How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Doctor Jeff Your Own Question

Doctor Jeff
Doctor Jeff, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 4572
Experience:  Small Animal Veterinarian and practice owner with 12+ years experience.
21393945
Type Your Dog Veterinary Question Here...
Doctor Jeff is online now
A new question is answered every 9 seconds

I have a yellow lab of 10 years. mast tumor on the front of

Customer Question

I have a yellow lab of 10 years. mast tumor on the front of her chest directly at the forefront of the breast bone.

The tumor has been there for over 2 years and now it has grown double in size over the last 6 months.

I can advocate letting nature take it's course, but will removal cause more pain and suffering with the end result the same (in time and suffering)?

toby
Submitted: 4 years ago.
Category: Dog Veterinary
Expert:  Doctor Jeff replied 4 years ago.

Mast cell tumors can be very tricky and aggressive, However, there can also be happy endings. As your vet has proabably already told you, the removal of these masses is tough as it is best to have at least 3 cm margins. This requires the resection of alot of skin and can make wound healing a challenge. Once the mass is removed, then a patholgist can give it a grade. They are graded on a scale of 1 to 3, one being good and 3 being very aggressive. Often times, with grade 1 MCT , surgery can be curative while grade 3 MCT almost always require some form of post op chemo. Grade 2 MCT tend to fall in between and have seen results on both ends of the spectrum with or without post op chemo.

Prior to surgery, the risk of spread must be considered. That is why there are often preop tests that can be run to rule in/out signs of obvious spread. A general bloodtest can assess organ function but a test called a buffy coat specifically looks for mast cells in the blood stream. IF they are there, this is good evidence of spread. A chest xray can also should a mass in the lung field. MCT tumors do not typically spread to the lungs but they can making this test worthwhile. An abdominal ultrasound can also be done if you want to be extra thorough to look for evidence of spread to the liver, spleen, etc. The problem with this test is the expense.

With or without surgery, I also like to use a antihistamine (bendryl) with H2 blocker (pepcid AC). This can slow the spread rate (I have also seen it shrink a mass a little) and can help wound healing post op.

The description of your dogs mass sounds like it could be removed without too much wound closure issues. However, this is still an undertaking and your dog will need to recover (although they handle this much better than you would expect).

If you chose not to do surgery, there is nothing wrong with this choice as he is an aging dog and you will not know prior to surgery what the grade of this tumor is unless your vet does a biopsy first (which means another procedure). He may do fine for a while, but with the recent growth, I have concerns.

As for the tooth, if the tooth is not giving him major problems, then let it go for now. I am more worried about the cancer than a tooth. However, if you decide to have surgery performed, or of it is bothering him, then consider having the tooth addressed. My brittany has two chipped K-9 and am leaving them until she shows me a problem.

I hope this helps and gives you some direction

Thanks

Dr. Jeff

Customer: replied 4 years ago.
So, what is the prognosis comparison: tumor removal vs. let it ride ? I am looking to understand what percentage of longevity is gained (statistically, opinion) with surgery. I have seen a lot of cases where the tumor is removed and 12 tumors grow back with vengence and the lifespan is very short.

How bout your opinion about letting it go and enjoy vs. procedures and trips to the clinic. Worth noting that I want to do what ever (and whatever $ ) it takes to make one choice the longer lived.toby
Expert:  Doctor Jeff replied 4 years ago.

Based on what you have describe with the recent grwoth of this mass, my opinion is that removing the tumor is the best choice for longer term health. Mast cell tumors are not activated by removing one of them. IF there is spread that has occurred and we cannot find it, the other tumors will pop up one way or another. Now, if the preop testing shows evidence of spread, the surgery is not my first choice as you know you will be this in vain. If this is a grade 1 MCT, you could remove it, work with wound healing for a couple weeks and you could may not have to look back. By doing nothing, this will eventually overtake your dog. However, the same result could occur if you remove a Grade 3 and followup with chemo. It has been difficult for the medical community to cure cancer because of the unpredictable nature of it. We have come very far, but there is certainly no crystal ball.

I tend to be aggressive so If my lab had the same issue, I would have had that tumor off this morning. Now, that does not make a less aggressive approach wrong, it is just the way I handle these as I have seen happy results with aggressive therapy. If surgery is something you want to avoid and you want to let her live out her days, that is okay as I am also a believer in letting a dog be a dog. If your vet feels that the wound healing process of this surgery could be debilitating, then a passive approach definitely has its merits. The wound healing can also be a major complication as I have seen the suture lines fall apart.

