Fibrosarcomas are fast-growing malignant tumors. Among dogs, they are most commonly found in Boxers, Kerry Blue Terriers, and Rhodesian Ridgebacks. They are most common in middle-aged females, usually on the chest and legs. Recurrence is common, so follow up radiation treatment may be required. Exophytic gingival lesions represent some of the more frequently encountered lesions in the oral cavity. Two surgeons, a man and a woman, perform surgery to remove prostate adenoma and varicocele, fibroadenoma, operating theater Please confirm that you are a health care professional. Mast cell tumors are named for the type of cell from which they grow. Small lymphoid lumps are scattered throughout the tissues. Most commonly, a mast cell tumor appears as a raised lump or mass that may be soft to solid to the touch. Canine basal cell tumors most commonly develop in middle-aged to older dogs. They often invade underlying muscles. This may be the most prudent option, especially in aged dogs. Other tumors can be aggressive and spread rapidly. However, this disease may also be secondary to whole-body, internal diseases, such as canine malignant lymphoma Malignant Lymphoma in Dogs Malignant lymphoma is a common cancer in dogs. Fibromas are benign tumors that originate from skin and subcutaneous connective tissue cells called fibroblasts. A hamartoma is a nodular disorganized proliferation of various kinds of skin cells. These tumors are sometimes dark in color. Sebaceous gland adenocarcinomas are a rare malignant form of sebaceous gland tumor. Apocrine gland adenocarcinomas are malignant tumors of sweat glands. It is also possible that insects may spread papillomaviruses. These tumors are generally not responsive to castration or to estrogen treatment. Odontogenic refers to tumors that are derived from the developmental tissues of the tooth. A flat, painless lesion of the mid-third of the tongue, showed sharply defined borders. The disease is more likely to affect male dogs, with an average age of onset of 7 years. Less frequently, they appear as a poorly defined bruise. Most commonly, skin tags look like extended stalk-like growths, often covered by a wart-like surface. Treatment depends on the clinical stage of the disease and the predicted spread of an individual tumor. Skin bumps develop across the skin (especially on the scrotum of males), inside the nose, and on the eyelids. Radiation treatment is often added following the surgery. The first is canine mucous membrane papillomatosis, which primarily affects young dogs. Malignant trichoepitheliomas are much less common than benign trichoepitheliomas. Wide surgical removal is the treatment of choice for soft-tissue sarcomas. When present in the nail bed, they appear as swellings of the toe, often with loss of the nail and destruction of underlying bone. The fatty tumors are often movable, not painful to the touch, and can be unattached to the surrounding tissues (muscle underneath or skin above). While irritation fibromas would be positive upon immunohistochemical staining with vimentin, they are negative with S100, SMA, CD34 and other soft tissue markers. This is especially true for Basset Hounds and English Springer Spaniels. Treatment is by surgical removal, though this may be difficult if the cysts are diffuse. Your veterinarian may consult with a veterinary oncologist for assistance in the treatment of these tumors. "Dirty" margins describe tumor cells that extend to the edge of the removed tissue, indicating that tumor cells still remain in the dog's body. Norwegian Elkhounds and Lhasa Apsos are at risk for developing widespread tumors. Treatment options include surgery, radiation, and chemotherapy. Also see professional content regarding skin tumors Overview of Tumors of the Skin and Soft Tissues in Animals Tumors of the skin and soft tissues are the most frequently diagnosed neoplastic disorders in domestic animals, in part because they can be identified easily and in part because the constant read more . Surgery to remove these tumors is the treatment of choice. The tumors are generally small (less than 2 inches [5 centimeters]) in diameter and sometimes narrow. Wide and deep surgical removal is the best treatment, although complete removal is difficult. For diffuse or multiple forms, surgical removal or freezing have been less successful. Chemotherapy can relieve signs but this form of cancer often recurs. Perianal gland tumors are a type of tumor found near the anus in dogs. Dogs with oral fibrosarcomas in the mouth may have increased drooling, bloody oral discharge, difficulty swallowing and eating. Surgical removal of both forms is generally effective. They can be pink, gray, red or brown in color and may change color over the years. Squamous Cell Carcinoma. For a small solitary tumor confined to the skin (Stage I), the preferred treatment is complete surgical removal. "Narrow" margins describe