Dog gum lumps can be a concerning discovery, especially if you're not familiar with what's normal for your furry friend's mouth. Oral cancer in dogs is a serious condition that can cause these lumps.
The American Veterinary Dental Society reports that oral cancer is one of the most common types of cancer in dogs. This is a stark reminder that regular dental check-ups are crucial for your dog's health.
Oral cancer can manifest as a lump or swelling in the mouth, often on the gums, tongue, or lips. In some cases, it may be accompanied by other symptoms like bleeding, pain, or difficulty eating.
The good news is that many oral cancers can be treated successfully if caught early. Regular check-ups with your veterinarian can help identify any potential issues before they become serious.
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Causes and Treatments
Oral cancer in dogs can cause a lump in the gum, and surgery is often the most successful treatment if it's diagnosed early. Surgery may involve removing a large portion of the jaw to eliminate cancer cells.
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Chemotherapy isn't generally effective for mouth cancer in dogs, but your vet may recommend radiation therapy or immunotherapy following surgery to help kill cancer cells and aid recovery.
Mouth and throat tumors can also cause a lump in the gum, and symptoms may include problems eating, bleeding, and excessive odor. Surgery to remove the tumor or radiotherapy may be effective treatments.
Infected or fractured teeth and untreated gum disease can lead to abscesses, which can cause a lump in the gum, accompanied by facial swelling, fever, depression, not eating, and great pain for your dog. Treatment for dental abscesses may include removing the infected tooth along with a course of antibiotics and anti-inflammatory pain meds.
A bacterial infection of the skin called cellulitis can also cause a lump in the gum, and symptoms include swelling, ulcers, tenderness, redness, and pain. Treatment should be determined by a veterinarian, and may include soaking the wound, flushing it with an antiseptic, painkillers, and antibiotics.
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Oral Cancer
Oral cancer is a serious issue that can affect dogs of any age, but it's most common in dogs around 11 years old.
The average age of dogs diagnosed with oral cancer is 11 years, although oral cancer can be seen in dogs of any age.
Oral tumors can appear anywhere in the mouth and can be either benign or malignant.
Tumors in the mouth and upper throat may be either benign (not cancerous) or malignant (cancerous).
The most common signs of oral cancer in dogs include bad breath, excessive drooling, and bleeding from the mouth.
In dog's, the most common signs of oral cancer include: bad breath, excessive drooling, bleeding from the mouth, trouble chewing, obvious signs of oral pain, loose teeth, visible lump or mass inside of the mouth, swollen areas of the face, reluctance to eat and weight loss.
Early diagnosis and treatment are key to good outcomes, and surgery tends to be the most successful treatment for oral cancer in dogs.
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If a tumor is detected early, depending on the type of cancer and the location, there is a possibility that the tumor could be surgically removed, allowing your dog to live happily for many years (approximately 5-17 years).
If your dog's oral cancer isn't detected until the later stages, there is a good chance that the cancer will have already spread (metastasized) to other parts of the body.
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Oral Tumors and Diseases
Oral tumors and diseases can be a serious concern for dog owners. Benign tumors, such as peripheral odontogenic fibromas, are firm masses that can arise from the ligament of the involved tooth and are most commonly seen in dogs 6 years of age or older.
These tumors can become quite large, but surgery that removes all of the tumor will cure the dog. Canine peripheral ameloblastomas are also benign but grow quickly, invading nearby tissues including bone, and should be surgically removed.
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Malignant tumors, such as malignant melanoma, squamous cell carcinoma, and fibrosarcoma, are more serious and can spread to other parts of the body. The treatment and outlook depend on the specific kind of tumor and whether it has spread, but surgery, radiation therapy, or immunotherapy may be recommended.
Early diagnosis and treatment are key to good outcomes, and if a tumor is detected early, there is a possibility that the tumor could be surgically removed, allowing your dog to live happily for many years.
Diagnosis and Staging
Diagnosis and staging are crucial steps in treating oral tumors in dogs. A definitive diagnosis is important to determine the best course of treatment and prognosis.
Fine needle aspiration can be used to attempt a diagnosis, with a reported diagnostic accuracy of 92 to 98 percent compared to histopathology. However, cytology may not always be fully representative due to the frequent inflammation, infection, or necrosis of oral tumors.
