Hello I have a male 1 year old Boston Terrier. He has a 2mm soft lump on his back leg which the vet removed with a punch biopsy. The results came back Mast Cell Tumor, Grade 2, Stage 1 with narrow clean margins of .15mm. The pathology report suggest either wide excision OR close monitoring for recurrence at same location. The vet recommends we closely monitor the area because any recurrence would present with another mass and if that happened we could do the wide excision at that time. I don't know what to do, please advise.
Both options are correct so the answer is a difficult and personal one. A wider excision would have a better prognosis, of course, but would involve another surgery and period of healing but may be the better option if affordable and if your dog did not suffer too much from the original surgery. Waiting to see if there is a reoccurrence is also a realistic option because it is less expensive, and there may never be a reoccurrence if luck holds.
Whichever option you choose, there are some helpful adjunctive therapies that may decrease the incidence of developing additional mast cell tumors as follows:
1. Placing your dog on a daily dose of Benadryl antihistamine can help decrease the production of mast cells tumors. The dose of Benadryl is 1 mg per pound of body weight, so, if your dog weighs 12 pounds he will require 12 mg's of Benadryl. Make sure you buy Benadryl in a tablet form so that you can easily cut the tablets. Standard human Benadryl comes in 25 mg tablets or capsules (obviously capsules are difficult to cut accurately).
2. A holistic preparation called Lymph K is very valuable to help prevent and treat mast cell tumors. This product is available from Natural Solutions, Inc/White Crane Herbal Supplements. Lymph K is available by prescription. Your veterinarian should be able to order it for you. It has a 93% success rate for treating and preventing mast cell tumors.
For additional holistic options please check the AHVMA website for a holistic veterinarian in your area.
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