How long can a dog live with Stage 4 lymphoma?

Cancer can be a devastating diagnosis for both pet owners and their furry family members. Unfortunately, lymphoma is one of the most common types of cancer found in dogs, and can have devastating implications. Stage 4 lymphoma is the most advanced stage and is often considered an incurable condition. Thankfully, with the right medical care, dogs diagnosed with Stage 4 lymphoma can enjoy a good quality of life for several months to a few years. In this blog post, we will discuss the prognosis for dogs diagnosed with Stage 4 lymphoma, and explore the various factors that may influence their overall lifespan.

It is crucial to emphasize that patients receiving chemotherapy (or any other type of cancer therapy, for that matter) do so because their team of caregivers, including their primary veterinary surgeon, veterinary oncologist, and home family, believe that the treatment is consistently improving quality of life. Chemotherapy and cancer rightly carry a certain stigma. Before beginning a course of cancer therapy, we go to great lengths to make sure that any potential side effects are thoroughly discussed. In this manner, our owners can decide on the best course of action for their pets. Our cancer therapy’s primary goal is to increase patients’ quality of life, with increasing their life expectancy coming in a close second.

For the treatment of canine lymphoma, countless chemotherapy regimens (or protocols) have been described. The principal candidates are described as multidrug chemotherapy protocols. They incorporate either the COP protocol, which combines the three drugs cyclophosphamide, vincristine (Oncovin), and prednisolone, or the CHOP protocol, which combines the same three drugs plus the drug doxorubicin (hydroxydaunorubicin). The COP protocols have a lower likelihood of causing unfavorable side effects but a lower likelihood of causing a full remission. On this course of treatment for lymphoma in dogs, the typical survival time is around 612 months. The average life expectancy is increased to about 1112 months as a result of the CHOP protocols’ higher percentage of complete remissions, but there is a slight increase in the risk of unfavorable side effects.

If any side effects of chemotherapy are noted at all, they are typically minor. However, it is crucial that the risk of these side effects be addressed and openly discussed before the start of therapy. Despite chemotherapy, the general health of the patient often improves because the improvement in their condition often outweighs the minor impact of treatment-related side effects.

Whether your veterinarian is a general practitioner or an oncologist, you should consult with them when deciding which course of action to take. This is not a one-size-fits-all situation. Sensibly, some veterinary practices will only provide one lymphoma protocol. The reasoning behind this is that because they see fewer cases than a veterinary oncologist, it is crucial for everyone in the practice to be accustomed to using the same treatment plan in order to be as familiar as possible with the disease in question and the range of tumor manifestations and treatment response. Otherwise, things can become very confusing, and chemotherapy is not something to be confused with. Other considerations that affect treatment decisions include the patient’s own reaction to the drugs after they have been administered, the cost of therapy, the length of therapy, and the accessibility of a specialist center.

A cancer of the lymphocytes, or white blood cells, is lymphoma. While there are numerous distinct lymphoma subtypes in dogs, just as there are in humans, this idea is still relatively new to the broader veterinary community. The various forms of lymphoma develop from malignant transformation of various lymphocyte types or as a result of various distinct DNA aberrations acquired throughout the course of the patient’s life. Most lymphoma types respond favourably to the administration of chemotherapy. Some do not, and it is important to make an effort to identify these cases since additional treatments might be necessary.

How Common Is Lymphoma In Dogs?

Lymphoma is among the most common cancer in dogs, accounting for approximately 10-20% of all dog cancers. It typically affects middle-aged and older dogs, and genetics appear to play a factor. Breeds predisposed to lymphoma include Airedale Terriers, Basset Hounds, Boxers, Bulldogs, Bullmastiffs, Golden Retrievers, Labrador Retrievers, Saint Bernards, and Scottish Terriers.

Types Of Lymphoma Cancer In Dogs

There are more than 30 different types of lymphoma, but the cases of these represent the vast majority in dogs.

  • Multicentric lymphoma: By far the most common form, multicentric lymphoma accounts for about 80%-85% of cases of lymphoma in dogs. This type affects lymph nodes throughout the body.
  • Alimentary lymphoma (or gastrointestinal lymphoma): The second most common lymphoma in dogs, it affects the intestines and/or the stomach. However, it accounts for less than 10% of cases.
  • Mediastinal lymphoma: Much less common, this lymphoma involves organs within the chest, such as the thymus gland or lymph nodes.
  • Extranodal lymphoma: This form of lymphoma develops in organs outside of the lymphatic system. While rare, extranodal lymphoma can attack the eyes, lungs, kidneys, skin, bones, or nervous system.
  • Cutaneous lymphoma: The most common extranodal form, cutaneous lymphoma affects the skin. However, these cases are rare, accounting for only 5% of lymphomas in dogs.
  • Swollen lymph nodes in dogs are the first and most noticeable symptom of multicentric lymphoma, the most prevalent type of this cancer. They feel like hard, rubbery lumps under your pup’s skin. The simplest places to look for swelling in lymph nodes are in the neck, under the jaw, and behind the knees. Many dogs initially don’t exhibit symptoms of illness, but they sometimes do as time goes on.

  • Swollen lymph nodes
  • Lethargy
  • Decreased appetite
  • Weight loss
  • Facial or leg swelling
  • Increased thirst and urination
  • The affected organ determines the symptoms of the much less common types of lymphoma. These and other uncommon types of the illness only account for 15%–20% of all canine lymphoma cases.

  • Gastrointestinal (alimentary) lymphoma can cause watery, dark, foul-smelling diarrhea, vomiting, and weight loss.
  • Mediastinal lymphoma usually results in breathing problems and coughing.
  • Cutaneous lymphoma appears as thickened lumps or dry, scaly, red, areas of skin anywhere on the body or in the mouth. As it progresses, these patches become moist, ulcerated, and extremely red.
  • Other extranodal lymphomas can cause respiratory distress, kidney failure, blindness, seizures, or bone fractures and pain, depending on the affected organ.
  • FAQ

    What are the final stages of canine lymphoma?

    Dogs with end-stage lymphoma may exhibit extremely lethargic behavior, vomit, have diarrhea, eat less or not at all, and lose weight. Because they are obstructing the throat, large lymph nodes can impair breathing. Your dog may exhibit noisy stertor breathing or difficulty breathing.

    How long can dog live with Stage 4 lymphoma?

    Four to six weeks after diagnosis, untreated dogs with lymphoma can expect to live. An organ will become so heavily infected by the cancer that it will fail. The patient weakens and passes away as their appetite decreases, their breathing becomes more labored.

    Can a dog survive Stage 5 lymphoma?

    Stages 2-4 typically have the same prognosis, while stages 1 and 5 tend to have worse long-term outcomes. Additionally, substages a or b are used to categorize lymphoma. Dogs in substage a are otherwise healthy and have a normal appetite, while dogs in substage b are sick because of the lymphoma.

    How fast does lymphoma in dogs progress?

    The majority of lymphomas are high-grade and rapidly progressive. Most dogs experience terminal stages within one to two months of presentation if untreated.