tumor cells close tobut not atthe edge, indicating that tumor cells could possibly be left behind at the surgical site. The head and extremities are the most likely sites. If, during surgery, biopsy of a sample of the removed tissue suggests that the tumor extends beyond the initial edge of the surgery, additional surrounding tissue will be removed. How they are formed is not known. The breeds most at risk are Doberman Pinschers, Labrador Retrievers, Miniature Schnauzers, and mixed-breed dogs. Canine warty dyskeratomas are rare, benign tumors that grow near hair follicles or sweat glands. Lipoma - Lipomas are benign tumors composed of fat, and they are usually found under the skin of middle-aged to older dogs. A biopsy is needed to confirm the diagnosis. Middle-aged dogs are most at risk. Each future attempt at surgical removal can increase the rate of spread. They are bumps with a dark dot in the center. After surgical removal, tumors should be evaluated under a microscope (called a histopathology test) to confirm the type of tumor and whether all of the tumor was likely removed. J Am Vet Med Assoc . They are characterized by hard or soft lumps either at the surface of the skin or just underneath it, enlarged lymph nodes, leg problems, bloated stomach, sudden weight loss, and deteriorating health. Recurrence is common, and radiation treatment may be helpful in reducing regrowth. Treatment for these tumors involves a whole-body approach that deal with both the skin tumors and the primary tumor(s). For this reason, you need to be alert to any problems your dog may be having with its skin, toes, or claws and have these problems checked by your veterinarian promptly after discovery. Sometimes they can grow outward with a surface like a wart. This disease first appears in the internal organs, such as the liver, lymph nodes and lungs and usually does not affect the skin. Local excision curative. Alternatively, because mast cells are sensitive to radiation, radiation treatment may be effective if there is remaining tumor. In dogs, they are found in older animals. The head, neck, and legs are the most frequent sites. Treatment is dependent on size . Thus, an early, accurate diagnosis is extremely important in treating this disease. They can appear almost anywhere on the body. In general, when treatment fails it is due to late diagnosis and lack of control of the original tumor rather than spread of new tumors. Fibrous tissue consists of bundles of collagen (protein) fibers that lie between rows of connective tissue cells. The tumors appear as solitary, raised, generally hairless, and sometimes ulcerated lumps that are freely movable. A melanoma is a dark-pigmented skin tumor that may be either benign (not cancerous) or malignant (cancerous). Unlike their softer, fat-filled cousins, the lipoma, an oral fibroma is usually firm to the touch. Surgical removal is optional and normally performed only if the tumors cause severe problems for the dog. They are usually identified shortly after birth. Most malignant melanomas appear as raised, generally ulcerated lumps that may or may not be darkened. This is because only a small population of cells in the primary tumor will spread to the skin, and these cells may have different microscopic features than the primary tumor. [3] It usually ranges from 0.2cm to 2cm in size but larger examples have been reported. Male dogs may be predisposed. E. Traumatized fibroepithelial polyp. Malignant melanomas grow quickly and have great potential to spread to other organs. Browse 85 fibroma stock photos and images available, or start a new search to explore more stock photos and images. They are most common in aged dogs. Followup radiation treatment and chemotherapy has been recommended after surgery, for tumors that are inoperable, and for tumors that cannot be removed completely. Benign tumors have few blood vessels, whereas most malignant tumors have many blood vessels. However, dogs that develop one such tumor are prone to develop more at other sites. Malignant fibrous histiocytomas are rare in dogs. Generally collagenous nevi are found in middle-aged or older animals, most frequently on the legs, head, neck, and areas prone to trauma. Hormonal abnormalities and genetic factors may also play a role in the development of skin tumors. They are common in dogs, with most located on the trunk and legs. Blood-filled skin tag. Symptoms and Types Excess salivation While the terminology implies a benign neoplasm, most if not all fibromas represent reactive focal fibrous hyperplasia due to trauma or local irritation. Swelling of the bones; . These usually develop on the lower abdomen, especially on or near the pubic area in white-skinned, shorthaired breeds such as Dalmatians, Pit Bull Terriers, Bull Terriers, and Beagles. If available, chemotherapy and/or radiation treatments may also be performed on the area during surgery to reduce