Foreword ix
Preface xiii
Acknowledgements xv
Introduction xix
Part One
Chapter 1 Molecular Biology of Cancer and Aging 3
Chapter 2 Caring for Geriatric Cancer Patients: The Concept of Pawspice and What Is Needed Aside from Medical Care 29
Part Two
Chapter 3 The Warning Signs of Cancer in Geriatric Pets 53
Chapter 4 Basic Types of Cancer and Their Biological Behavior 101
Chapter 5 Generating the Diagnosis and Prognosis of Cancer in Geriatric Pets 117
Part Three
Chapter 6 Treating Cancer in Geriatric Pets 153
Principles and Philosophic Perspective for Treating Geriatric Cancer Patients 153
The Role of Surgery in Cancer Management and “When is It Too Much Surgery” 162
Chemotherapy in the Management of Geriatric Cancer 171
Adverse Effects of Cancer Therapy in Geriatric Pets 188
The Role of Radiation Therapy in Cancer Management 208
Immunotherapy, Cancer Vaccines, and Gene Therapy 216
Chemoprevention and Immunonutrition for Cancer Patients 223
Integrative and Alternative Medicine 234
Electrochemotherapy (ECT)/Electroporation (EP) 239
Metronomic Chemotherapy in Dogs 246
Chapter 7 Pain Control for the Geriatric Cancer Patient 265
Chapter 8 Decision Making with Advanced and Recurrent Cancer in the Geriatric Patient 301
Chapter 9 When and How to Decide That a Geriatric Cancer Patient Is Terminal 345
Chapter 10 Palliative Care: End of Life “Pawspice” Care 367
Chapter 11 Euthanasia for the Geriatric Cancer Patient 399
Chapter 12 The Veterinary Professional/Client Relationship: Supporting Your Clients – Supporting Yourselves 419
Chapter 13 Professional Support: The Well-Being of the Veterinarian and the Team 443
Appendix 1 Specific Tumor Protocols 451
Appendix 2 Handouts for Clients 465
Appendix 3 Canine and Feline Anatomy 477
Index 485
