
07/03/2025
A case from my North of England peripatetic medical service - mobilevetreferrals.com
Darcy is a beautiful female neutered Cocker Spaniel. Diagnosed at the referring practice (the excellent Dalehead Vets in Settle) with possible bladder neoplasia. The video sequence below shows a small bladder mass, but the main tumour bulk is in the proximal to mid urethra. The final part of the sequence shows some urethroscopy footage - the scope could not be advanced into the bladder, such was the occlusion of the lumen. The papillary appearance is characteristic, and biopsies confirmed urinary carcinoma/transitional cell carcinoma.
At the time of examination, no metastases were obvious. Various options have been discussed, ranging from NSAID/Cox-inhibitor treatment right through to onward referral for possible laser ablation if deemed practical. For now, fortnightly vinblastine with close monitoring has been elected, in the full knowledge that life (and quality of life) extension rather than cure is the goal.