Canine
Mast Cell Tumors
& Breeds at Risk

Research, Resources & Education

This website is based on research and is NOT created to diagnose your pet. 

Each animal is an individual and may exhibit symptoms in a different way.


It is advised that you ALWAYS CHECK WITH YOUR VETERINARIAN
 for a proper diagnosis and treatment plan.

 

Please visit Lost Temple Fitness & Cancer for more information of cancer in humans including

What is Cancer and Treatments.

Table of Contents

Canine Mast Cell Tumors

Mast cells are a type of white blood cell that  plays a role in the allergic response, which can become cancerous masses in dogs. Tumors are commonly found on the skin or layer under the skin.

 

Symptoms include enlarged lymph nodes, GI upset, decreased appetite, low energy and/or increased respiratory rate.

 

Treatments can include radiation, chemotherapy, palliative therapy or an oral medication such as Palladia. 

What Dogs are at Risk?

Some Dogs that are at Risk due to Genetic Predisposition 

Beagle
Boston Terrier
Boxer
Bullmastiff
Bull Terrier
Cocker Spaniel
Fox Terrier
Golden Retriever
Labrador Retriever
Pug
Schnauzer
American Staffordshire
Weimaraner

What are Mast Cell Tumors?

What is a Mast Cell? (VCA Animal Hospitals)

A mast cell is a type of white blood cell that is found in many tissues of the body.

  • Mast cells are allergy cells and play a role in the allergic response. When exposed to allergens, mast cells release chemicals and compounds (called degranulation).
  • One of these compounds is histamine. Histamine is commonly known for causing itchiness, sneezing, and runny eyes and nose – the common symptoms of allergies.
  • When histamine and the other compounds are released in excessive amounts (with mass degranulation), it can cause full-body effects, including anaphylaxis, a serious, life-threatening, allergic reaction.
    • Other complications include delayed wound healing, bleeding disorders, and gastrointestinal (GI) ulceration.

What is a mast cell tumor?

 

A mast cell tumor (MCT) is a type of malignant (cancerous) tumor consisting of mast cells.

  • Mast cell tumors typically form nodules or masses in the skin, but they can also affect other areas of the body, including the spleen, liver, intestine, and bone marrow.
  • MCTs are the most common skin tumor in dogs (7%–21%).
  • Most dogs with MCT (approximately 85%) only develop one tumor. (VCA Animal Hospitals)

Mast Cell Tumors in Dogs (NC State Veterinary Hospital)

 

Mast cell tumors vary in appearance. Some may look like raised bumps within, or just below the surface of, the skin. Others appear as red, ulcerated, bleeding, bruised, and/or swollen growths.

  • Some tumors appear and remain the same size for months or years, while others show a rapid growth pattern over days or weeks.
  • They can also increase and decrease in size over time.

Tumors can be irritating, and dogs will scratch, lick, or bite the mass and surrounding skin.

  • This trauma causes the tumor cells to release the chemicals in their granules leading to a localized reaction.
  • In more serious cases, the chemicals can affect the entire body, causing severe gastrointestinal bleeding and even an anaphylactic reaction, which can be fatal if untreated. (NC State Veterinary Hospital)

Common locations in the dog (ACVS) include:

 

  • Trunk  42–65%
  • Limbs  22–43%
  • Head and neck 10–14%

Visceral (intra-abdominal organs) mast cell disease is a recognized form of the disease and is more aggressive than the aforementioned locations.

  • This is often preceded by skin or subcutaneous tumors. (ACVS)

Mast Cell Tumor Videos

YouTube Videos that help explain Mast Cell Tumors in Dogs

 

Disclaimer: 
This is for research only and Lost Temple Pets does not endorse any video presented on this website.

 

It is advised that you ALWAYS CHECK WITH YOUR VETERINARIAN for a proper diagnosis and treatment plan.

