Abby had her follow-up x-ray today, and while the results weren't miraculous (no, unfortunately the lone met did not disappear...) they were still pretty darn good: that lone met is STILL a loner. None of his rat-bastard friends have come to join the party! Hoorah! Hopefully he STAYS a loner... although I guess that's kind of a long shot. Dr. V. said it's very rare to have just one met--I guess they are like potato chips or something.
The slightly bad news was that the Lone Met (I've decided to start capitalizing that...sorta like he's the evil villain in a B Western...) had gotten a little bigger in the almost-three-months since the last x-ray. He went from 1.0cm to ~ 1.4cm. The good news is that The Lone Met lives in a "good" spot in her lungs. Apparently the location of the mets can have a big impact on longevity, for instance you don't want them up by the airways. Our Lone Met is hanging out in sort of the "back country" of Abby's lungs, so nowhere near up where all the action is. Phew.
Dr. V. says if we keep doing what we are doing with her metronomic therapy (maintaining her every-other-day doses of Palladia/Cytoxan) we should have her around for "a good long time." Which, with osteosarcoma, is still not THAT long in the grand scheme of things, and it's impossible to really put a number on these things, but... there is a dog on the Tripawds site who is on metronomic protocol, AND has lung mets (plural) and has been going for 2 years that way! Another two years (at least) would be awesome.
And, I ask you, does this look like a sick dog???
[No animals - or humans - were harmed in the making of this video, although all three of us did end up quite wet.]
Oh, one other thing... Mike was asking, Why can't we just cut that damn Lone Met out? Dr. V. did address that -- it is possible that we could cut it out, but it's pretty rare to do because it's not worth it unless the dog meets three criteria: (1) the met has to be stable (it can grow some, but not a ton -- as it is now, he said we could actually call her met "stable," so check on that one), (2) it has to be a Lone Met (check), and (3) it has to remain a Lone Met for a year (so, we need to keep waiting and see what happens). We'll see if we make it to another six months and The Lone Met still rides alone. It's pretty major surgery, so I dunno... Hopefully we'll someday be at a point where we need to make that decision.
P.S. She is still having minor diarrhea (still not entirely a "solid citizen") so we are on a little break from her meds until her system settles down again. Hopefully she'll be back into her routine very shortly.