Multimodal pain management in a dog with oral fibrosarcoma

Hjalmarsson, Lydia; Bianchi, Cristina; Stathopoulou, Thaleia-Rengina

Abstract

An-year-old lurcher presented at the Pain Clinic of the Queen Mother Hospital following a-month history of progressive right-sided facial pain that was poorly responsive to multimodal oral analgesia. Initial investigations had revealed dental changes. Despite appropriate treatment, the patient's clinical signs had deteriorated, resulting in the inability to chew, behavioural changes, and his owner's being unable to administer oral medication, all resulting in progressive weight loss. Computed tomography imaging revealed marked soft tissue thickening of the upper lip, extending along the infraorbital canal and periorbital inammation. The biopsy conrmed brosarcoma. The patient received a multimodal analgesia approach, with systemic analgesia and electroacupunc-ture performed perioperatively. Neurolysis of the infraorbital nerve was also attempted using an alcohol solution. Following recovery from anaesthesia, the patient showed improved comfort and ate before leaving the hospital. Initial improvement was seen for a number of days at home; however, following this, the owners reported deterioration. K E Y WO R D S anaesthesia, analgesia, neoplasia, oncology, pain BACKGROUND

Citation

Hjalmarsson, L., Bianchi, C., & Stathopoulou, T. (in press). Multimodal pain management in a dog with oral fibrosarcoma. Vet Record Case Reports, https://doi.org/10.1002/vrc2.785

• Journal Article Type: Article
• Acceptance Date: Dec 1, 2023
• Online Publication Date: Dec 20, 2023
• Deposit Date: Jan 17, 2024
• Publicly Available Date: Jan 19, 2024
• Journal: Veterinary Record Case Reports
• Print ISSN: 2052-6121
• Electronic ISSN: 2052-6121
• Publisher: BMJ Publishing Group
• Peer Reviewed: Peer Reviewed
• DOI: https://doi.org/10.1002/vrc2.785
• Keywords: General Veterinary