hope you can find the answers you are looking for to make the decision that is best for you and your sweet girl. Best wishes.
Heather says
This condition is so heart breaking to dog owners. We put our 12 year old shepherd/husky mix, Wilbur, down last year due to this horrible cancer. His entire abdomen was filled with blood. He was not eating or drinking and had no mobility at all. That was January 2021. Fast forward to June 2021, our schnauzer Powder, had a distended abdomen, could not jump up on the couch anymore, and would not lie down for more than 20 seconds before getting up and moving. He had diarrhea and was vomiting. Same diagnosis. We were devastated. As much as it pains me to type this, his brother Pepper was just diagnosed with this earlier today. We are trying surgery for him as he is not as far along as the other two were pain wise. 3 dogs out of 4 with this condition in 12 months. Please keep Pepper in your prayers this Thursday so he can stay with us a little longer!
Julie Buzby DVM says
Hi Heather,
My heart breaks for you and all you have gone through in the past year. I am glad that Pepper seems to be a good surgical candidate and that you were able to get something scheduled quickly. I pray the surgery goes well on Thursday and that he will have a speedy and uneventful recovery. My thoughts are with you both and hoping you have many more years together to make wonderful memories. Keep us updated!
Deb Pelletier says
I am sitting here crying my eyes out. My sweet, gentle GSD named Mia is so weak and not eating due to hemangiosarcoma. We have elected to say goodbye to her tonight and take her to the vet first thing tomorrow morning for euthanizing. Eight days ago we took Mia to the vet with what I thought was a flare up of her arthritis. During her exam the vet noticed her pale gums. Due to this she performed an ultrasound and x-rays before giving us the devastating news. Mia’s spleen was bleeding so we opted for surgery, however another vet spotted spots in her chest and sent the x-rays out to a radiologist. Within an hour the radiologist called and said the cancer had metastasized. We then decided to forego surgery and took Mia home with us. The vet gave us yunaam baiyao for blood clotting for her spleen. I gave this to Mia for the next 7 days. The day after we returned home she was her old self again. Playing, eating and drinking. Today, however that is not the case even after giving her the meds. I will forever be grateful to my vet for the yunaam baiyao. Along with many prayers, the yunaam baiyao gave us another week with our beloved Mia. February 23, 2022 would be her 12th birthday.
Julie Buzby DVM says
Dear Deb,
I am so glad you were able to love on Mia for an additional week. I know your heart is aching without her, but I have no doubt she knew how much she was loved. You did everything you could and made the difficult decision to say goodbye and let her have peace and comfort. I hope her transition was smooth and calm. Thank you for sharing your experience with us. I hope Mia’s memory will be a blessing to you and your family.
Joy says
It’s both a heartbreak and a comfort to know others have gone through this and struggled just as hubs and I did.
We lost our 10yr old shep mix, Skye, to this three days ago. She was rushed to the vet a month ago, pale and weak. Ultrasound showed likely spleen mass and the vets gave us the odds. Only 30% likely to not be cancerous, but to save her life meant expensive surgery right now. We decided to give her that chance. They found small (pencil eraser sized) tumors throughout her liver during surgery and biopsied those as well. Confirmed hemangiosarcoma.
She recovered from the surgery like a champ and we got 4 more happy weeks with our wonderful girl. She was her old self. The eternal puppy. At 10 she still hadn’t slowed down.
But we had to rush her to the vet, yet again, with signs of bleeding. One of the liver tumors had likely ruptured and the vet recommended euthanasia. Nothing could be done this time.
I will forever be grateful to our vets for the extra time we and our other pup were given with her. She was happy and herself right up to the second rupture.
My heart breaks watching our other pup search for her. They spent the last 10+ years together and now Amyris is alone again. We’re trying to change up our routine in small ways. Take her out in car rides. Small walks. Anything to get all our minds off our loss.
My condolences to everyone here that has gone through the same thing. The picking apart every moment, trying to find something you could have done differently. Railing against an unfair world for taking parts of our hearts in this way. The second guessing whether you made the right decision. The best decision. Wondering if you could have gotten more time.
You did the best you could. They loved you. And you loved them and gave them the best life you could. It just sucks that part of that best life means hard decisions about the end of it.
Julie Buzby DVM says
Dear Joy,
I am glad you were able to have 4 extra weeks to love on Skye after her surgery. Saying goodbye is so incredibly hard, but I think your words ring true. You will always consider all the “what ifs” and double guess yourself, but ultimately you made the best decision in a difficult situation. I pray you and Amyris will find comfort in each other and that your heart will heal with time. I hope Skye’s memory will be a blessing as you continue on the journey of life.
