Dr. Phil Zeltzman’s Blog
Bruiser is a nine-year-old Boston Terrier mix who was having some discomfort in his hind end. His owners took him to see his family vet. A rectal exam revealed a firm mass just below the anus, hidden under the skin. Surgery was recommended to remove and biopsy the mass.
This surgery can be a bit tricky. The mass needs to be removed entirely, within healthy tissue to “get it all” or have clean margins. Yet we can’t be overly aggressive! We need to preserve the anus and more importantly, the muscles around it, which are responsible for continence.
Surgery at Brodheadsville Veterinary Clinic went very well. Bruiser had to wear a plastic cone around his head for three weeks. He went home with pain medications and antibiotics. The mass was sent out for biopsy.
The biopsy came back a week later…benign! It was a perianal gland adenoma, a common tumor in this area.
Bruiser is lucky his owners decided to remove the mass while it was fairly small. Removing a larger mass would be much more invasive. Early detection and a good decision from Bruiser’s owners made the surgery and recovery much smoother for Bruiser!
Quinton is an 8 year old Pug, who had a small open wound that would not heal despite antibiotics.
Quinton’s vet, instead of ignoring the wound, decided to test it. Under the microscope, the cells looked like Quinton could have a mast cell tumor! Mast cells are normal white blood cells that can occasionally cause a tumor. In fact, it’s one of the most common skin tumors. However, they typically appear as a lump or bump, not as an open wound.
I performed surgery at Barton Heights Veterinary Hospital and removed a very large portion of his right upper lip and small section of the left upper lip.
It is very important to remove enough tissue around a tumor in the hopes of getting it all.
The lab confirmed a mast cell tumor. There are 3 grades describing severity of the tumors: 1 is good, 3 is bad. Quinton had a grade 2 mast cell tumor, which we fortunately removed entirely.
Never neglect open wounds! You never know what they can be hiding.