Breeds at Risk, Causes and Genetics

Overview (ACVS)

 

Mast cell tumors are the most common type of skin tumor found in dogs and the second most common skin tumor in cats. These represent 14–21% of all skin tumors diagnosed in dogs. They are usually noticed in middle aged patients but can occur in patients of any age. Boxers and Boston terriers make up ~ 50% of all cases.

 

Most tumors are solitary although boxers and pugs have an increased predilection for multiple skin tumors. These tumors most often are noticed in the skin and subcutaneous tissue. (ACVS)

Breeds prone to mast cell tumors (Better Pet)

While any breed of dog can get mast cell tumors, certain breeds, especially brachycephalic breeds, are more susceptible. Mast cell tumors are particularly common in:

  • Boxers. No one knows exactly why boxers are more prone to mast cell tumors, but they do tend to get them more frequently than other breeds. The good news is that their tumors are often (but not always) less severe.
  • Bull terriers. The bull terrier is another breed of dog that is predisposed to mast cell tumors. If you have a bull terrier, make sure they are screened for mast cell tumors regularly and that you know the signs of complications from mast cell tumors.
  • Boston terriers. Similar to boxers, this is a breed that is prone to getting mast cell tumors. The reason for this is not known.
  • Labrador retrievers. Labrador retrievers are another breed that is prone to mast cell tumors and particularly aggressive cases at that. Early detection is essential. (Better Pet)

What causes this cancer? (VCA Animal Hospital)

 

Why a particular dog develops MCTs or any cancer is not straightforward.

  • Very few cancers have a single known cause. Most seem to be caused by a complex mix of risk factors, some environmental and some genetic or hereditary.
  • Several genetic mutations are known to be involved in the development of MCTs.
  • One well-known mutation affects a protein, called KIT, that is involved in the replication and division of cells. (VCA Animal Hospital)

What are the Causes of Mast Cell Tumors? (National Canine Cancer Foundation)

 

Like most cancers, the etiology of mast cell tumors is also not known. 

  • On rare occasions, they have been associated with chronic inflammation or the application of skin irritants. 
  • Studies have indicated that chromosomal fragile site expression (unstable genomic loci susceptible to breakage, rearrangement), a phenomenon that is thought to genetically predispose humans to the development of certain tumors, has been found to be increased in Boxer dogs with MCTs.
    • However, this study was conducted on young, non-tumor-bearing boxers, so it was believed that the increased expression was likely due to the age difference.

The genetic alterations that increase the likelihood of tumors in humans are not absolutely understood in dogs.

  • Changes in the pathway of p53 tumor suppressor have been indicated in some canines.
  • Disturbances in the expression of proteins like p21 and p27, cyclin-dependent kinase (A protein kinase inhibitor is a type of enzyme inhibitor that specifically blocks the action of one or more protein kinases) inhibitors that regulate the cell cycle, have been identified in several dogs.
  • Recently an expression of c-Kit, a tyrosine kinase receptor for the growth of hematopoietic stem cells (multipotent stem cells that give rise to all types of blood cells) has been identified in canine MCTs.
  • Several studies have also suggested the presence of mutations in the juxtamembrane (adjacent to a membrane on one side of it) region of c-Kit leading to constitutive activation (synthesis of a protein or an enzyme at a constant rate) in the absence of hematopoietic growth stem cell factor. 
  • Although it is not clearly understood, studies indicate that estrogen and progesterone may also influence mast cell tumors. (National Canine Cancer Foundation)

Symptoms

Symptoms of mast cell tumors in dogs (Better Pet)

 

The symptoms of a mast cell tumor vary depending on what organ is affected.

  • Mast cell tumors are most commonly found on the skin but can be felt in the layer under the skin called the cutaneous layer.
  • Mast cell tumors can spread to the liver, spleen, lymph nodes, and other organs.