John Sennett says
Hello Doc:
I read your story and it has helped me deal with this struggle. Our dog, Sammi, is an 8 year old English Pointer. She has been having episodes of pericardial effusions and had a laparoscopic pericardiectomy today. Ultrasound and CT scans show that she has hemangiosarcoma that has metastasized although most of the tumors are small including the one originating one on her right atrium. We moved to Kyiv, Ukraine with her about a year ago and couldn’t bring ourselves to euthanize her just yet as she is still lively. We have ordered the turkey tail supplements available here as well as Yunnan Baiyao. We rescued her from a shelter in Florida about 8 years ago and she is the first dog my wife and I have ever had in our lives. How long do we have with her? Only God knows. Since the tumors are small so far, we are hoping the alternative medicine gives her a little more time. Chemo didn’t seem worth it for quality of life and because the tumors already spread. Anyway, every day left with her is a gift and we pray she stays through Christmas.
Julie Buzby DVM says
Hi John,
Thank you for sharing Sammi’s story with us. She is quite the world traveler! I am glad to hear that she is recovering well from her surgery today. I hope you have many more days ahead to make memories together. Bless you both and Merry Christmas!
Andres says
Hi
Im in tears reading your story, i lost my beloved Monti November 12th 2021 he was a rescued dog.
Your story is exactly the same as my dog, seeing the picture with the cone
Reminded me that you went through the same situation, because we loved him so much and gave him alot of treats and take usual walks, and play with him.
My condolences for dear Lulu, and Just wanted to say to all dog owners you are not alone, there are more like you, Just like i read from a post let the time pass and youll learn to live again, maybe something is missing but if you have memories with you, it will be alive forever within you.
Julie Buzby DVM says
Dear Andres,
Thank you for the kind words. I am sorry your heart is aching for your sweet boy Monti. You are right to say that a piece is missing from our lives after we say goodbye to a beloved dog. I hope that with time your heart will heal and find peace. May Monti’s memory continue to be a blessing.
Wilhelmina LaMedica says
Dr. Buzby, if I may, I have a very important question that is leaving a heavy weight on my mind as to could I/ should I have helped my baby when I thought he had an injury and didn’t start doubling his Yunnan Bayeo. I lost my heart dog Moki, a Doberman/Belgian Melanois pup on 3 Sep @ 17:57. @ 17:55 I had no idea this was going to happen. He was a Hemophiliac type A and only 3 yrs and 10 months old. Early last year, when we almost lost him, Texas A&M surely saved his life and at the same time we were told he had either a splenic tumor or a dried up Hematoma at the spleen. Throughout the year we had X-rays done and sonograms to stay informed if it was growing. He also had several transfusions at different time when he was bleeding but it was always controlled and brought his clotting time at a normal level. In August, when fostering a puppy, he came running up to me happy as always but ran into the lead I was holding the puppy on. It caught him square in the chest. I did watch for several days but saw no increased swelling to indicate he was bleeding internally. I should mention that he had been on a daily regime of Yunnan, blood support, joint support, pred, and supplements and was well cared for as the ER vets told us constantly when he came for a blood transfusion due to swelling mostly in his legs. Several times they suggested that as he was incurably ill we should humanly euthanize him. We refused as he enjoyed his life to the fullest. Loved being in the pool with his pappa and just being loved on, although he was never allowed to play with the rest of the pack and lived his own life with us.
On 2 Sept he wasn’t eating and lethargic, I thought nothing of it because there were days like this and he would be ok the next day, no swollen belly, nothing. On the evening of the 3rd right after his pappa gave him his meds, he lost his footing in his hind legs and went down. We picked him up laid him on his bed and I straightened him out. I looked at his face and it was distorted in agony, I had never seen him like this and he was cramping up his front paws as if he was in a horrible pain. Then I screamed for my husband that he was dying, I just knew it, and he was gone. Then I noticed on his chest a bruise, Dark purple and blue, I immediately remembered he had run into the lead 10 days ago but never saw any indication.. Later I read I could have increased his Yunnan by more than doubling it had I suspected he was bleeding but I didn’t..
My question, did this indicate a tumor that bled out quickly, or did the run in with the lead cause a bled but only slowly due to the Yunnan he was taking and I should have increased it? I have a heavy weight resting on me, I miss him unbelievable and my grieving is indescribable.
