Is palliative care best for my 14-year-old dog with a mammary lump?

Thanks for using Petco Pet Education Center, formerly Petcoach! That is certainly possible and recommended. Age is not necessarily a contraindication to surgery if they are being careful with the anesthesia. Keep in mind that most dogs that develop mammary tumors are older and have surgery and do fine. Best of luck!

It sounds as if your vet is concerned that your dog has a malignant tumor, most likely squamous cell carcinoma. If there is suspicion about the malignancy of a tumor the best course of action is to have it removed. I can understand your concerns about Dahlia undergoing surgery but it would be safer and easier to remove it now, while it is smaller, then it would be if it was left to continue to grow. I hope this helps. Thanks for using Petco Pet Education Center, formerly Petcoach. Best of luck.

Unfortunately, this is a difficult situation because most tumors that are cancerous and rupture are not going to heal on their own. A double mastectomy will be a very large and could be difficult recovery time for an 11 year old dog. Also, please know that even with surgery, you may not get another 3 years out of her simply because she is already at the top end of her life span. Also, there is always the risk that the cancer has already spread. Another option you may want to talk to your vet about is whether they can just do a palliative "debulking" of the mass that has ruptured. If there is a way to just resect the one tumor that has ruptured, this potentially could give her a good quality of life without doing a full double mastectomy. With the tumor being ruptured, I am afraid you are being forced to either do a debulking surgery, full mastectomy, or euthanasia. Leaving it alone isn't a good option because it won't likely heal on its own and if it isn't already, it will become infected.

Poor girl. Because this mass is open and seems to be bothering her I would highly consider having this mass removed surgically. Sometimes if the mass is small (less than 2 cm's) we can do a sedative on the pet and quickly remove these. However if it is a larger mass then general anesthesia may be required. She also needs to be placed on oral antibiotics to keep this area from getting infected and daily cleaning of the mass as well. Sterile saline flushes can help keep this area relatively clean and then an e-collar placed on her can help prevent licking. If surgery isn't an option for you, then medical management with antibiotics, e-collar and regular cleanings may allow proper healing of the area, but in most cases surgical removal is the best option. Best of luck!

Hello. At Molly's great age, the presence of kidney failure & mammary tumors, I agree with your veterinarian that it is best to keep her as comfortable as possible from here on out. I do not think her kidney issues are from infection, although a urinalysis may be more helpful here. The high BUN & creatinine plus her anemia indicates end stage renal failure. The swelling of the mammary gland may just be edema associated with her kidney disease, or the spread of her mammary cancer. It is impossible to tell just from a picture. 14 years is a very long life for a large breed dog like Molly. You have obviously loved & cared for her all her life. Please stay in touch with your veterinarian & follow all recommendations about pain control, & keeping her comfortable. I hope for whatever time she has, it is quiet & comfortable for everyone. Thanks for using Petco Pet Education Center, formerly Petcoach.

As she is unspayed it's very likely a primary tumor of the mammary gland, it's not possible to know if it has already sent metastases to other places in the body though. the recommendation is to get it removed surgically ASAP.

Gumbo definitely is at increased anesthetic risk (risk of adverse events during anesthesia and risk of poor recovery) at age 14 (7-8 years of age is considered geriatric), even with normal blood work (normal liver/kidney values). In addition those are extremely large masses and surgical removal could definitely affect anal tone (result in incontinence) assuming that anesthesia and recovery do go well. There is also a possibility that the type of cancer Gumbo has is metastatic and has already spread to the lungs for which the prognosis is poor (chest rads would be recommended prior to proceeding with surgery). I would recommend bringing Gumbo to have the anal glands checked regularly to make sure that they are empty. I also recommend keeping Gumbo as comfortable as possible as consulting with your veterinarian about treatment and humane endpoints if the masses become ulcerated.