Small Animal Clinical OncologySmall Animal Clinical Oncology

College Hour PresentationNovember 11, 2005

Small Animal Clinical OncologySmall Animal Clinical Oncology

College Hour PresentationNovember 11, 2005

Small Animal Clinical Oncology

• Where we started

• Who we are now

• How the Service works

• Options available for patients

Small Animal Oncology at TAMU1978 - Present

• DVM – Univ. of Missouri, 1973

• TAMU Clinical Pathology residency, 1974-76

• Faculty, Univ. of Missouri, 1976-1978

• Faculty, TAMU, 1978-present

• Professor• Diplomate, ACVIM

(Internal Medicine, Oncology)

Small Animal Oncology at TAMU1978-Present

• DVM – LSU, 1982• Intern – UGA• TAMU IM residency –

1983-1986• Barton meltdown period• Faculty, TAMU – 1986-

present• Professor• Diplomate, ACVIM

(Internal Medicine, Oncology)

Small Animal Oncology – The Barton/Rogers Millennium

The Small Animal Oncology Service

The Small Animal Oncology Service

The Small Animal Oncology Service

Small Animal Clinical Oncology:Teaching Responsibilities

Small Animal Clinical Oncology: Patient and Owner Care

The Small Animal Oncology Service

• Referral Only Service

• In-House Oncology Consultation

• Consultation with Veterinarians

The Small Animal Oncology Service

• In-house cytology collection and submission

• In-house cytology consultation

• Intraoperative cytology

The Small Animal Oncology Service - Case Management

• Referral

• History and examination by student

• Examination by DVM

The Small Animal Oncology Service – Case Management

• Diagnostic testing

• Treatment options

• Proceed with customized plan

The Small Animal Oncology Service – Customized Treatment

The Small Animal Oncology Service – Customized Treatment

The Small Animal Oncology Service – Customized Treatment

Oncology Treatment Options –Definitive Surgery

Oncology Treatment Options –Palliative or Adjunctive Surgery

Oncology Treatment Options - Surgery

Oncology Treatment Options – Radiation Therapy

Teletherapy:

Cobalt 60

Brachytherapy:

Iridium 192

Strontium 90

Oncology Treatment Options – Radiation Therapy

Oncology Treatment Options – Radiation Therapy

Oncology Treatment Options – Palliative or Adjunctive Radiation

Challenges for Radiation Therapy at TAMU

• Estimated life of current Cobalt source: 2-3 years

• Linear accelerators are standard of care

• Cases requiring radiation with Lin accel referred or not accepted

• Required therapy modality for Oncology patients

• Needed for residency program and new hires

Oncology Treatment Options - Chemotherapy

• Responsive tumors

• Palliative therapy

• Systemic therapy

Oncology Treatment Options – Chemotherapy

• Toxicity Issues

• Patient• Client• Veterinary Personnel

Oncology Treatment Options –Chemotherapy

• Toxicity Issues

• Patient• Client• Veterinary Personnel

Chemotherapy Safety for Personnel

Chemotherapy Safety for Personnel

Chemotherapy Safety for Personnel

Oncology Treatment Options – Supportive Care

Academic Service

• Dr. Barton

• Chair, Dept. Promotion & Tenure Committee

• Curriculum Committee• Leads Dept. in Teaching

Hours• Coordinator, VSAM 954,

VSAM 955 and VMID 921• Cytology elective• SA Repro elective• Promotion Comm III

• Dr. Rogers

• Associate Department Head

• Clinical Scheduling Coordinator

• Intern/Resident Coordinator

• Oncology elective• Oncology House Officer

rounds• Promotion Comm III

The Small Animal Oncology Service

Questions?