Thank you for your thoughts,
Julie Buzby, DVM says
Dear Wilhelmina,
I’m so sorry to hear of your loss. It is never easy losing a dog, especially a heart dog. Moki was lucky to have been so loved. As for your question, without a LOT more information it would be impossible to say. If you had given him double, the outcome might still have been exactly the same. We really don’t know what happened and I know Moki would not want you living with that guilt. I sincerely don’t think it is yours to carry. I would like to include a link to our free ebook on saying goodbye: https://shop.toegrips.com/products/saying-goodbye-to-your-dog
I hope you are able to find peace and let this heavy weight go. Let Moki’s memories be a blessing.
Lynette H says
Dear Dr;
So sorry for your loss. I am beating myself up at the loss of my Cassie, a great pyrenees lab mix. I lost my husband and she has been my rock. She began pacing and staring at walls one night after a visit to vet for anal sac extraction. We all thought she was sore from that and vet put her on an anti-inflammatory, she got better but I thought her belly looked full a couple weeks later and that is when the spleen tumor and hemo belly were found on xray. She had her spleen removed but multiple tumors were on her liver with one that had a clot. She did great after surgery but pathology came back as cancer. I was told at best 1 to 3 months and no chemo would help. My anguish is this, A week later I got a weird vibe from her, nothing specific but I gave her a yunnan baiyou capsule because I was uncomfortable. The next day I had promised her a walk but when she got up she wouldnt eat. She seemd ok otherwise and we went for our walk on a beautiful sunny day and took many pictures. She slept the rest of the afternoon and very late that night when I took her out she didnt make it to the grass to pee and went in the driveway. I knew we had problems as she was the best girl. She wouldnt go up the steps to get back in our house and layed in the sunroom. Her belly was pulling in and out like cramps at some points but then would stop for a long time. I gave her a yunnan baiyou capsule again and called the emergency vet as it was midnight on a sunday. I wanted to know if I should give her the emergency red pill since I just gave her the capsule and what they would do If i brought her in. I knew I would not put her through surgery given she just had a major one and her life expectancy didnt warrant her going through that hell. They said the doc wasnt available and couldnt answer my questions. I in fact i called them again with no help. Ididnt want to do more harm than good and was not sure in fact it was a bleed so I was afraid to give the red pill. SInce I couldnt go in with her at this hospital due to covid and how cold they were I decided to try to make it till morning to go to our regula r vet. They had told me the surgery team wasnt in that night and I just had visions of her laying in that place being poked and proded and stuck in a kennel alone. She made it but in the morning her gums were white and she tried standing andher back legs went out from under her.But all through this she visibly looked great. She is a 100 pd girl so we put her on a bedspread and went to vet who said our only choice was the emergency hospital for blood and they would have to do exploratory surgery to stop the bleed or let her go. My vet felt letting her go was the answer and I didnt want to put her through hell.. Im devastated and can hardly go on. She was my everything and I feel as though I let her down but not giving her that red pill that I since found out I could have. Her surgeon feels it would not have saved her anyway but i am being tormented by this. I wanted to do the best I could for her as she has done for me. Any thoughts? Im in anguish.
Dr. Julie Buzby says
Dear Lynette,
Thank you for sharing your story of Cassie with us. My heart breaks for you. It sounds like she was a very special girl. I know it can be so easy to get caught up in the “what ifs” but I think you made the right decisions for her, and you knew when it was the right time to say goodbye. She was very lucky to have had you as her family. I’m so glad that you got to have that special walk on a beautiful day and take pictures. That is a memory you can treasure, along with the many other wonderful memories you made before. I understand how difficult it would be to not know if you should have given her the red pill, but I agree with your surgeon. I don’t think it would have made much of a difference in the outcome. Unfortunately, with several masses on her liver, it was probably just a matter of time before one of them ruptured and bled significantly. But still, the splenectomy surgery gave her another great week with you and the chance to have that last memorable walk. So in my opinion, you did do the best you could for her at each step. I hope that in time the guilt and grief will ease a little and you can find a measure of comfort.
I would like to include a link to my ebook, Saying Goodbye (). I have made it free for everyone to read and I hope that it helps you as your grieve this loss. Click the link, place it in your cart and check out.
Paula Furlong says
My dogs was just Diagnosed with this same cancer. She is 14 and not a big dog. They don’t want to do a biopsy because she’s too old? So it is not not sure. So after several days of not eating or drinking she is starting to come around and looks much better. I have been taking her to the lake and spending time with her while my other 3 stay home. I feel like I cannot have her put down if they can’t say for sure she has it?
