My dog has a lump. Is vet removal without aspiration routine?

I am assuming that your vet did a needle aspirate and wasn't able to get a diagnosis. The only way to know the cause of the lumps would be to remove them and submit to a lab for biopsy. As long as he is otherwise healthy then the risk of anesthesia is low. If he needs a dental cleaning then your vet could do both at the same time. If you don't want to have them removed then you could monitor for a month or so and see how the lumps change. If they are growing then they really should be removed.

Hi there. This is often a question of personal preference, because there are pros and cons to doing a needle aspirate beforehand. If the aspirate shows that the tumor is benign (a histiocytoma, or something similar), then it's true that surgery could be avoided. However, if it shows something malignant, like a mast cell tumor, then Harvey will still need surgery and the mass will still have to be sent for histopathology for grading and other information that can't be obtained from an aspirate. Also, it's important to be aware that around 20-25% of needle aspirates come back with inconclusive results - so in that case, you'll need to proceed to a surgical biopsy or surgical removal regardless. So, it's not as clear cut a decision as you might think. For me, I often recommend going straight to surgery for a small, easy-to-remove mass that appears to be growing (or not shrinking) rather than doing an aspirate first, since the aspirate doesn't usually change our plan. But you can certainly discuss this with your veterinarian - I'm sure he would be happy to aspirate the mass before going ahead with surgery, if this is what you prefer.

Thank you for your question. The answer is dependent on the growth found. The only growth that would commonly not be recommended for biopsy/that is more easily identified just based on visual appearance would be a lipoma, or fatty tumor https://veterinarypartner.vin.com/default.aspx?pid=19239&id=5233990 . Most other growths would be sent out unless a previous aspirate was done to determine the type of growth. Otherwise, it is not possible just by gross (with the naked eye) examination to determine the origin of a tumor.

Needle aspiration of lipomas typically yields identifiable fat so i agree with your family vet that it is concerning to not have any material recovered with the needle aspirate. We always start with needle aspiration as it is non invasive with quick results but some masses are harder to diagnose with this test. This typically occurs if the mass is firmer in nature. Going to see a specialist can be helpful as we can sometimes use other techniques such as ultrasound to obtain samples with needle aspiration to try to avoid biopsy. But ultimately biopsy may be necessary for some masses. I hope this helps and thank you for using Petco Pet Education Center, formerly Petcoach!

Hello. An actual biopsy is often much more diagnostic than an aspirate, but honestly, with a lesion this small, why not just remove the whole thing now & send it for pathology? If the entire lesion is removed, this may be curative. I would talk to your veterinarian about this option. Thanks for using Petco Pet Education Center, formerly Petcoach.

Thanks for using Petco Pet Education Center, formerly Petcoach! The fact that it has been growing slowly is good though it can still be a malignant tumor and removal would be recommended if there is no evidence of cancer spread to other organs. It probably changed in size and shape as a reaction to the aspiration. Given that it is so close to her mammary glands this may be a mammary tumor. Further recommendations would be made after it is removed and the biopsy read out. Good luck and have a great day!

It would be a good idea to have the lump removed, as there is always a chance any lump in a senior dog could be malignant. Plus not every type of cancer can be diagnosed with an aspirate, further tests are needed like a biopsy. I hope this helps!