This decision should be made primarily considering the quality of life of the patient with and without treatment. At this point in time, euthanasia should be discussed by the owner and veterinarian as a potential alternative. Depending upon the tumor type, biologic behavior, and clinical staging, a clinician will recommend one or more of the treatment options previously discussed. It is important to remember that the best treatment for a particular tumor type does not necessarily constitute the best treatment for a particular patient or owner. Owner-related factors play an important role in small animal oncology.
Every clinician is aware of the significance of the owner-pet bond.
This bond is so important, that it oftentimes dictates the treatment approach to be used in a given pet. It is my experience that owners should be made part of the medical team that treats their pet. On the other hand, the clinician should always be available to answer the concerned pet owner's questions and guide them through difficult times. By following these easy steps, the owner's expectations are usually realistic, and the interaction with the clinician smooth and uneventful. It is my belief that pressuring the client to make a decision immediately is counterproductive.