Welcome! Thanks for asking your question, Kate. My name is***** am a licensed veterinarian and I will be assisting you today.
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How long has he had this growth?
Thank you for the picture. Please give me 5-10 minutes to type your answer.
Friend, it is difficult to determine the exact type of growth on physical appearance alone as many different types of lumps have a similar appearance. What you are seeing could be a benign adenoma. But, it can also be a malignant melanoma. So, collecting a sample of the tissue to evaluate the cells under the microscope is essential for a definitive diagnosis. I agree with your vet, complete surgical removal and submitting tissue for histopathology is the best option. But, I also understand your concern about anesthesia in a patient with a history of a heart murmur. I should say, we can anesthetize a patient with a murmur we just need to do some testing like an echocardiogram and monitor during the procedure; we do this successfully all the time.
Now, going back to the lump, another option to determine the exact nature of the lump is doing what is called an FNA (Fine Needle Aspirate). This is a very quick test where your vet will collect a sample of the cells with a needle. Requires no anesthesia, inexpensive when compared to a biopsy or surgery and can be done within minutes during an office examination. Your vet will most likely submit the sample to a lab to be evaluated under the microscope for a definitive diagnosis. The decision of benign neglect or complete surgical removal should be made based on FNA results. I really do understand your concern, this is not an emergency. Take the time to discuss this option with your family veterinarian.
My goal is to provide you with excellent service - I hope I've provided the information you were seeking, if you feel you have received anything less, please reply back as I am happy to address follow-up questions. Kindly rate me when you are done.
Sometimes in very small lumps we can not do an FNA because we will not collect any cells. But, from the appearance in the picture I think an FNA can be done in this case. I would definitely consider this an option. If they try and did not succeed collecting cells, well, no harm has been done. But, if they do get cells then you will have your answer. It is worth trying, I would.
You don't need a sedative to do a FNA. Unless he is such an angry patient that normally needs to be sedated. But, if your vet can perform an exam without sedation, they can do a FNA without sedation.
He is gorgeous; enjoying the sun! Thank you for the picture. :)
Oh my goodness, poor little guy. Amazing, though, as in humans sometimes those pets that have suffered the most are the ones that turn to be the best and most affectionate. God bless you for taking him.
You're welcome. :)
Fair enough. I will have you in my thoughts and prayer tonight.
Hello, Kate, I am glad the FNA worked; wish it would have been something that didn't need removal. But, at least the pathologist couldn't confirm malignancy which is really good. Thank you for the update.
My goodness, he is soooo handsome! :)
I am not aware of the type of setting your vet has, but, perhaps you can talk them into letting you keeping him home overnight and dropping him off early on the day of the surgery. All you need to do is remove the food and water over night. All diagnostics should be done days before surgery, so, the day of surgery is just prep and go. So, it is something to consider.
Keep me posted, I will have you in my thoughts and prayer.
I understand now, yes, best if he stays overnight. :)
Hello Kate, :) that is GREAT NEWS! So happy to learn everything went well and he is back home. I love the pics, I think he loves them too ;)
Thank you for the update, Kate, that is the type of news I love to hear. Nice talking to you; kind regards ***** ***** Admiral! :)