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Physician says trained schnauzer sniffs out skin cancer

 
Published Jan. 16, 1996|Updated Sept. 15, 2005

George circled the patient, sniffing hard until he came to a cancerous mole. Then the schnauzer sat down, confirming the theory shared by a dermatologist and a dog trainer.

"Show me," ordered trainer Duane Pickel. And the dog lifted his paw, gently touching a suspected cancerous growth.

"At least in our limited project, dogs could be trained to scent and detect melanoma," said Dr. Armand Cognetta, a dermatologist who specializes in skin cancer.

Cognetta and Pickel, a retired officer from a police K-9 unit, worked two years on a pilot study that ended last fall.

Now it's up to medical peers to review the results, Cognetta said. He said dogs might be trained to find other cancers, or detect other diseases in Third World countries without high-tech medical equipment.

Melanoma is the deadliest skin cancer and the fastest-growing type of cancer in the country. Doctors nationwide find only about 80 percent of melanomas in time, and last year, 6,500 patients died.

"I literally go to sleep sometimes thinking, "What's a better way?' " said Cognetta.

He got the dog idea after hearing an account of police using a dog to search for a body in a lake.

A search of medical journals found a 4-year-old letter about a woman who asked to have a mole removed after her dog kept sniffing and biting at it. Doctors removed it and found it was cancer.

Cognetta talked with Pickel, who has trained dogs for 33 years, including eight as a sergeant in Vietnam and 22 as head of the K-9 unit of the Tallahassee Police Department.

"A dog can be trained to find anything you need it to find," says Pickel. "It's the same game as drugs or bombs. I was sure we could do it."

Pickel began training his prize-winning schnauzer to find a test tube containing a melanoma sample. George, energetic and friendly even with strangers, is a top bomb-detection dog who obeys more than 100 hand signals and has won nearly 400 obedience awards.

His accuracy soon topped 99 percent on tests such as finding the cancer sample in one of 10 holes in a long box. He began training with Kim Edwards, a nurse at Tallahassee Memorial Regional Medical Center who said she wanted to be involved because of a family history of skin cancer.

Edwards would put bandages on her body, sometimes with a cancer sample underneath. In more than 40 trials over more than a year, George reached nearly 100 percent accuracy in finding the right bandages.

Then Cognetta found seven patients over a 10-month period who agreed to let George search them for cancer. In each case, their doctor suspected a melanoma but the diagnosis had not been confirmed by laboratory tests.

In July 1994, George found the suspected mole on the first test patient. The dog searched six more test patients in 1995. He correctly identified cancer in at least four of the seven volunteers, and perhaps five depending on how one test is interpreted, Pickel says.

It would take hundreds of closely controlled experiments to determine how accurate a dog can be, say Cognetta and Pickel.

"I feel like we did answer it: "Yes, they can,' " said Cognetta. "How accurate? That's for the next phase, done elsewhere."

The two hope a medical journal will publish a paper by Cognetta and a major medical institution will do more formal research.

Meanwhile, Pickel is already working with George and another dog on a lung-cancer study. The dogs smell breath samples collected on a filter.

And Cognetta said in theory, dogs might provide a way to detect tuberculosis in poor areas such as rural Mexico, where he spent a summer working and saw peasants dying from the disease.

In some areas, he said, "If you told them they need a chest X-ray, that would be like saying, "Send me to the moon.' "