Liz Buchanan BVSc MRCVS
Keymaster
Hello!
I'm very pleased that your vet said that they didn't know and wanted to do a biopsy. This is not because your vet is clueless, but because they understand that one cannot diagnose a lump by looking at it (although some lumps are still regarded as more guessable than others) and so a biopsy is advised. I trust that this isn't likely to be an umbilical hernia, in which the plan would be different (the picture is blurry - I can't see it very well - and in any case wouldn't try to diagnose another vets patient) but if your vet is offering biopsies then it sounds as though they have already ruled that out.
In general, there are three ways of diagnosing skin lumps. One can take the whole thing away, which undoubtedly requires an anaesthetic and reasonable margins (that means, a certain distance of 'normal' skin removed around the outside of the lump in order to ensure that if it is cancerous, there is a fair chance of taking the whole thing). Alternatively, one can biopsy the lump - again requires anaesthetic and then removing a wedge of the lump to see what it is. A good representative sample is often obtained this way. However an anaesthetic is still needed.
Or, you can stick a needle into the lump and steal a few cells. The advantage of this is that it can be done with the pet awake, but the problem is, that no lump has the same cells in it all the way through, so the cells they happen to pull out through the needle might be benign, yet part of the lump may still be cancerous. The smaller the sample (in this case, just a few cells), the higher the chance of getting a misleading result.
It sounds as though your vet feels that, in balance, the first or middle choice is the best for this lump in this dog. I expect that they know what they are doing.
No-one can completely eliminate the risk of an anaesthetic; the question is whether this is greater or smaller than the risk of leaving the lump where it is. I suspect that they think that the anaesthetic is a much smaller risk, to have proposed the procedure.
Best of luck, whatever you decide.
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