What Do Mast Cell Tumors Look Like? [Pictures]

There is no way to tell if your dog has a mast cell tumor by it’s appearance. In fact, in veterinary medicine, mast cell tumors are known for their unpredictable appearance. They can look like something harmless, even in their most life-threatening forms. Mast cell tumors are the second most common cancerous tumor seen in dogs. They account for 16-20% of all tumors. And the effects of even the tiniest mast cell tumors can be a matter of life and death. These tumors have the potential to spread throughout the body incredibly fast. And once they spread, they have the potential to destroy the body. In this article, we will review several pictures of mast cell tumors, to help understand what they look like in dogs.

Pictures of a Mast Cell Tumors in Dogs

1. Small mast cell tumor

The tumor below is a small mast cell tumor. As you can see, it looks harmless and could easily be mistaken for a sebaceous cyst. But don’t let its size fool you-small tumors can be high-grade with the potential to spread quickly.

Small mast cell tumors can appear:

• Red
• Flesh colored
• Raised
• Flat
• Ulcerated

Small tumors can feel:

• Hard
• Soft
• Fixed
• Mobile

2. Medium / large mast cell tumors

Below is a Pit Bull mix with a large mast cell tumor. The tumor appears damaged from the dog chewing and licking it. Tumors of this size are usually cancerous, high-grade, and at risk for metastasis (spreading). High-grade tumors need protection. A great way to prevent further damage is to put an e-collar on your dog. E-collars block the dog’s ability to reach the area and cause damage.

Large mast cell tumors look like:

• Large lumps
• Ulcerated skin on or around lumps
• Bleeding
• Itching
• Oozing skin

Large high-grade mast cell tumors can cause:

• Nausea
• Vomiting
• Weakness
• Diarrhea

3. Mast cell tumor on a dogs foot

https://www.fitzpatrickreferrals.co.uk/wp-content/uploads/2015/03/Mast-Cell-tumour-MCT-4-1013×760.jpg

4. Mast cell tumor on a dogs eye

https://www.rvc.ac.uk/Media/Default/Research/2015.02.03%20-%20VetCompass-1.jpg

5. Mast cell tumor on a dogs nose

https://www.ndsr.co.uk/library/img/www/specialist-information-sheets/oncology/canine-mast-cell-tumours/canine-mast-cell-tumours1.jpg

Pictures of the Surgery & Recovery

While no two dogs will have the same surgery and recovery, knowing what to expect when your dog comes home from surgery is helpful. Here are some photos of what it may look like before, during, and after surgery.

1. Picture of a mast cell tumor with a pre-surgical marking

In the image below, a veterinarian marked the skin around a mast cell tumor using a black surgical marker. The mark is a guide to tell the surgeon where to cut during surgery. During surgery, the goal is to remove wide margins of skin around the tumor, decreasing the chance of tumor re-growth. However, sometimes there isn’t enough room to remove extra skin. In this case, the veterinarian injects a steroid into the tumor. The steroid will shrink it, making more room to cut around the tumor. Your vet will also recommend a pre-surgical screening. These include a physical exam, blood work, and a surgical consultation. During the consultation, your veterinarian will explain the plan for surgery and answer any questions you have.

2. Picture of a dog recovering from mast cell tumor surgery

After surgery, your dog will have a recovery period before they wake up from anesthesia. The veterinarian will monitor their vital signs and ensure the incision is clean and protected. The dog in the photo below is in the process of waking up from a tumor removal surgery. After removal, the entire tumor, including the skin around it, goes out for biopsy. At the lab, a pathologist will examine the edges of the sample for cancerous tissue. If the tissue sample shows cancer cells around the edges, your vet will recommend another surgery. Most tumors that return are high-grade and at risk of spreading. In these cases, veterinarians recommend a combination of medications, chemotherapy, and radiation. If your dog has symptoms related to the tumor, your vet may prescribe medications.

The most common medications used for dogs with mast cell tumors are:

• Steroids
• Anti-nausea medication
• Allergy medication

Your vet may also send your dog home with devices or aids to help during healing like:

• An E-collar (Elizabethan Collar)
• Wrap
• Bandage

3. Pictures of stitches on a dog with a mast cell tumor (after surgery)

The dog in the photo below is getting his sutures checked. Sutures are typically removed 10-14 days after surgery, but large incision sites and ones in odd places may take longer to heal. Sutures need to be clean and dry to prevent infection. Your dog may benefit from an e-collar or wrap to prevent them from licking the incision during the healing process. Licking and chewing are the number one reason for suture failure. So watch your dog closely during this time. If you have an e-collar you can remove it when your dog eats and drinks, but make sure you watch them. All it takes is seconds for a dog to chew its incision open.