The diagnosis often comes after an owner feels a lump under their dog’s skin, but there are other clinical signs and symptoms to watch out for:  

  • Enlarged lymph nodes. While this could be due to inflammation or infection, enlarged lymph nodes can also be caused by the spread of cancer.
  • Decreased appetite. Another symptom of mast cell cancer can also indicate many other issues. When your vet examines your dog and takes its history, be sure to mention any change in appetite.
  • Increased respiratory rate. A breathing rate of 30 or more breaths per minute is considered an increased respiratory rate and your dog should be seen by a vet. See this at-home breathing rate evaluation for help checking your pup’s respiratory rate.
  • GI upset. Vomiting and diarrhea are common in dogs that have mast cell tumors. This can be caused by the release of biologically active compounds found in mast cell tumors.
  • Low energy. Any change in your dog’s energy level could indicate an issue, so remember to talk to your vet about your dog’s low energy — especially if they’re having any of the other symptoms of a mast cell tumor.

Mast cells also have inflammatory mediators that can cause shock-like signs such as severe acute lethargy, collapse, pale gums, and severe vomiting.

  • If you notice that your dog has pale gums or they have collapsed, you will want to call your vet and get them to the emergency room for treatment as quickly as you can. (Better Pet)

Testing / Diagnostics

What diagnostics are performed? (NC State Veterinary Hospital)

 

A diagnosis can never be made from just observing the physical appearance or consistency of skin growth.

  • Confirmation of the diagnosis is usually done with a simple needle aspirate of the tumor.
  • Additional diagnostics include
    • Sampling of local lymph nodes
    • Abdominal ultrasound (+/- aspirates of liver and spleen)
    • Bone marrow cytology
    • Biopsy with wide surgical excision is recommended to determine the grade of the tumor.

For tumors located internally, the diagnosis can be more challenging.

  • An ultrasound or CT scan may be required to visualize the mass.
  • In many cases, an aspirate of the tumor can confirm the diagnosis, but a more invasive procedure (e.g. surgery) may be required to achieve a definitive answer.

A concurrent overall health evaluation includes a thorough physical exam (some dogs can have multiple skin tumors at the time of diagnosis), bloodwork, and urinalysis.  (NC State Veterinary Hospital)

Classification and Staging

How to Classify Mast Cell Tumors (National Canine Cancer Foundation)

 

Mast cell tumors have been classified according to their degree of proliferativeness. The higher the grade, the more aggressive the tumor.

  • Grade I: Occur in the skin and are considered non-malignant. Although they may be large and difficult to remove, they do not spread to other areas of the body. Most mast cell tumors belong to Grade I.
  • Grade II: Found below the skin into the subcutaneous tissues. Their cells show some characteristics of malignancy and their response to treatment can be unpredictable.
  • Grade III: Originate in areas deep below the skin, are very aggressive, and require extensive treatment.

 

What are the Stages of Mast Cell Tumors?

 

Mast cell tumors should be staged because it gives us an idea about how they have metastasized in the body. A tumor is staged after it is surgically excised and examined, along with the surrounding lymph nodes. The factors on which staging depends include the number of tumors present and lymph node involvement.

  • Stage 0: One tumor in the skin incompletely removed, with no lymph node involvement.
  • Stage I: One tumor in the skin, with no lymph node involvement.
  • Stage II: One tumor in the skin with lymph node involvement
  • Stage III: Multiple large, deep skin tumors, with or without lymph node involvement
  • Stage IV: One or more tumors with metastasis in the skin with lymph node involvement. This stage is further divided into those that have no other signs (substage a) and those that have some other clinical symptoms (substage b). (National Canine Cancer Foundation)

Treatment

Treatment (ACVS) 

Surgery – Surgical removal of mast cell tumors is the preferred treatment once your pet is diagnosed with this disease.