One other approach to this is seeing a oncologist prior to surgery. Sometimes, chemotheraoy can shrink the mass making the surgery less invasive. THis would be entirely up to your oncologist on how this would be approached, but it would be worth considering.

I hope this helps

Dr. Jeff

Doctor Jeff, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 4572
Experience: Small Animal Veterinarian and practice owner with 12+ years experience.
Doctor Jeff and 4 other Dog Veterinary Specialists are ready to help you
Customer: replied 4 years ago.
sounds like the surgery will be best if the preop is done, but.... My vet has not indicated the preop, like blood tests and/or ultra sound. they have just moved toward the surgery. So....we will get the surgery (due to the better results from the timeliness of the procedure). Also, the specialized clinic schedule is very difficult, esp with the holidays coming.tje
Expert:  Doctor Jeff replied 4 years ago.

In veterinary medicine, there is the ideal world and the real world. Ideally you would see an oncologist, and do ever preop test imagineable, but in the end the most practical approach would be to to a general blood check and the buffy coat followed by surgery. I would also discuss the use of antihistamine with the H2 blockers. If you decide to followup with chemo, you could begin this after the new year if the final biopsy report indicates this to be necessary.

Good Luck!!

I hope everything goes well!!

Jeff

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • It was so professional, so personally concerned (as we were) and you answered all of our questions. George and I are so happy that I found "JustAnswer" on my Google search -- you are now in my "Favorites" list! And, yes we do love our kitty - she makes our life complete! Bev & George Boca Raton, FL
< Last | Next >
  • It was so professional, so personally concerned (as we were) and you answered all of our questions. George and I are so happy that I found "JustAnswer" on my Google search -- you are now in my "Favorites" list! And, yes we do love our kitty - she makes our life complete! Bev & George Boca Raton, FL
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C. Freshfield, Liverpool, UK
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex Los Angeles, CA
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP Hesperia, CA
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin Kernersville, NC
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther Woodstock, NY
  • Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know. Robin Elkton, Maryland
 
 
 

Meet The Experts:

 
 
 
  • Dr. Debbie

    Dog Veterinarian

    Satisfied Customers:

    902
    Companion animal veterinarian practicing for over 10 years.
< Last | Next >
  • http://ww2.justanswer.com/uploads/DE/debkatreyn/2011-11-28_33650_682e.64x64.jpg Dr. Debbie's Avatar

    Dr. Debbie

    Dog Veterinarian

    Satisfied Customers:

    902
    Companion animal veterinarian practicing for over 10 years.
  • http://ww2.justanswer.com/uploads/VE/vetforyou/2012-6-20_33122_PearlPhoto.64x64.jpg Dr. Andy's Avatar

    Dr. Andy

    Medical Director

    Satisfied Customers:

    13796
    UC Davis graduate, emphasis in dermatology, internal medicine, pain management
  • http://ww2.justanswer.com/uploads/doggfone1/2009-07-16_133633_vet_pic.jpg Dr. Scott's Avatar

    Dr. Scott

    Veterinarian

    Satisfied Customers:

    9550
    12 years of small animal, equine and pocket pet medicine and surgery.
  • http://ww2.justanswer.com/uploads/RY/rydergar/2012-6-6_192240_IMG0328.64x64.JPG Dr. Gary's Avatar

    Dr. Gary

    Dog Veterinarian

    Satisfied Customers:

    7758
    DVM, Emergency Veterinarian, BS (Physiology)
  • http://ww2.justanswer.com/uploads/AN/andrewDVM/2012-4-27_12585_iStock000011751407XSmall.64x64.jpg Dr. Drew's Avatar

    Dr. Drew

    Dog Veterinarian

    Satisfied Customers:

    6598
    Small Animal Medicine and Surgery
  • http://ww2.justanswer.com/uploads/1I/1ISUDVM/2011-3-1_22028_Honeymoon2005075294928803490646858.64x64.jpg Dr. Bruce's Avatar

    Dr. Bruce

    Veterinarian

    Satisfied Customers:

    6377
    13 years of experience as a small animal veterinarian
  • http://ww2.justanswer.com/uploads/BI/bigislandvet/2013-2-21_214244_IMG0357.64x64.JPG Dr. Michael Salkin's Avatar

    Dr. Michael Salkin

    Big Island Vet

    Satisfied Customers:

    6049
    University of California at Davis graduate veterinarian with 41 yrs. of experience.