C10030712 / invoice 10000

Reason: Lump Under ChinHistory: Owner Geoff reports Moo has been well @ homeThe lump on his LEFT ventral mandible/chin has recurredOwner feels confident the lump did regress singifincatly with a course of Prednisalone, 7 days of oral Amoxyclav and ApoquelThe lump does not seem itchy or painful to touch Moos skin has been settled recentlyNo known history of malignant cells Examination: BAR. Chest clear, no audible murmurs Abdomen NSFCoat and skin greatLEFT lateral mandible:- Chronic, dermal, elevated, well demarcated, pink/red lesion apprx 25x20mm present. The dermal mass does not seem painful to touch or pruritic for the dog. No trauma noted although possible considering breed and temperament. No sinus noted. The lesion did respond/regress considerably with oral Prednisalone and oral antibiotics for 7 days although recurred within a week to about the same size. 3x FNA taken. Not painful with aspirates. The mass did bleed considerably with the first aspirates. Photo taken today during aspirates. 3x FNA taken revealing blood/blood tinged material only. Assessment- Chronic mandibular dermal mass that regressed considerably with c/steroids and oral ABx then to recurr to the same size - 3x FNA taken and labelled for IDEXX cytology Treatment: 1ml Niramine SQ Plan: - Call with results- Owner Geoff leaving for holidays to Japan for 1 month in 2 weeks time13/03/26 Client communication via text- Hi Geoff. Its Mitch from Ashgrove Av Vet Clinic. I had a quick look at Moo's Fine Needle Aspirate (FNA) biopsy samples and I can see a large amount of neutrophils (white blood cells) that normally come with an infection or inflammation. I could not see any obvious malignant cells however we will need the vet pathologists to review the samples thoroughly to confirm this. Best case scenario we need to just give a longer course of oral antibiotics. A subcutaneous foreign body (eg grass seed awn) is still possible and may need surgical removal to be curative. We will keep you updated with his biopsy result that should arrive Tue/Wed next week. Pleas call if you have any questions/concerns,. Have a good weekend. Mitch. AAVC    Vital Signs    Weight: 21.8;       MMColour: Pink;       BodyScore: 5;       DentalGrade: 0;       CRT: Less than 1;