Mast cell tumours in dogs are the most common canine skin tumours, according to the Animal Trust. But what exactly is a mast cell tumour, what are the signs of mast cell tumours in dogs, and can these tumours be treated?
Causes of Mast Cell Tumours in Dogs
Mast cells themselves aren't cancer cells. As the Animal Trust explains, they're a type of white blood cell. They originate in the bone marrow and are found throughout the body's various tissues, where they play a number of roles. These include inflammatory responses, allergic responses, parasite presence responses, and even the breakdown of dead tissues.
Unfortunately, sometimes things go awry. For reasons veterinary scientists don't yet understand, mast cells sometimes mutate and multiply in masses, going against the normal cell life cycle that keeps their numbers in check. This unregulated growth results in a mast cell tumour. These tumours can occur in dogs of all breeds and ages, although the PDSA notes that they are more common in middle-aged dogs and certain breeds, such as boxers or beagles.
Clinical Signs of Mast Cell Tumours in Dogs
The Animal Trust suggests keeping an eye out for the following symptoms of mast cell tumours:
Look for one or more masses anywhere on your dog’s body. They may be visible on (or just below) the skin, muzzle, mouth, or genitals.
Mast cell tumours in dogs usually appear in the form of a lump, but they look like nodules, patches, swellings, or ulcers. They are usually 2-3 cm in diameter.
The mass may ooze or bleed, and there be redness, inflammation, swelling, nodules, or hives around the affected area.
Your dog may have appetite loss, weight loss, gastrointestinal symptoms (e.g. vomiting, diarrhoea) or black/bloody faeces.
When you're petting or examining your dog, look out for any areas of skin that look or feel different. Remember that a cancerous mass may feel firm and tightly adhered to your dog’s body, but it may also be squishy and moveable under the skin. It may grow rapidly in size or remain the same size, but it can appear to recede, too; this doesn’t necessarily mean it’s not dangerous, so it’s important to see your vet to be safe.
Diagnosing Mast Cell Tumours in Dogs
Lumpy, bumpy, raised, flat, loose, squishy, firm, big or small — each and every lump on your dog should be evaluated by a veterinarian.
Your vet may very well need to perform a diagnostic test called a fine needle aspiration to collect a small sampling of cells from the lump. Luckily, this test is fast and minimally invasive, and it can usually be done following the initial examination. However, a tumour may not shed many cells during this test, or the sample may not be representative of the whole lesion. So, though this test is a great starting point, your vet may recommend a punch biopsy, as it allows a more comprehensive examination of the mass's architecture. With a biopsy, a microscopic examination of the tissue is sent out to a specialised histopathology lab for a veterinary pathologist to evaluate.
After a mast cell tumour diagnosis, your vet may recommend additional diagnostics such as blood tests, X-rays, CT scans and ultrasounds to determine whether the tumour has spread to other locations (known as metastasis). A fine needle aspirate of a lymph node close to the tumour may also be recommended.
Mast Cell Tumour Treatment
Cancer treatment in dogs is determined by a veterinary oncologist, with input from a veterinary pathologist, who will review the findings of the diagnostic tests and assess the grade, or extent, of the cancer. Mast cell tumours are referred to as “low-grade” or “high-grade”, depending on how advanced they are and whether they have spread. Depending on their findings, the pathologist will then be able to formulate the appropriate treatment plan.
The pathologist may recommend surgery to remove the cancerous mass. The goal is to remove all of the cancerous tissue, along with a border of healthy tissue around the edges to be certain that no cancer cells are left behind. This is called achieving “clean margins”. The pathologist will examine the surgically removed tissue afterwards to make sure this has been achieved, although it is not always possible.
Surgery alone may be enough to treat a mast cell tumour, but in some cases it might be done alongside chemotherapy or radiotherapy. The Animal Trust says that, in unsuccessful or advanced cases, oral medications might be recommended to reduce the size or slow the growth of the tumour. Steroids may also be given to reduce inflammatory effects caused by the tumour.
While these approaches are often strongly recommended, especially at more advanced stages, keep in mind that you can also choose to focus on gentler approaches or comfort care at any stage. Your vet and/or veterinary oncologist will be happy to discuss these options with you.
Life Expectancy for Dogs With Mast Cell Tumours
It is difficult to predict the life expectancy for dogs who develop mast cell tumours, as it varies depending on many factors. If the tumour is limited to the skin with no evidence of metastasis, and it is removed with clean margins, the prognosis can be quite positive. However, for higher-grade tumours, or those in locations such as the mouth or genitals, the prognosis may not be as strong.
The good news is that early diagnosis and treatment improve the prognosis of mast cell tumours, so it’s important to regularly examine your dog at home. This can be done simply with observational petting and intentional at-home exams. Remember to schedule a veterinary visit should you discover any new masses on your dog.
Dr. Laci Schaible
Dr. Laci Schaible is a small animal veterinarian, entrepreneur, author, and speaker. A graduate of Texas A&M University College of Veterinary Medicine and Wake Forest University School of Law, Dr. Schaible is passionate about progressive change in the veterinary industry and serves as an advisor on a number of boards within the field.