Lacey has a mouth tumor / growth

    • Gold Top Dog

    Lacey has a mouth tumor / growth

     I discovered it Friday night, about 10 PM and lost it, completely scared!  On Saturday, my fave vet was off and "the other vet" was on, so we waited till this afternoon for an appt.

    Lacey has a suspected fibromatous epulis.  "Suspected" as only the lab can say for sure, if we do a biopsy.  This is what I was told:

    - most common, and benign so nothing to worry about at this time

    - slow growing, may envelope the tooth

    - tend to have a long stalk / root, making it difficult to get it all removed, so they usually grow back in 3 to 4 months

    - as with any mass, the cells are abnormal, and over time they can change be more abnormal as in cancer but that is rare with this type of thing

     

    Recommends we wait.  Lacey is age 10 to 13 (picked up as a stray, I got her from the local dog pound when she was about 5 to 7).

    So I came home, did some reading online.  It sounds like it is best to remove when small, having a laser to cauterize the area seems to help prevent recurrence. The larger it is, the more likely a tooth has to come out as well.  The tooth it is growing around is currently fine, and well set in the gums, no wiggle at all.    AND it may have been caused by trauma - Lacey fell getting out of the car one day in the past 2 weeks, cracked her lower jaw good on the concrete floor of our garage.  I TRY to make them wait for me but she was so excited to be home and got tangled up in her leash.

    I looked on here, found 3 threads with prior cases of this.  Dahlia had one removed in Jan / Feb of this year.  Now I am thinking I should push to have it removed NOW rather than wait?

     

    • Gold Top Dog

    Dang -- tried to do this on the Kindle and lost it. 

    I hear you -- it really grates on me, personally, to have something going on that I Know **might** change to bad but having to stand there staring at it *sigh*. 

    My thots are:

     1.  She's not getting any younger -- and if it's as involved (potentially) a surgery as it looks like then she'd be better off to have it done now just from age reasons alone.  Surgery is always a risk, but the older the more dangerous.

    2.  I would think the root would extend and become more and more firmly entrenched the longer you wait??  That would be a good question to ask the vet. (i.e., does it grow from both ways?  bigger on the outside and deeper on the inside??)

    3.  To me the loss of a tooth isn't a big deal if it's for the greater good.  Heck when I got Kee Shu the FIRST thing the vet did was remove like 13+ teeth and she had NOT A BIT of trouble with it.  It certainly didn't keep her from eating.

    4.  I would think the longer you waited the higher the risk of it coming back -- (because the root would be more firmly entrenched -- this is kinda like #2 but I'd want to know if there is anything that could tip the scales in your favor.  Is there anything known to slow the growth down?

    Found this on Merck

    This one is from Purdue -- a bit easier to understand, but it makes it more clear that it may require more than one tooth to be removed and even part of the bone depending on the type of tumor. It sounds like if they get ALL of it then it is fixed, but will re-grow if they don't get it ALL.

    Somewhere between one and two I changed my mind a bit -- it honestly sounds to me like you don't want your normal vet to do this.  If they're already saying "they usually grow back" that seems to be if you DON'T get it all.  The article from Purdue makes it sound like complete surgery is completely curative (as long as it's not malignant I'd think altho it doesn't make that qualifier). 

    The other thing the Purdue doc suggests (almost as a given) is not JUST a biopsy but x-rays done so they see BEFORE the surgery which teeth will be involved.  Doesn't sound (unless I missed it) like that was in your vet's consideration.

    Not saying anything about your vet -- but I've learned that SOME-TIMES it is definitely in your best interest to go to a vet school.  It could be a long surgery so it probably won't be cheap, but I'd think it would save her a lot of trouble and pain later on.

    If the tooth becomes engulfed in the tumor and she bites on it, then it's constantly bleeding and draining.  ugh.  That just sounds like it could get really bad really quick.

    This would most definintely be something I'd think about going to a vet school for.  Probably better done than by even a "specialist". 

    • Gold Top Dog

    Poor Lacey....just know we are sending good vibes :)

    • Gold Top Dog

    I tend to agree with Callie on all points. If nothing else, I might consider at least getting a 2nd opinion. I hope that whatever you decide, she's got a lot of good years left with you.

    • Gold Top Dog

    cakana

    I tend to agree with Callie on all points. If nothing else, I might consider at least getting a 2nd opinion. I hope that whatever you decide, she's got a lot of good years left with you.

     

      Ditto; there are many specialists at vet schools and they consult with each other on cases even though you only work with one of them. Your pups have really kept you busy lately, but I know you wouldn't have it any other way.

     

    • Gold Top Dog

     Thank you for all the responses.  Based on what the vet said, this is not an emergency, so I am taking my time to find a path to get this addressed sooner rather than later.  I agree it makes sense to take care of it NOW, before it becomes established.

    I appreciate the links provided and I have already started researching and preparing to address this issue.  

    Sure was a scare when I found those lumps!