  • Mast cell tumors invade into surrounding tissues and wide surgical margins(wide area of healthy tissue surrounding the tumor are necessary to ensure removal of all cancerous cells.
  • The excised (removed) tumor will be submitted for histopathology for confirmation of the tumor type and grading.
  • Prior to surgery your pet’s primary care veterinarian or veterinary surgeon may recommend medical management.
    • This often may include steroids, anti-histamines, and histamine blockers to help reduce the inflammation and associated side effects of these tumors prior to surgery.

Post-surgical radiation and chemotherapy are warranted on a case-by-case basis. Radiation is most commonly used as a multi-modal treatment approach for incompletely excised tumors.

  • Chemotherapy is used in patients with disseminated disease to other organs or high grade tumors. Your pet’s primary care veterinarian and veterinary surgeon will work together to make the most appropriate recommendation for your pet’s continued care following surgery. (ACVS)

 

Treating mast cell tumors in dogs (Better Pet)

 

  • Radiation therapy —A type of radiation therapy called CFRT (conventionally fractionated radiation therapy) can be used alone to treat mast cell tumors or following a surgery where some cancer cells remain.
  • Chemotherapy —Chemotherapy is used to treat mast cell tumors that have already spread or have a high risk of spreading.
    • Your dog’s oncologist will evaluate these factors when determining the most effective treatment options.
    • Keep in mind if you have an older dog or a dog who is likely to experience potential side effects from chemotherapy treatment, it may be best to discuss and choose a different treatment with your vet.
  • Palliative therapy — While palliative therapy is not intended to be curative, it can help your dog maintain a quality of life for the remainder of their time with you.
    • In this treatment option, your vet will provide medicines such as antihistamines and steroids to keep your dog comfortable.
  • Palladia — This is an oral medication that can stunt the growth of mast cell tumors and sometimes help them disappear or shrink in size.
    • This medication is prescribed mostly for dogs that have grade II or III mast cell disease or recurrent cutaneous mast cell disease with or without lymph node involvement. (Better Pet)

Recovery

Recovering from mast cell tumors (Better Pet)

 

If your dog has surgery to remove a mast cell tumor, they will need 10-14 days of rest and light activity while they recover.

  • Your vet may send them home with an e-collar and some medication to control the pain and prevent infection while their incision heals. 
  • After about two weeks, your dog should be able to resume normal activity once any stitches have been removed unless your vet tells you otherwise.
  • When the tumor grade is higher, recovery might take more time or involve additional treatments.
    • These could include a second surgery, chemotherapy, or radiation to eliminate any remaining cancer cells. It’s important to follow your vet’s instructions and stick to the schedule they provide for the most effective treatment. (Better Pet)

References

ACVS – American College of Veterinary Surgeons – Mast Cell Tumors

https://www.acvs.org/small-animal/mast-cell-tumors/

 

Better Pet – Mast cell tumors in dogs: diagnosis, treatment, and prognosis

https://betterpet.com/mast-cell-tumors-dogs/  

 

National Canine Cancer Foundation – Mast Cell Tumors

Everything You Need to Know About Mast Cell Cancer in Dogs

https://wearethecure.org/learn-more-about-canine-cancer/canine-cancer-library/mast-cell-tumors/

 

NC State Veterinary Hospital (NC University) – Medical Oncology: Mast Cell Tumors in Dogs

https://hospital.cvm.ncsu.edu/services/small-animals/cancer-oncology/oncology/mast-cell-tumors/

 

VCA Animal Hospital – Mast Cell Tumors in Dogs

By Malcolm Weir, DVM, MSc, MPH; Krista Williams, BSc, DVM, CCRP; Christopher Pinard, DVM; Robin Downing, DVM, DAAPM , DACVSMR, CVPPDVM

