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Discussion Starter · #1 ·
Hi there, I have this ongoing issue with my pooch(will attach pics) So over 1 year ago now pretty much out of nowhere I noticed this pretty big hairless pinky red lump under my dogs dew claw. Was pretty shocking at the time because he has had a few mast cell tumors in his day so that was my immediate scare. So off to the vet we go. Ended up getting it biopsied, and sent away. Usually just get the ones there at the office but with this one wanted to be my precise i guess.
The results come back and I'm relieved to find out, it's not a mast cell tumor. He says a cpl things but most likely a cyst or digital cyst caused.by a ingrown hair or nail. So I get him on meds, one antibiotic and one anti inflammatory. I want to say he was one the inflam for longer than the biotic, want to say just 2-3 weeks for the antibiotic and maybe 4-6 for the inflam.. something like this anyways. So for 5-6 months or so things we're ok. No cone, no wrapping it, no bandages, limited licking, the area was looking better as well. It was still there but smaller.
This is when it all went to heck. Basically it starting cutting randomly, and it feels like it hasn't stopped since. I can get it going 3-4 maybe 5 days without cutting or bleeding much, then bam a string of days or even a cpl where he cuts it and the thing looks back to worse again.. So frustrating! Cone every night to sleep, wrapping it everyday to walk, foot soaks(gonna start doing more again) watching him every min of the day it seems so he doesn't ripped his foot wrap off and eat it(yes he does that) and lick at the area.
Went back to the vet a month ago, (ive been getting different vets as well with this, kinda sucks) this lady scared the H out of me. Got him in a cancellation, walk him to the door, wait for the phone call(covid times) I tell her the history of the bump, at one point when I said digital cyst she says, I don't think it's that... I'm thinking huh? She says there not usually in the dew claw area, I agree, but continue to tell her I had it biopsied and the results. I said our main scare the first time I came in and had it tested, we had got the mast cell tumor ruled out from the biopsy. So she says she will look back in the papers and get a new sample of the bump(jab my dog). I say sure. I wait in the car for another 30 mins, get the call and well kinda relief at the fact she says oh, this new test seems to confirm what the first one does(no metastic cells) anyway she recomends a new antiobiotic that he went on for 2 weeks.
First few days of the meds(cephalexin) I was pretty excited. I took his bandage off for 3 to 4 nights in a row with no blood or limited blood, was looking a bit better. Then of course, my on going issue of it cutting and or bleeding again on that 4th or 5th day, so back to square one almost. Few more days of looking better than bam, blood. For example I went 3-4 days one time doing his daily walks, let him out back at night to go pee, and yes, bleeding again!!
So I did end up doing another 2 weeks of the meds because I sent pics to the vet and she said it was looking better at that time(it was a bit) During that next 2 weeks same thing really. I feel the meds helped a bit, but overall it was a similar problem. The pooch was having stomach issues on the meds as well, hesitant to eat in morning, threw up once.. When the time came to get more more when I was done the month, I really didn't know what to do. Keep him on them for the small improvements with the stomach problems or take him off for a bit, so I took him off for now. Actually couldn't go to the vet that day anyway because my car was in the shop and we had a storm that day so I guess circumstances made that decision for me. I also heard this med cephalexin is only supposed to be used for 1 month.. but I can't confirm.. Anyways, sorry for the long post. Been stressful. I really need a solution to this, besides surgery. I mean, if i can get it shrunk to a point surgery would work id do it, but he's had like 4-5 surgeries and I would love to avoid that.. He's 10 coming up on 11. Thanks for reading, any suggestions I would love to hear.
 

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Discussion Starter · #2 ·
sorry about the 2nd pic, all I have on my pc right now. This btw is the pics I sent the vet after the first 2 weeks of meds. and btw as you can see he has a lump above the dew claw (that's been biopsied as well a while back) came back as a fat lump. Anyways the dew claw one is the pain in the ass one im talking about, just to clarify.
 

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Discussion Starter · #3 ·
where my heads at right now is, do I get him back on the meds(despite the fact it's a similar situation possible 20% better) and with the stomach issues, or do I go back to just dealing with it on my own?
 

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I can give an opinion based on what I would do..
Your dog is almost 11. I would avoid surgery. I would not want the upset stomach from antibiotics. Pro biotics may have limited affect in the face of long term antibiotic use.

