what to expect

Question
My 7 year old Netherland dwarf "Frankie" has recently been diagnosed with a melanoma on his face.  It is growing rapidly and changing in appearance.  I have been told that successful surgery would be highly unlikely by a very caring bunny vet.  How will I know when I need "to say good bye" to my loyal bunny friend?  I can't bear the thought of him suffering.  For now he is happy and "normal"...but?

Answer
Dear J,

I am very sorry about this sad diagnosis and poor prognosis.  It might not hurt to get a second opinion.  In rabbits, melanomas often can be successfully excised, and I have known several that have not returned after surgery that includes good margins around the lesion.

If the lesion is inoperable because of its location, you could ask about freezing part of it with liquid nitrogen so that it can be at least partially removed so as not to cause the bunny undue discomfort.

In humans, melanomas tend to spread to the respiratory tract and the central nervous system (brain and spinal cord), and--given time--the same will probably be true in a rabbit.  Signs of metastasis to these areas would include neurological signs, difficulty breathing, general lethargy and inappetence and poor demeanor expressing pain, such as hunching in a corner and refusing even favorite treats.

If your bunny is now eating and acting normal, then it's nowhere near time to say goodbye.  Watch him for signs like those described above.  If this condition really is to be his last, then he will begin to send you subtle signs that he is no longer enjoying life and is in pain.  But until that time, enjoy the days or even months you have, and shower him with love.  You will have no regrets when you finally do have to part company in this world.

I hope this helps.

Dana