Dog's swollen lymph node & lumps: When to get a second opinion?

Question

Bear lymphnode back rgt leg swollen size of silver dollar. gradually gotten bigger over 3 months. In vrious places underside over lst year gotten lumps all different sizes some soft some hard. The vet has extracted from all of them then put it on a glass slide looked at it and said it looks like fatty tissue but didn't look At it under a microscope. Is that correct ? Or do I need a new vet? What to do about his lymphnode in this picture? Pet's info: Dog | Mixed Breed Small (up to 22lb) | Male | neutered | 12 years and 2 months old | 22 lbs

Dr. Elizabeth · Accepted Answer

Any lymphnode that remains enlarged should progress onto another diagnostic. This next step could be either aspirating the lymphnode and sending the sample to a histopathologist in a lab or being a little more aggressive and get a biopsy and then sending that out. I recommend to choose one of these as the next step since the node has been enlarged for 3 months. Regarding the other masses, pets can get many types of lumps and bumps. Most of these tumors will be benign but some will be malignant and you can't tell by looks. Here is a helpful link discussing the various types of skin masses in general: https://www.petcoach.co/article/lumps-and-bumps-on-your-pet/ If any of these masses are changing, I would also recommend to collect a sample and send it out to a pathologist as well. It's hard to know from the photo if that node looks enlarged or not, I generally need to compare the node to the other nodes via palpation. Have your vet double check the size of the node before aspiration. I hope this helps and please feel free to post any additional questions.

Dog's swollen lymph node & lumps: When to get a second opinion?

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