https://vcahospitals.com/know-your-pet/mast-cell-tumors-in-dogs

Cancer/Breed Chart

BREEDBRAINHEMANGIO-
SARCOMA
LYMPHOMAMAMMARY
TUMORS
MAST CELL
TUMOR
MELANOMA
NASAL TUMORORALOSTEOSARCOMAPERIANAL/
ANAL SAC
SOFT TISSUE
SARCOMA
TRANSITIONAL (TCC) / UROTHELIAL (UC)
Airedale TerrierLymphoma MelanomaNasal TumorSoft Tissue SarcomaTCC or UC
Basset HoundHemangiosarcomaLymphoma Nasal TumorSoft Tissue Sarcoma
Bulldog, EnglishBrain Lymphoma Mast Cell TumorPerianal/Anal SacSoft Tissue Sarcoma
BullmastiffLymphoma Mast Cell TumorSoft Tissue Sarcoma
St. BernardLymphoma OsteosarcomaSoft Tissue Sarcoma
Golden RetrieverBrainHemangiosarcomaLymphoma Mast Cell TumorMelanomaOralOsteosarcomaPerianal/Anal SacSoft Tissue Sarcoma
Labrador Retriever HemangiosarcomaLymphoma Mast Cell TumorMelanomaNasal TumorOral
Scottish TerrierBrainLymphoma MelanomaNasal TumorOralSoft Tissue SarcomaTCC or UC
BoxerBrain (Glioma)HemangiosarcomaLymphoma Mammary TumorMast Cell TumorOralOsteosarcomaSoft Tissue Sarcoma
BeagleHemangiosarcomaLymphomaMast Cell TumorPerianal/Anal SacTCC or UC
West Highland White TerrierLymphoma
Chow ChowLymphomaMelanomaOral
Poodle, StandardLymphomaMelanomaNasal TumorOral
RottweilerLymphomaOralOsteosarcoma
Poodle, ToyLymphomaMammary TumorMelanomaNasal Tumor
Yorkshire TerrierLymphomaMammary Tumor
German ShepherdHemangiosarcomaLymphomaMammary TumorMelanomaNasal TumorOralOsteosarcomaPerianal/Anal Sac
Poodle, MiniatureLymphomaMammary TumorMelanomaNasal TumorOral
Affenpinscher
Afghan Hound
Alaskan MalamutePerianal/Anal Sac
American Eskimo, Toy and Standard
American Foxhound
American Pitt Bull TerrierHemangiosarcoma
American Staffordshire Terrier
American Water Spaniel
Anatolian Shepherd Dog
Australian Cattle DogTCC or UC
Australian Shepherd TCC or UC
Australian Terrier
Basenji
Bearded Collie
Beauceron
Bedlington Terrier
Belgian Groenendael
Belgian Malinois
Belgian Tervuren
Bernese Mountain DogHemangiosarcomaMelanomaSoft Tissue Sarcoma
Bichon Frise’TCC or UC
Black and Tan Coonhound
Black Russian Terrier
BloodhoundSoft Tissue Sarcoma
Boerboel
Border CollieBrain TCC or UC
Border Terrier
BorzoiOsteosarcoma
Boston TerrierBrainMast Cell TumorMelanomaSoft Tissue Sarcoma
Bouvier des FlandresSoft Tissue Sarcoma
Briard
Brussels Griffon
Bull TerrierMast Cell TumorMelanoma
Bull Terrier, MiniatureMast Cell TumorMelanoma
Cairn Terrier
Canaan Dog
Cane Corso (Italian Mastiff)
Caucasian Shepherd
Cavalier King Charles SpanielPerianal/Anal Sac
Chesapeake Bay Retriever Melanoma
Chinese Crested
Chinese Shar-PeiMast Cell TumorSoft Tissue SarcomaTCC or UC
Clumber Spaniel
Curly Coated Retriever
DalmationHemangiosarcoma
Dandie Dinmont Terrier
Dogo Argentino
Dogue de Bordeaux
English Foxhound
English Toy Spaniel AKA King Charles Spaniel
Field Spaniel
Finnish Spitz
