VETSCOPE

Recommendation Radiograph. Blood work to make sure it is safe to use NSAID. Galliprant, Gabapentin, CBD. Glucosamine and Chondroitin. Adequan injection every 4 days. Flexadin Advanced. Physical therapy. Accupuncture. Laser treatment.

For dogs with GI lymphoma I typically treat with UW-19/25. I don’t substitute vinblastine for vincristine unless it is not well tolerated. If the dog didn’t respond to the first vincristine treatment, I’d skip the second and go right to doxorubicin. Elspar is reasonable, but it tends to become less and less effective with each dose. I try to “save” it for when I need it, but would definitely use it as my first treatment since most GI lymphoma dogs are sick at the time of diagnosis. If the phenotyping confirmed T cell lymphoma then I would consider LOPP. The majority of dogs with GI lymphoma have a poor prognosis, but I have had a small number of them live >1 year.