Krimpet is a 10-year-old neutered male hound-mix, who was presented to his primary care veterinarian due to lumps under his chin which had been noted by his family. Krimpet, who is named after a snack made by a landmark Philadelphia company, TastykakeR (endearing him forever to Dr. Stewart who is from Philly), was feeling well at the time and acting his normal self; a bit of a nervous-shaker at the vet, but fabulous at home. Unfortunately, those lumps under his chin were actually enlarged lymph nodes. He was subsequently diagnosed with lymphoma.
Lymphoma is a cancer that begins in the infection-fighting cells of the immune system, called lymphocytes. Lymphoma most commonly presented with multiple lumps, or lymph nodes, becoming enlarged all at once, due to accumulation of abnormal lymphocytes. Lymphoma is a very common cancer in dogs, and many dogs are seemingly healthy when the cancer is first recognized. Without treatment though, lymphoma often progresses extremely rapidly. Krimpet was evaluated by The Oncology Service in early 2015 and was diagnosed with stage IIIa, B-cell lymphoma, with good prognostic indicators. Krimpet’s stage (III), substage (a), and good prognostic indicators, as well as the specific type of lymphoma (B-cell), indicated a high chance of long-term, durable remission with chemotherapy.
Krimpet initiated a CHOP-based chemotherapy protocol to which he responded very well. His lumps disappeared and he was in complete remission within a few cycles of chemotherapy, and finished therapy in August 2015. He tolerated chemotherapy very well apart from a mild episode of neutropenia (low-white blood cell count) following one treatment. Krimpet returns to The Oncology Service every 3-4 months for rechecks. He has developed some older age problems like arthritis, but he is still going strong. He will soon hit the 3-year mark from his cancer diagnosis. Way to go Krimpet!