Dr. Julie Buzby says
Hi Paula,
So sorry to hear that your pup may have hemangiosarcoma. I understand how hard it is to not know for sure what is going on. If knowing with certainty that she has hemangiosarcoma would help you feel more peace with enjoying her last few days or weeks and then making the decision to say goodbye, there is nothing wrong with seeking a second option with another vet and/or asking for a referral to a veterinary oncologist. I am glad that you are able to have some special one-on-one time with her at the lake regardless of what the outcome ends up being and I hope that you are able to find the answers you are seeking. Sending hugs as you navigate this difficult path. ❤
Danielle says
Our sweet lab mix Molly (age 6-7ish) was just diagnosed with a very large abdominal tumor two days ago after taking her in for some urinary incontinence and a brief period of lethargy, anorexia and presumed belly pain a week prior that had self-resolved. They are most concerned about it being a splenic tumor, and likely a hemangiosarcoma, but she currently does not have signs of acute bleeding and was not anemic on her labs. They do think that the episode last week of not eating might have been associated with a small rupture and bleed that eventually got walled off and contained on its own. We’re taking her today for more comprehensive imaging before deciding on surgery vs. keeping her comfortable until the time comes when it’s too much. These are never easy decisions–we just want to do what’s best for Molly.
Dr. Julie Buzby says
Hi Danielle,
So sorry to hear about your sweet Molly’s potential splenic tumor. It is always devastating to get this kind of news. I am glad to hear that you are doing some comprehensive imaging today that will hopefully give you more information about the tumor. If this does end up being a splenic tumor, you may find this article helpful: Splenic Masses in Dogs: Types, Diagnosis, Treatment, and Prognosis. It has some good statistics and information that could be beneficial as you navigate this difficult time. Fingers crossed that it is a benign mass such as a hemangioma! ❤
Danielle says
Imaging last week showed that it indeed was coming from her spleen and no obvious signs of metastasis in her belly. She had a chest x-ray that was negative for lung metastasis. They also looked at her heart with ultrasound and it all looked normal. We decided to go ahead with surgery this past Friday–she’s post-op day 6 now and has been home for 5 days. She had a 7 lb 5 ounce tumor coming off her spleen (our vet sent us pictures at our request and its crazy how big it was!!!). The entire tumor was removed as well as her spleen and she is doing quite well post-op–eating great, better energy, being her sassy self again. We’re awaiting pathology results still, but keeping our fingers crossed it will be benign!
Dr. Julie Buzby says
Hi Danielle!
Thanks so much for the update on your sweet girl!!! I’m so glad that she is doing so well post-op. It sounds like you made a good decision to go ahead with surgery. That is a huge tumor! As strange as it sounds, that may be a good thing because anecdotally (and in some studies) it seems like the ones that have time to get that big without a life-threatening bleed or obvious spread to other sites are more likely to be benign. If you think about it, please update us when you get the pathology report. Fingers crossed for good news!
Danielle says
Hi there ! Took a while for me to get back in touch, but Molly is doing GREAT! I’ve been crazy busy in the last two months–I’m a pediatric resident applying/interviewing for pulmonology fellowship programs right now. Anyway, we got the tumor pathology report back a while ago and all cuts were consistent with a benign myelolipoma! Your thoughts on the growth of the tumor were right, and that’s what our veterinarian had thought going into surgery too. She’s been doing so amazing since surgery though… we even got her out hiking a little. Her belly is all healed up and she’s a happy (and sassy) girl!
Julie Buzby DVM says
Hi Danielle,
Yay! I am so excited to hear the good news from Molly’s pathology report! Thank you for the update. I am glad she is able to get out hiking again and doing things that make her happy. Enjoy making memories together and good luck on obtaining your fellowship!