Flat-Coated RetrieverHemangiosarcoma
Fox Terrier, SmoothMast Cell Tumor
Fox Terrier, ToyMast Cell Tumor
Fox Terrier, WireTCC or UC
French Bulldog
German Pinscher
German Wirehaired Pointer
Glen of Imaal Terrier
Great DaneBrainOsteosarcomaSoft Tissue Sarcoma
Great Pyrenees
Greater Swiss Mountain Dog
GreyhoundBrain (Meningioma)HemangiosarcomaOsteosarcomaSoft Tissue Sarcoma
Harrier
Havanese
Ibizan Hound
Irish Terrier
Irish Water Spaniel
Irish WolfhoundOsteosarcoma
Italian GreyhoundBrain Hemangiosarcoma
Japanese Chin
KeeshondNasal Tumor
Kerry Blue Terrier
Komondor
Kuvasz
Lakeland Terrier
LeonbergerOsteosarcoma
Lhasa ApsoTCC or UC
Lowchen
Manchester Terrier Toy
Manchester Terrier, Standard
MastiffBrain
Miniature Pincher
Neapolitan Mastiff
Newfoundland
Norfolk Terrier
Norwegian Buhund
Norwegian ElkhoundBrainNasal Tumor
Norwich Terrier
Nova Scotia Duck Tolling Retriever
Old English SheepdogBrain
Otterhound
Papillon
Parsons Russell TerrierTCC or UC
PekingeseBrain
Petit Basset Griffon Vendeen (PBGV)
Pharaoh Hound
Plott Hound
Polish Lowland Sheepdog
Pomeranian
Portuguese Water DogBrainHemangiosarcoma
Presa Canario
PugBrainMast Cell TumorSoft Tissue Sarcoma
Puli
Pyrenean Shepherd
Rhodesian RidgebackMast Cell TumorSoft Tissue Sarcoma
Saluki
SamoyedPerianal/Anal Sac
Schipperke
Schnauzer, MiniatureMast Cell TumorMelanomaPerianal/Anal SacSoft Tissue Sarcoma
Schnauzer, StandardMast Cell TumorMelanomaSoft Tissue Sarcoma
Sealyham Terrier
Shiba Inu
Shih TzuBrain
Siberian HuskyPerianal/Anal Sac
Silky Terrier
Skye TerrierHemangiosarcoma
Soft-Coated Wheaten Terrier
Spinone Italiano
Staffordshire Bull TerrierMast Cell Tumor
Sussex Spaniel
Swedish Vallhund
Tibetan Mastiff
Tibetan Spaniel
Tibetan Terrier
Tosa
VizslaMelanoma
WeimaranerMast Cell Tumor
Welsh Corgi, Cardigan
Welsh Corgi, Pembroke
Welsh Springer Spaniel
Welsh Terrier
WhippetHemangiosarcomaTCC or UC
Wirehaired Pointing Griffon
Akita (American)Oral
Collie, Rough / Smooth CoatBrain (Meningioma)Nasal TumorOralTCC or UC
Gordon SetterMelanomaOral
Irish SetterMelanomaOralOsteosarcomaSoft Tissue Sarcoma
Schnauzer, GiantMast Cell TumorMelanomaOral
Scottish DeerhoundBrainMelanomaOralOsteosarcomaTCC or UC
Shetland Sheepdog Nasal TumorOralTCC or UC
BrittanyMammary Tumor
ChihuahuaMammary TumorMelanoma
English Cocker Spaniel Mammary Tumor
English SetterMammary Tumor
English Springer Spaniel Mammary TumorMelanomaPerianal/Anal Sac
MalteseMammary Tumor
PointerHemangiosarcomaMammary Tumor
Cocker Spaniel (American)Mammary TumorMast Cell TumorMelanomaOralPerianal/Anal Sac
DachshundBrain Mammary TumorMast Cell TumorOralPerianal/Anal Sac
Doberman PinscherBrainMammary TumorMelanomaOralOsteosarcoma
German Shorthaired PointerMammary TumorNasal TumorOral
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