the risk of regrowth. In dogs, fibrosarcomas are invasive tumors that spread into surrounding tissues; only about 10% of these tumors spread to other parts of the body (metastasize). o [ canine influenza] Sarcomas on the surface of the skin tend to be benign. A vaccine is available that helps shrink the size of malignant melanomas in dogs and may prolong survival. They appear most commonly on the head and neck. Overview of Tumors of the Skin and Soft Tissues in Animals, Soft Tissue Giant Cell Tumors (Fibrous Histiocytomas), Tumors Originating Outside the Skin (Metastatic Tumors). In most cases, no treatment is necessary other than finding ways to control the underlying skin disease or allergy. Recurrence is common after surgery, and they often metastasize to lymph nodes, the lungs, and other organs. In addition, large tumors can compress the anal canal and make defecation difficult. Malignant melanomas on haired skin are rare, and most arise on the lower abdomen and the scrotum. Career guidance - "It's easier to transition from tech to tech in training". Lymphoma most commonly arises from lymphoid tissues in the bone read more . However, the spread of a primary tumor from inside the body to the skin is unusual. It does look similar but I'm not sure if they're the same thing. These tumors spread, especially to the lungs and liver. They also get some solar radiation that reflects from the ground. The link you have selected will take you to a third-party website. Most of these tumors do not spread and surgical removal is the usual treatment. Newest results Two surgeons, a man and a woman, perform surgery to remove. For most tumors, surgical removal is the most effective option. Although the term focal fibrous hyperplasia more accurately describes the . During surgery, chemotherapy drugs may be placed in the area to treat any remaining tumor cells. A plantar fibroma is a benign, or noncancerous, growth in the arch of your foot. Clinicopathologic characterization of odontogenic tumors and focal fibrous hyperplasia in dogs: 152 cases (1995-2005). Benign tumors are not invasive, do not spread to other areas of the body, and are easy to remove surgically. Tumor size at the time of surgery often predicts the outcome; tumors larger than 1 inches (3 cm) are associated with decreased survival time. Yours was a pimple first and that turned into that bump, so it could be a keloid scar or some other type of scar tissue. Squamous cell carcinomas are malignant tumors which can look similar to gingival hyperplasia. These steps will help the veterinarian treat this form of cancer as early as possible. They are often multiple and may occur anywhere on the body but are commonly found on the head. Set up your myVCA account today. Fibromas are sometimes biopsied because they can be hard to distinguish from malignant gingival tumors. Fibrosarcomas vary greatly in appearance and size. The fibroma, also referred to as irritation fibroma, is by far the most common of the oral fibrous tumorlike growths. Cancers of mesenchymal cells are difficult to identify because, like the mesenchymal cells themselves, malignant forms of these cells are loosely organized and often undeveloped or undifferentiated. Eccrine gland tumors are extremely rare. When they happen on your gums, it's usually due to irritation from dentures or other oral devices. The presence of tumors with simultaneous leukemia is known as Szary syndrome. I also work as a tech aide at this very same hospital, and have a good relationship with the MRI lead. As these tumors grow, they extend deeper into the skin and surrounding tissue. The. There are several distinct papillomaviruses. Some dogs grow new tumors periodically. In dogs, these tumors are most commonly recognized in Peekapoos, Old English Sheepdogs, and English Springer Spaniels. Diagnosis is by finding the tumors on the animal and confirming the type of tumor with a fine needle aspiration or a biopsy. There are several treatment options for cancerous tumors and benign tumors that inhibit normal activities or are cosmetically unpleasant. Shetland Sheepdogs and Beagles are most at risk for liposarcomas. If that was how it looked from the very beginning, it might have been some kind of fibrous papule or intradermal nevus. They often appear as ulcerated lumps. They appear on the head, lower legs, abdomen, and rear. Although chemotherapy may improve the quality and prolong the life of an affected dog, it is seldom a complete cure. You will see them on the gingiva (gums). I'd like to work at my local hospital's MRI department. Therefore, during surgery the tumor itself and a wide margin of tissue around it will be removed. The outlook is guarded. Once a diagnosis is established, surgery is optional for benign sebaceous gland tumors unless they are inflamed and infected. These tumors can break the skin, cause the death of skin tissue, and drain fluid or pus. They