Ariane says
This is almost the same thing that happened to my sweet Coby last week. He had internal bleeding and was a step away from dying so we went ahead with emergency surgery after he got a blood transfusion. They removed the spleen with the huge tumor but also found 3 tumors in his liver and only 1 could be removed. The other 2 had signs of bleeding as welll and they did what they could to stabilize them. We took him home with us after he spent 1 day at the hospital recovering, the vet told us it was best to spend as much time with him because he didn’t have much left and we just stayed by his side for the next 36 hours. We had to make the difficult decision to let him go, even though we didn’t have the biopsy results the vet told us it was extremely likely it was hemangiosarcoma (now we have the results and it was that). I feel so guilty for having put him in the stress of surgery but we were told there was no way of knowing what he had without it (and I guess hindsight is always 20/20). And then having to say good bye only after a couple of days after surgery made me feel guilty as well. However, we knew that the other tumors would rupture any second and there was nothing else they could do for him when that happened. We decided we couldn’t let him go through everything again and we had to let him go. It has been the hardest thing…. Now that I have been sharing my story to family and friends, a lot of them have heard or gone through similar things. It seems this type of cancer is almost an epidemic, is there an agency or organization looking into this? What can we do to raise awareness and promote research? Thanks for this post, it makes me a little bit more comfortable with the choice that we made.
Dr. Julie Buzby says
Hi Ariane,
What a difficult few days. I’m so sorry for the loss of your sweet Coby. I understand how easy it is to second guess the decisions we make, but please don’t feel guilty for choosing to pursue surgery for him. Like you said, you didn’t know for sure that it would be hemangiosarcoma or that there would already be tumors on his liver that could not be removed. I hope that in time you will be able to find comfort in knowing you made the decision in the heat of the moment that you thought was going to be best for him.
There are several organizations (AKC Canine Health Foundation, Morris Animal Foundation and others) as well as many veterinary colleges (University of Minnesota, Cornell University, Tufts, and others) that have conducted or are conducted research on canine hemangiosarcoma. If one of those organization’s studies or mission statements really resonates with you, you could always consider making a donation to that vet school or organization in Coby’s name to help fund continued research. Additionally, telling Coby’s story, just like you have been, is another great way to raise awareness. It is such a devastating disease and like you, I hope that as researchers continue to learn more about it, they will continue to make advances in diagnosis and treatment as well.
So sorry again for the loss of your sweet boy. I’m sure his passing left a huge hole in your heart and your life. ❤
Lori says
Two days ago, my lab Boomer Was diagnosed with this cancer-it was in his heart (right chamber I believe). Euthanizing was the only option since his chest was full of blood and breathing was a chore. It was a very difficult decision because the day before he was running around with the family. This cancer is so unfair because we weren’t given the option to try to save him and we were given no notice. It saddens me to think about how his last hours were spent in the car as we rushed him to different facilities for second and third opinions. We just couldn’t accept the truth. I hope that more research is conducted so that in the future, more dogs have a fighting chance.
Dr. Julie Buzby says
Hi Lori,
So sorry for the loss of Boomer. It is so difficult when a dog is healthy and happy one moment and so very sick the next moment. Like you said, hemangiosarcoma is terrible in that most of the time there are no warning signs before the tumor begins to bleed profusely. I am confident that Boomer knew how much you loved him and had a wonderful life with you. Please don’t feel guilty about how the last few hours were spent. You were trying to pursue all options for him and doing what you thought was best. Sending hugs as you mourn this loss. ❤
Rosemary Keir says
What a beautiful but sad story. Lulu was certainly a lovely dog and was given a wonderfully caring family. My thoughts are with the family on the loss of their beautiful pet.
Dr. Julie Buzby says
Rosemary, thanks for your kind words and condolences. ❤
Marcy Shiffer says
So sorry for your loss!
We lost our Chica (Dane/Lab mix) to this suddenly as her tumor had burst and she was failing quickly. She was going for wellness checkups twice yearly including full lab work and had been a very healthy 11 year-old prior to this. I had never heard of Hemangiosarcoma tumors before her health crisis and have always wondered what we could have done to prevent what happened to her. Thank you for your article which helps explain the cancer and how suddenly things can change.
Dr. Julie Buzby says
Hi Marcy,
I’m so sorry for the loss of your sweet girl Chica. It is always hard to lose a beloved pet, especially when it is sudden and unexpected. It sounds like you did everything right for her. Please rest assured that there is absolutely nothing you could have done to prevent her from developing a hemangiosarcoma or to keep the tumor from rupturing. I’m glad the article was able to give you some closure and I hope you find comfort in the wonderful memories you made with Chica. ❤
Mirta Schaeffer mschaeffer says
Thk you for sharing Lulu life story. I was glad she spent her living years with a loving family. Yes, I still miss her. Like I miss my Smoochie, and Kayla, and Jackie.
Dr. Julie Buzby says
Hi Mirta,
My sympathies on the loss of your beloved Smoochie, Kayla, and Jackie. Our pets leave their pawprints in our hearts and lives forever and their absence can be so difficult. ❤