Jimmy's Lump Seems to be NON CANCEROUS Lipoma

Pathology Report:

"Jimmy Stewart's mass is thought to represent an angiolipoma. Angiolipomas are a variant of a lipoma.
Lipomas are benign connective tissue tumors composed of histologically normal adipose tissue. It has been
postulated that lipomas may represent regions of nodular hyperplasia or altered lipocyte metabolism
rather than true neoplasia. Because lipomas have no defined microscopic borders, gross inspection at the
time of surgery is often a better indicator of completeness of resection than microscopic examination.
Development of multiple lipomas is common, and close observation for additional masses would be prudent.
Surgical excision is typically curative.

 A vascular derived neoplasm was considered, but is less favored at this time. Additional recuts and
 re-trims to further characterize the lesion are pending...

  HISTOPATHOLOGIC DESCRIPTION:
  The specimen consists of multilobulated nodules of well-differentiated adipocytes supported by modest
  bands of fibrocollagenous tissue that occasionally are partially encapsulating the nodules. There are
  multifocal random branching vascular structures within this mass that are interspersed among lobules of
  mature adipocytes. Individual adipocytes have abundant cytoplasmic lipid and small compressed nuclei.
  Mitoses are not seen. Inflammation is not present..."

Jimmy CT Shows Lung Issues/Stomach Hernia, etc. Skin Lump Well Defined

There's so much going on here. I've not had a chance to stop and write-between cats, house issues, garden, personal, etc.

Lizzie-doesn't want to eat, isn't feeling well lately, was in for blood work and scans in April and has approaching CKD. We are feeding her renal foods, fluids, extra vitamins, etc. And Mirtazapine once a week and very little of it BECAUSE of the complications long term use had on Katharine (see posts December/January.) But we are hand feeding her daily three times a day and her weight is stable at 11.3 lbs. Some days she eats well on her own but not all. I want her to stay over 11 lbs because when they get down to 10 or less, they become weak, with less fat and muscles which is what we saw with Katharine.

Jimmy-as I posted in March, had two biopsies of his back lump and the second one came up possibly cancer. We had a CT in early May and THAT report came up with---a possible lung issue AND a stomach hernia and other issues. The lump? Smaller than in March and well defined and NOT spreading. SO-the CT specialist thinks it's likely not cancer but needs to be removed and tested to know for sure. We were supposed to remove it this week BUT NO ONE CAN TELL ME ABOUT THE CT REPORT and if anything is serious. The vet hospital sends them out so there's NO ONE to talk to. Our state's vet school is without a rad/onc/CT/MRI specialist since February so no one there can discuss it with me. No one else in the area will read someone else's CT unless MY VET sends it to them. AND MY VET hasn't yet despite me requesting it a week ago; AND the surgeon to remove the skin lump still hasn't called me to discuss the CT report and if there's an issue to resolve before he has surgery. His cardiologist said she can't see anything of concern on the xrays from March and feels the CT report is too vague and to continue removing the skin lump to test for cancer. BUT if the lung issue is concerning, then he can't have surgery or daily intubation for radiation treatment on the lump area if it is cancer.

I'm worried about either waiting to find out more about the lung-but where, when, who??-or risking surgery now and having something go wrong. Or waiting to remove the lump and what if it's cancer but not ACTING like cancer? And then waiting spreads it?

The CT report:

"Thoracic CT-
In the right caudal lung lobe ventrally there is an irregularly marginated, ovoid soft tissue attenuating structure, measuring approximately 2.9 x 3 mm. (VERY SMALL) This is closely associated with vessels and an airway. On the dorsal reformatted image, this appears to be associated with a curved vessel. This structure is less discrete and poorly defined on series 2, the initial scan.
There is patchy groundglass appearance within the left cranial and right mid ventral pulmonary parenchyma.

...On the second scan, the pylorus of the stomach is displaced into the caudal thorax and there is esophageal distention. There is adjacent poorly defined soft tissue attenuating material, not identified on the initial scan.

...Sternal lymph nodes are mildly enlarged with homogenous enhancement...

CONCLUSIONS:
Solitary ovoid pulmonary structure. Given that there is only 1 structure, this could represent a granuloma or neoplastic nodule, however, on the dorsal reformatted image, this has a curvilinear appearance, therefore, this also could represent a curvilinear vessel which has a nodular appearance on the transverse images.
Mild sternal lymphadenopathy.
Chronic lower airway changes. (WHAT?? Serious?)
Sliding hiatal hernia."

Jimmy

Elizabeth