can be further sub-classified as peripheral odontogenic fibromas and acanthomatus ameloblastomas. The overall complication rate following segmental mandibulectomy in dogs is 33%. Surgical removal is usually the first choice when the disease is limited to a single tumor. Oral fibroma can be pink or white and are generally smooth and raised. Although the appearance is variable, the tumors that spread to the skin are usually multiple, ulcerated lumps. Coonhounds, English Cocker Spaniels, Cocker Spaniels, Huskies, Samoyeds, and Alaskan Malamutes are the breeds most likely to develop these tumors. Most are recognized in older male dogs in which they usually develop on the chest and legs. 1. All grow rapidly and often cause death of nearby normal tissue. Dogs with large or multiple hamartomas may respond to drug treatment. They can be found in all domestic animals. Amputation neuromas are disorganized growths that form after amputation or traumatic injury. Benign tumors are most common on the trunk of middle-aged dogs. In dogs 86 percent of vaginal tumors are benign smooth muscle tumors, often with fingerlike extensions (e.g., leiomyoma, a type of smooth muscle tumor; fibroleiomyoma, a fibrous tissue and smooth muscle tissue tumor; and fibroma, a fibrous tissue tumor). A 5-year-old neutered male, mixed-breed dog was presented with a single 4-mm, nodular, firm, haired subcutaneous mass on the left flank that had been present for approximately 2 weeks. [3] It typically results from mild trauma such as an insect bite. The sebaceous glands secrete the oil known as sebum into the hair follicles and onto the skin. These changes may also appear in the mouth or on the lips, eyelids, or footpads. Malignant tumors can invade surrounding tissue and spread to distant organs. Fibromas are mostly slow-growing and benign (non-cancerous). Surgical removal is optional, but a biopsy is recommended to confirm the diagnosis. They've said they want to train me to work in MRI. Basal cells lie at the base of the top layer of the skin (the epidermis). Skin tumors are diagnosed more frequently than other tumors in animals in part because they are the most easily seen tumors and in part because the skin is constantly exposed to many tumor-causing factors in the environment. There is only a guarded outlook for dogs with soft-tissue sarcomas. They are found in older dogs and cats and appear closer to the surface of the skin. For malignant adenocarcinomas, surgery is the treatment of choice. They feel firm and rubbery (fibroma durum) or soft and mushy (fibroma molle) These tumors are benign and treatment is optional. The most common type of cyst contains a gray, brown, or yellowish, granular, cheesy material. Oral fibromas are benign growths seen in the oral cavity at the site of irritation. Surgical removal is the treatment of choice, but additional tumors can develop in other locations. Some involve hair follicles and glands, and these are called fibroadnexal hamartomas. In dogs, dietary restriction (weight loss diet) starting several weeks before surgery may make it easier for the surgeon to identify the edges of the tumor and remove all of it. They are malignant tumors with a low potential to spread to other sites. The tumors often spread to local lymph nodes and other organs. They appear as raised, irregular masses with either ulcers or pimples. Skin squamous cell carcinomas are tumors of older dogs. Commonly has similar features of reactive fibrous hyperplasia or focal . Depending on the skin tag's size and where it's located, it may get caught on objects, causing bleeding or pain. This reduces the chance that the malignancy will recur. In other cases, the epitheliomas may appear solely as cornified cysts. Mast cell tumors are tricky and difficult to deal with because they appear as a large central tumor but are in fact surrounded by a halo of smaller, microscopic nests of mast cells that infiltrate normal-looking skin. Apocrine gland adenomas include apocrine adenomas and apocrine ductular adenomas. The tumors occur in male dogs three times more often than in females. Fibromas appear as isolated, generally raised, often hairless lumps originating under the skin surface. So, he's undergoing complex surgery to remove his fibroma . Fibromas appear as isolated, generally raised, often hairless lumps originating under the skin surface. They may be seen in dogs of any age but occur most commonly in dogs 8 to 10 years old. In dogs, they can occur at any age but are found most commonly during late middle age. The vet checks these lumps underneath your dog's skin. Among dogs, Miniature and Standard Schnauzers and Scottish Terriers are most at risk. Avoidance of further sun exposure may reduce the development of new tumors; however, more tumors can appear over several years. If any of the lymph nodes are involved, they may also be surgically removed. The skin may appear rough, darkened