I see-- that's really far. Is there an internist nearer by?  Internists are often pretty  up to speed on chemotherapy as well.  You might be able to get an oncologist to consult with your regular vet by phone.  Didn't someone on the list say their oncologist is willing to do that?
 
Seriously, with having had 2 and possibly 3 cats with lymphoma (one was never definitively diagnosed and had no palpable tumors), I would do steroids and try to find someone who knows what they are doing regarding chemotherapy.  I think I would ask the vet to do a shot of dexamethasone and a shot of Elspar. Elspar is a chemo drug that solely works against lymphoma and does not kill off other cells-- it blocks something that the lymphoma cells need to stay alive, or something like that.  Given how long it has been already, and how much information your vet has (tumor, ultrasound results, and fact that she is FeLV+  and leuk positives tend to get lymphoma at a much higher rate) and that dexamethasone and Elspar will not hurt Shelby even if it is not lymphoma, I would beg the vet to give her those tomorrow and see what happens. If they are going to help, they should help within a day or two.  I think surgery could be a big risk and would be unlikley to get it all out anyway.  I am not a vet, obviously and am just speaking from what I know from my own unfortunate experiences, so I could be wrong. But that is the course of action I would take.
Michelle
 
In a message dated 4/8/05 10:22:49 PM Eastern Daylight Time, [EMAIL PROTECTED] writes:
That's what I'm worried about, it growing quickly and
me not doing anything.  The closest oncologist I have
is 3 hours away :(
 

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