Question
Profile Image
Pam | 2 years ago
My 9 Year Old Potcake (probably Shepherd/lab/etc Mix) Has A Long History Of Lipomas, Which …

My 9 year old Potcake (probably shepherd/lab/etc mix) has a long history of lipomas, which grow fairly large. In late October of 2022 I found a lemon sized mass on the back of his right hind leg, which was not bothering him but was firm. Our vet in Ottawa ON is a VCA practice nearby; I was able to get an appointment the next day. The vet and I were both concerned at the location, size and consistency of the mass.

She recommended an xray of the limb and a chest xray to rule out cancer and metastasis as well as blood work. (all normal) She sedated him for the radiorgraphs and aspirated the mass multiple times with a presumptive diagnosis of lipoma. We discussed the fact that it was probably and inter-muscular lipoma, between the two muscles of the hind leg at the back . To remove it she advised a board certified surgeon elsewhere, who she said would want to do an MRI of the limb first to evaluate the extent of the mass in preparation for surgery. When I expressed concern about the cost she offered a surgeon at the VCA who is not board certified but who may be able to attempt a surgery without the MRI.

Since October the mass has grown, especially medially, and is now the size of a grapefruit. He is still not lame or uncomfortable when I feel the mass. I want to prevent problems for him with this leg but I also worry about the invasiveness of the surgery – and the cost, which I can’t afford right now. I am waiting and watching at this time. I worry about having the mass return even after surgery and wonder about removing the majority of it just to give him more comfort when moving – is it ok to wait until it gets bigger? I know that lipomas don’t tend to spread to other parts of the body like malignant cancer – this is why we took the xrays, to look for other signs of cancer in his body. Now i wonder if this was too soon, and should have waited on those tests.

2 Responses

Comments

  1. Krista Magnifico

    Hello,
    Almost all of the lipomas hat I see are easily removed as they tend to form in a capsule that makes it easy to remove. Usually they can be shelled out without much if any bleeding and other than resolving the issue of left over dead space ( a drain might be needed) they heal quickly and easily. I have seen a few invasive lipomas that seem to form from within the muscle and are embedded within in the adjacent muscle. They do not shell out but often can be “debulked”.
    If cost is an issue see if you can find an independent veterinarian who is comfortable and proficient in surgery. I don’t think that many of these cases need or can afford an mri or boarded surgeon. At least in my cases I offer to try to remove and I usually know within a few minutes of surgery if this is going to be a routine lipoma surgery or something else. Talk about options cost and scenarios. Be available by phone while the surgery is taking place and know that it’s ok to both wait and monitor and look for affordable options. Lastly I would recommend you find an independent vet practice and avoid corporate practices as they tend to be more expensive and refer cases to specialists most people struggle to afford.

    I hope this helps.

    Good luck

  2. Pam Post author

    thank you for all of the advice, it helps a lot in decision making

Question
Profile Image
Kelly | 3 years ago
My Plott Hound Had A Large Internal Lipoma Removed On Monday Directly Above His Penis In …

My Plott Hound had a large internal lipoma removed on Monday directly above his penis in his abdominal area. Almost immediately, he developed prominent swelling directly to, proximal, and distal to his operative site. In addition, he has swelling down his leg. Took him back to the vet where a needle aspirate was done. He was diagnosed with multiple seromas. There was no WBCs seen or anything else visualized under the scope to indicate infection INSIDE. However, externally, his skin is red and angry and there is a lot of swelling. He is on 2 broad spectrum antibiotics. He is having a hard time walking on his right leg. Took him back today (day 5 post op) because swelling is even worse. He has swelling all down his leg. Vet says it made sense to her because of gravity. My dog is in a lot of pain, can’t sit down. He put his paws down and his bottom stays up in the air. No one can even palpate his operate site without him going through the roof in pain. He is on Tramadol and an NSAID. I’m extremely worried. The vet isn’t a fan of the drain because she doesn’t want to create more room for infection. Ultra Sound showed no abscess. He is drinking a lot of water (more than usual) and urinating normally. His last BM was yesterday. Eating mostly fine. Low grade temp. Does this sound all right? I hate that he is suffering. The pics I have included were yesterday, not today. But you get the idea of the areas of seromas and erythema. Today, the swelling is worse and his entire leg down to his paw is fluid filled.

1 Response

Comments

  1. Krista Magnifico

    Hello,
    There are a few things that I am not completely clear about.
    The lipoma was not inside the abdomen it was between the skin and the abdomen. It is far more common to be here then inside rhe abdominal cavity. Also you wouldn’t get these seromas inside rhe abdomen.
    Next seromas shouldn’t be painful. Maybe get in the way of using there, but not painful.
    Lastly I only use a Darin of it is infected. And even then I am not an over ambitious drain user. It’s doctor preference.
    Last I think it would be better for you to get a second opinion. Everyone might feel better with it
    Good luck.

Question
Profile Image
megan | 3 years ago
A While Ago My Cat Became Sick, Around The Same Time We Noticed He Had Been …

a while ago my cat became sick, around the same time we noticed he had been leaving our house and stealing cat food from the neighbors who leave it out for other stray cats (therefore he was eating after other cats) his lymph nodes became swollen, he stayed in one spot all day and rarely moved, he wouldn’t eat or drink, and lost weight. We brought him to the vet and they examen him and did x-rays and said that it appears that he could have cancer/a tumor that has spread to his lymph nodes already as well as some other things like fluid/pus in his chest. They said the cancer was very aggressive since it’s already gotten that far and we just noticed it. A few days later his lymph node swelling went away, he started eating and drinking again, and he was acting like himself. We brought him back to the vet and they performed FNA on the tumor which came back inconclusive. They were also shocked that his lymph node? weren’t swollen anymore, and they said the tumor had moved places, and they started to question their diagnosis saying that he could just have an infection. The gave him antibiotics and sent us home. Since then the tumor has gotten bigger and moved places, it feels sort of soft and moves around easily. I’m questioning if this is just a lipoma rather than cancer because of the way it feels and moves, it has also been about 2 months since we very first noticed this, and to me it doesn’t appear or feel to have spread anywhere, his vet was also talking like he wouldn’t live more that a week or two and it’s been 2 months. No one can really come to a definite diagnosis… so if anyone could give advice or help on this i’d appreciate it very much!! (i’ve also included a photo below of the tumor though it’s a litte difficult to tell)

1 Response

Comments

  1. Laura

    Honestly, I’d be looking for an oncology specialist to determine if it really is a tumor of some sort.

Question
Profile Image
Olivia | 5 years ago
I Recently Notice A Lump On My Dog’s Neck And Went To Go Get It …

I recently notice a lump on my dog’s neck and went to go get it checked out. I found out it can possibly be a lipoma and came across a YouTube video and where the cost for the removal was cheaper compared to the close to $2000 I was shown from my vet. I’m a student trying to manage my own college costs and my part time job is barley helping me out. I was wondering if anyone knows of a great vet in Los Angeles with reasonable price for the removal or something to just help me

1 Response

Comments

  1. Krista Magnifico

    Ask friends and family and even place a post on social media or to allthe shelters and rescues for vets who might be more affordable. And talk to your vet about the price. Ask if there is any way they can do it safely but at a price you can afford. And please! Please add the estimate to our storylines page. That is the place we hope to be able to find information about vets and vet practices to rocked transparency in pricing to people around the world.