Throughout the healing process, your dog will need periodic exams. During the exam, the veterinarian will check for the following:

• Swelling
• Infection
• Bleeding
• Failed or ripped sutures
• Any sign that the tumor may be coming back.

4. Picture of a dog with a wrap on his leg after mast cell tumor surgery

Each dog will have a different recovery. The length of recovery depends on the severity of the tumor. Dogs with higher-grade tumors may have a tough time recovering, while dogs with low-grade tumors may recover quickly. During recovery from surgery, wraps should stay clean, dry, and intact. Dirty, wet, or worn bandages can cause secondary infections. In the picture below, a senior Labrador Retriever is recovering from mast cell tumor surgery. His back leg has a wrap to prevent licking and protect it from damage and bacteria. Your dog may not have a wrap, depending on where the tumor is. 

Life expectancy:

The life expectancy of a dog with a mast cell tumor varies and depends on the grade, stage, and location. Dogs with tumors in areas that are hard to treat (mouth, eyelid, and groin) will have the worst prognosis. For these dogs, surgery is not an option. They will benefit from chemotherapy, radiation, and medication. Out of the dogs who have low-grade tumors, 90-100% of them never come back. Dogs with high-grade tumors have a median survival rate of only six months after surgery. Learn more.

Mast Cell Tumor Grades: What Do They Mean?

There is no reliable way to know what grade a tumor is by looking at it (small mast cell tumors may be high grade, and larger tumors may be low grade). However, grading helps us tell how a tumor will act, grow, and respond to treatment. It will also help your vet determine the best treatment for your dog and whether or not to treat the tumor locally (one spot) or systemically (full-body, through chemo, radiation, or medication).

There are three grades of mast cell tumors. The grade is determined when a pathologist looks at a tissue sample under a microscope.

Tumors are graded using two systems:

The Patnaik system:

This system determines the grade by the number of normal mast cells to abnormal mast cells. There are three grades in this system:

Grade 1:

Grade 1 tumors have mostly normal mast cells with a low chance of spreading throughout the body. Surgery is the best option for these tumors. While many dogs recover with surgery alone, there is always a chance tumors could return. These dogs should have regular exams to check for any new tumor growth.

Grade 2:

These tumors have some normal and some abnormal mast cells. The abnormal cells may eventually spread into deeper layers of the skin. Surgery, radiation, and chemotherapy are the best option for grade 2 tumors. Dogs with grade 2 tumors are more likely to need repeat treatment.

Grade 3:

These tumors have mostly abnormal mast cells and are the most dangerous type. They have the highest chance of spreading throughout the body. These dogs will need surgery, radiation, chemotherapy, and supportive medications. Many dogs with grade 3 tumors will also need palliative care at some point in their life. Palliative (comfort care) is supportive care given to terminal cancer patients.

The Kiupel 2-tier grading system:

The is system is similar to the Patanaik system, but it breaks the tumor types into two categories:

• High grade- highest chance of spreading, life expectancy is four months after surgery.
• Low grade- lowest chance of spreading, dog’s often live a normal life after surgery.

5. Picture of the rupture of a Mast Cell Tumor

Below is a photo of a mast cell tumor chewed open by a dog. Mast cell tumors release a substance called histamine that causes itchy skin. Some dogs itch so badly that they end up chewing their skin raw and creating a wound. The best way to prevent tumor rupture is by covering it with a clean wrap or putting an e-collar on your dog. To learn more about what to do when a mast cell tumor ruptures read our article here.

Early symptoms of Mast cell tumors in dogs

Because mast cell tumors look like many other skin conditions, it is hard to narrow the symptoms down. These tumors can look and act like ANY other skin condition! However, mast cells have one characteristic symptom that sets them apart from other skin conditions; they tend to change in size and appearance and grow larger or smaller from one day to another.

The earliest symptoms of dogs with mast cell tumors are:

• Lump or lumps that are itchy, or not
• Enlarged lymph nodes
• Irritated skin

Symptoms of more progressed mast cell tumors are:

• Welts
• Vomiting
• Diarrhea
• Weight loss
• Bloody or black, tar-like feces
• Abdominal pain
• Collapse

When should I call my vet?

You should make an appointment with your vet when you notice a new lump on your dog. While many lumps are benign, it is always possible that your dog has a mast cell tumor. The quicker you act, the better the chance your dog will live a long life.

Learn more about mast cell tumors: