C10024615 / invoice 10000

Path report belowO reports he is going quite wellTumour is benign and we got good enough marginsHis skin has settled with the Iramine - advise 1 more week of 8 mgs bid - then see - if need to restart them, do....would Rx OTCPathology ReportINTERPRETATION:Cutaneous melanocytomaMitotic count (per 2.37 sq mm): 2Histologic tumor-free margins: Clear; the nearest peripheral margin is 0.4 mm, with 3.0 mm deepVascular invasion: Not presentCOMMENTS:Melanocytic skin neoplasms (excluding feet) comprise approximately 60% of all canine melanocytic neoplasms andapproximately 90% of these show benign behaviour. Low/mild nuclear atypia and small size ( less than 1cm) areuseful prognostic positive indicators for benign lesions.HISTOPATHOLOGIC DESCRIPTION:Haired skin, eyelid: The dermis contains a raised, partially circumscribed mass composed of pleomorphic cells thatvary from polygonal cells arranged in sheets and nests, to spindle shaped cells arranged in interlacing bundles.Cytoplasm is pale, ample to abundant, and contains a variable amount of pigment consistent with melanin. Nuclei areovoid with finely stippled chromatin and one central nucleoli. The mitotic index is 2 per 2.37 mm2 (equivalent to ten 400x high power fields). There is mild to moderate anisokaryosis and anisocytosis. Patchyjunctional activity is present.

going good, eye is looking good and no issues with eating, drinking and toileting. O will book in for poc when results are back

Pre GA bloods - biochem 11 only - Alt 156 (<125) - rest wnls - watch that - recheck 2 to 3 mnts is advisedIn today for 2 mm rt lower eyelid black raised mass - close enough to tear duct.....Pre med 8 am - acp/methad scIvt started at blood draw and maintained to 1 hour post op wake up 11.30amKv & iso GA - went 1 hr +Cleaned and prepped lower lid c dil betadine - noted 2nd smaller and only sl raised dark lump same lid closer to lat canth- elected cryosurgery 40 sec freeze.- took a while to cath tear duct close to mass c 26g canula - got it and flushed it too - no goo- his conjunct are sl infld in general - related to skin issues - then removed 4 -5 mm of right lower lid with narrow margins (eyelid) - send that skin island with mass for histopath....too small for cytol really- 5/0 vicryl repair c buried knot...- needed Atopine iv post as a little drooly and ht rate circa 70 - responded- metac sc post op- see what path saysSkin ave - not responded to Cytopoint 23/1 - paws red - raised wheal and flare type appearance of skinAdvice there: Start Iramine 8mgs bid to start as may help - given failure to respond to Cytopoint - go for a month at least....Has a crack left carnassial noted today - buccal rostral aspect - watch that