I think I would wrap it (Vet Wrap?) with padding over the bump so he doesn't hit it and cause more bleeding. If he will leave it alone when indoors and not hit it take the wrap off.

Is he lame on that leg? If it hurts him so he is lame, then that changes the choices (no one wants a dog to hurt).

It is a hard and frustrating road you are on. My thinking is to protect it from getting cut and let it be if it does not hurt the dog and if he will leave it alone when indoors.
 

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Discussion Starter · #5 ·
He isn't lame.. thank god. Only a couple times throughout this mess did he have a small limp when he freshly cut it. I do what it with that stuff actually. With a band aid inside on it when the bump is.. Been using ceran wrap actually as well last few days and i have a let protector thing I got off amazon. Can't say it helps much so far besides helping not get it as wet in this weather, which is something I guess. He is almost 11, but to be honest he's kinda like a 6 or 7 year old dog in a lot of way.. Hasn't slown down all that much, even with a acl surgery at 4, and a few mast cells removed. I here you though, really want to not do surgery again, but if i got it small enough, I would think about it. To go back to normal life would be kinda sweet at this point. lol
 

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Discussion Starter · #6 ·
Also with the wrap indoors it's hit and miss, basically have to watch him 24/7. Have a camera on him now sometimes. The other night he was dead asleep on the couch, went in my room for 5 mins, came out and he was eating his wrap..lol. not cool.
 

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Discussion Starter · #7 ·
i put that vetrap on it i was saying, messed up my sentence up there.. With a band aid inside on his area.. i could look into padding it more.. i usually wrap it up a few times in the area for added protection, then now that i have it, i put this new foot padding around the wrap.. with velcro straps..
 

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If you have the resources to do so, getting a referral to a veterinary dermatologist will probably give you the best idea of what your options are, as specialists have the knowledge, experience, and tools to be able to perform more specialized tests and treatments. That way you'll also know that you did everything you could if it does turn out that surgery is your only option.
 

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Discussion Starter · #10 ·
nice, I was thinking about the dermatologist.. or just take him to another vet in general to get another look at it.. I was thinking the guy who did the tplo surgery on my dog.. on his site it also says, "in soft tissue surgery, he has gained experience studying and training under some of the best reconstructive and skin wound management surgeons in the country" hmm. wonder if that means he knows something about dermatology?
 

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Sounds promising! You could always call their office and ask if dealing with difficult cysts is something they have experience with, or if they recommend someone else in your area for that kind of thing. It's always nice to go to a vet you already have a relationship with if you can.
 

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Discussion Starter · #15 ·
oh i see... interesting. Wouldn't the fine needle test and biopsy show the difference in a hystiocytoma and a cyst? Or does it not have scary cells in it like cancerous ones? My vet said the didnt see any of those scary cells, just blood or something..
 

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oh i see... interesting. Wouldn't the fine needle test and biopsy show the difference in a hystiocytoma and a cyst? Or does it not have scary cells in it like cancerous ones? My vet said the didnt see any of those scary cells, just blood or something..
I actually didn’t have my dogs tested but did go to the vet and they confirmed it was a histiocytoma and said it could take up to 6 months or more to go through it’s own natural process (grow grow grow, scab, bleed, shrink, heal) and it would eventually go away. My dog kept scratching it and it got super scabby and bled all the time until I used wipes on it 2x a day for over a month then it shrunk and went away completely. There is still a little bald spot where it was. He actually had another one pop up and I used the wipes and it went away in a few days whew! They’re so gross and nasty. The pics you posted it was a bit hard to tell if it was the same thing but just thought I’d share 😉

In the pic below the one in front is the new one that appeared which is now gone and the lower one closer to neck is the original fully healed one with no hair.

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Head Eyebrow Dog Dog breed Jaw
 

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Just to clarify our rules, since this dog has seen a vet it's okay to make suggestions in a "talk to your vet about if it could be this" way, but please do confirm any possible diagnosis with a veterinarian before attempting to change treatments. Skin issues especially are so varied and extremely difficult to diagnose visually, even by experts.
 

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Discussion Starter · #19 ·
Just to clarify our rules, since this dog has seen a vet it's okay to make suggestions in a "talk to your vet about if it could be this" way, but please do confirm any possible diagnosis with a veterinarian before attempting to change treatments. Skin issues especially are so varied and extremely difficult to diagnose visually, even by experts.
yes i realize, just seeing if anyone has suggestions i haven't tried.
 
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