An incisional biopsy for histopathology is often required for a definitive diagnosis, allowing for immunohistochemical stains to be used if needed. This is especially important for diagnosing amelanotic melanoma.
The TNM system is commonly used to stage oral tumors, assessing the tumor size and the presence or absence of regional and/or distant metastasis to designate an overall stage. Staging is essential for determining the extent of the disease and planning treatment.
Imaging of the head, such as radiography or computed tomography (CT), should be performed to assess the extent of local disease. CT is significantly more sensitive at detecting bone lysis and adjacent tissue invasion compared to radiographs.
Here is a summary of the TNM staging system for oral tumors:
Lymph nodes should be sampled regardless of size, as size does not always correlate with metastatic status. The submandibular and medial retropharyngeal lymph nodes should be sampled bilaterally due to unpredictable lymphatic drainage and common contralateral metastasis.
Benign Tumors
Benign oral tumors in dogs can be firm masses involving the tissue of the gums.
They usually arise from the ligament of the involved tooth and can become quite large.
Peripheral odontogenic fibromas are the most common benign oral tumors in dogs, and they're often seen in dogs 6 years of age or older.
These tumors can occur alone, but multiple masses may be present.
Surgery that removes all of the tumor will cure the dog.
Canine peripheral ameloblastomas are also benign, but they grow quickly and can invade nearby tissues, including bone.
Because of their aggressive nature, these tumors should be surgically removed.
Radiation treatment may help to minimize disfigurement if there are large tumors.
Your veterinarian will want to biopsy the tumors prior to surgery to determine the best course of action.
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Malignant Tumors
Malignant Tumors are a serious concern for dogs. They can appear in the mouth and upper throat, and signs may vary depending on the location and extent of the tumor.
Bad breath, reluctance to eat, and excessive drooling are common symptoms. If the back of the mouth and throat are involved, swallowing may be difficult. The tumors frequently ulcerate and bleed.
The face may become swollen as the tumor enlarges and invades surrounding tissue. Lymph nodes near the tumor often become swollen before the tumor itself can be seen. A tissue biopsy is usually required to confirm the diagnosis.
Malignant melanomas are highly invasive and spread readily, making the outlook guarded to poor. Surgical removal of the tumor can extend survival and may cure the condition, but recurrence is common. A vaccine that stimulates the immune system to attack the tumor can be effective in some dogs with malignant melanoma.
Squamous cell carcinomas have a low rate of spread if they don't involve the tonsils, and the outlook is good with aggressive surgery, radiation treatment, or both. However, if they affect the tonsils, they spread rapidly and have a poor outlook.
Fibrosarcomas have a guarded outlook, and recurrence of tumor growth after surgery is common.
Common Types of Malignant Tumors in Dogs:
- Malignant Melanoma
- Squamous Cell Carcinoma
- Fibrosarcoma
These tumors require prompt attention and treatment to improve the chances of a successful outcome. Early diagnosis and treatment are key to good outcomes.
Frequently Asked Questions
Is epulis fatal in dogs?
No, dental epulides are generally considered benign and non-fatal in dogs. However, their invasive growth can still cause discomfort and complications.
Should epulis be removed?
Yes, epulis should be surgically removed to prevent further growth and pain. Removal is often accompanied by extraction of the associated tooth for optimal treatment.
How do you remove gingival mass from a dog?
Surgical removal is often recommended to treat oral tumors in dogs, typically preceded by imaging tests like MRI or CT scans to assess the extent of the disease
How to treat dogs' swollen gum?
For swollen gums in dogs, try a warm salt water rinse or use oral gels containing natural anti-inflammatory ingredients like aloe vera and eucalyptus oil to help soothe and reduce inflammation.
Sources
- https://www.merckvetmanual.com/dog-owners/digestive-disorders-of-dogs/disorders-of-the-mouth-in-dogs
- https://www.santacruzpet.com/why-dog-have-lump-on-neck/
- https://www.huntersville.carolinavet.com/site/huntersville-veterinary-blog/2020/10/05/mouth-cancer-in-dogs
- https://www.veterinary-practice.com/article/common-canine-oral-tumours
- https://www.webmd.com/pets/dogs/my_dog_has_swollen_face
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