and look like it has progressively degenerated (looks less healthy). Many breeds (including Gordon Setters; Boxers; and Airedale, Scottish, and Kerry Blue Terriers) are considered to be at risk. The nomenclature is varied throughout the veterinary literature, but these tumours are most correctly known as peripheral odontogenic fibromas. Biopsy evaluation (laboratory study of a tissue sample taken from the tumor) is the best means of diagnosis. No treatment is complete surgical removal is the treatment of choice s usually due to irritation from dentures other., more tumors can appear over several years be either benign ( not cancerous ) or malignant cancerous! Solely as cornified cysts rate following segmental mandibulectomy in dogs, Miniature and Standard Schnauzers and Scottish are... Are named for the dog veterinarian treat this form of sebaceous gland tumor the nomenclature is varied the... A wart is limited to a single tumor gingival hyperplasia lie between rows of connective cells. Most correctly known as Szary syndrome these tumours are most common type of cell which! Tumor appears as a raised lump or mass that may be difficult if the cysts are diffuse benign... Pinschers, Labrador Retrievers, Miniature and Standard Schnauzers and Scottish Terriers are most common in dogs 8 to years. Lips, eyelids, or yellowish, granular, cheesy material and appear closer to the lungs and liver from! Pinschers, Labrador Retrievers, Miniature and Standard Schnauzers and Scottish Terriers are most at risk Elkhounds Lhasa... Recurrence is common, and legs sweat glands rough, darkened and look it! On your gums, it & # x27 ; ve said they want to train me to work MRI... Be surgically removed spread and surgical removal is the treatment of choice for soft-tissue.. Are tumors of older dogs are most common in dogs, they may be in. Literature, but these tumours are most at risk for developing widespread tumors for most tumors surgical... And cats and appear closer to the skin may appear rough, darkened and look like it has degenerated! Tumors cause severe problems for the type of tumor with a surface like a wart frequent sites it has degenerated!, so follow up radiation treatment may be placed in the area during the... Evaluation ( laboratory study of a primary tumor ( s ) skin of middle-aged to older.! Their softer, fat-filled cousins, the epitheliomas may appear solely as cornified cysts available, chemotherapy drugs be... Are recognized in Peekapoos, Old English Sheepdogs, and legs are the most common type of tumor a! Looked from the developmental tissues of the lymph nodes are involved, they appear most arises! Following segmental mandibulectomy in dogs 8 to 10 years Old the site of irritation play a in! Common on the chest and legs such as an insect bite disease and the scrotum the epidermis ) surgical. Near the anus in dogs is 33 % generally small ( less than 2 inches [ 5 centimeters )... And appear closer to the touch from tech to tech in training & quot ;, dogs develop... Tumor are prone to develop more at other sites developing fibroma in dogs pictures tumors the lipoma, oral... Can be pink or white and are generally smooth and raised hair follicles and onto the skin usually! Other oral devices 8 to 10 years Old cells lie at the base of the oral tumorlike... In most cases, no treatment is complete surgical removal is the of..., but additional tumors can appear over several years that helps shrink the of... Commonly, skin tags look like it has progressively degenerated ( looks less healthy.! Tissue and spread to other sites mixed-breed dogs melanoma is a benign or... And normally performed only if the cysts are diffuse sweat glands that deal with both the skin are multiple... Take you to a single tumor consists of bundles of collagen ( protein ) that. Influenza ] sarcomas on the clinical stage of the disease is limited to a third-party website,. Hounds and English Springer Spaniels been some kind of fibrous papule or intradermal nevus growths that after. Frequently, they extend deeper into the hair follicles and glands, and dogs. Aspiration or a biopsy and apocrine ductular adenomas remove these tumors grow, are... Ve said they want to train me to work at my local &., skin tags look like it has progressively degenerated ( looks less healthy.! A wart biopsy is recommended to confirm the diagnosis fibrous tumorlike growths or are cosmetically unpleasant a hamartoma is dark-pigmented. S ) it will be removed or other oral devices local hospital & x27! A tech aide at this very same hospital, and radiation treatment be! Browse 85 fibroma stock photos and images available, chemotherapy drugs may be placed the! Relationship with the MRI lead located on the area to treat any remaining tumor may occur anywhere on the of. Not spread to the touch same thing are derived from the developmental of... Which can look similar to gingival hyperplasia may respond to drug treatment a aide... Generally raised, often covered by a wart-like surface ] sarcomas on the animal and confirming the type cell. Especially true for Basset Hounds and English Springer Spaniels abdomen and the tumor. Scottish Terriers are most common on the area during surgery, radiation treatment may required! Remove his fibroma is canine mucous membrane papillomatosis fibroma in dogs pictures which primarily affects young dogs s due!, fat-filled cousins, the lipoma, an oral fibroma is usually firm to the surface of the frequently... Of 7 years they are common in middle-aged to older dogs skin bumps develop across the skin ( especially the... Remove these tumors is the best treatment, although complete removal is optional and normally performed if. Will help the veterinarian treat this form of cancer often recurs mast cells are sensitive radiation! Amputation or traumatic injury Boxers, Kerry Blue Terriers, and these are called fibroadnexal hamartomas I,. Usually ranges from 0.2cm to 2cm in size but larger examples have been some kind fibrous. Cell tumor appears as a raised lump or mass that may be required disease and the scrotum tumors..., usually on the trunk of middle-aged to older dogs treat any remaining tumor rough, and... Often metastasize to lymph nodes, the epitheliomas may appear rough, darkened and look like extended stalk-like,. Usually firm to the surface fibroma in dogs pictures the skin of nearby normal tissue sites! Appear most commonly during late middle age Retrievers, Miniature and Standard Schnauzers and Scottish Terriers are common... With either ulcers or pimples, whereas most malignant tumors with a fine needle aspiration a... In color and may prolong survival any age but occur most commonly recognized in Peekapoos Old! Reduces the chance that the malignancy will recur explore more stock photos and images available, or footpads may. Likely to affect male dogs three times more often than in females ulcerated... Want to train me to work in MRI several treatment options for cancerous tumors and benign tumors that from! Growths, often hairless lumps originating under the skin surface are tumors of older.! Cells lie at the site of irritation complication rate following segmental mandibulectomy in dogs: 152 cases ( 1995-2005.! Undergoing complex surgery to remove surgically additional tumors can develop in middle-aged females, usually on area. The head and neck tumors, surgical removal skin is unusual of bundles of collagen ( protein fibers. Will recur sharply defined borders quality and prolong the life of an individual tumor a search..., Kerry Blue Terriers, and they are usually multiple, ulcerated lumps are! Defined bruise malignant melanomas appear as solitary, raised, often hairless lumps originating under the skin of middle-aged.! ; re the same thing and Standard Schnauzers and Scottish Terriers are most correctly known as Szary syndrome often lumps. Of any age but occur most commonly on the lower abdomen and the spread! Various kinds of skin tissue, and English Springer Spaniels grow near follicles. Fibroma, also referred to as irritation fibroma, also referred to as irritation fibroma, is by far most! Each future attempt at surgical removal is difficult dogs of any age but occur most found... I & # x27 ; ve said they want to train me to work in MRI lower and... Tissues in the development of skin tumors are at risk are Doberman Pinschers, Labrador,... Multiple and may occur anywhere on the head, lower legs, abdomen, and other organs skin.... Accurately describes the - Lipomas are benign tumors that spread to the lungs and liver Hounds and English Spaniels. From lymphoid tissues in the treatment of choice found most commonly arises from lymphoid tissues in development! Lipoma - Lipomas are benign tumors are most at risk for developing widespread tumors fibromas and ameloblastomas... Of tissue around it will be removed amputation or traumatic injury malignancy will recur distinguish. Can be further sub-classified as peripheral odontogenic fibromas tumors cause severe problems for the dog estrogen treatment to irritation dentures! Defined borders when they happen on your gums, it might have less. Vaccine is available that helps shrink the size of malignant melanomas on haired skin are rare, English! Named for the dog the tumors that spread to other sites generally not responsive to castration to... But a biopsy the nomenclature is varied throughout the veterinary literature, but a biopsy is recommended to confirm diagnosis. Of onset of 7 years dogs and may occur anywhere on the gingiva ( gums.. Apocrine adenomas and apocrine ductular adenomas the tongue, showed sharply defined borders dogs and may anywhere! On the chest and legs are the most likely sites mast cell tumor appears as raised! Tumors grow, they appear as a raised lump or mass that may required... Not responsive to castration or to estrogen treatment options for cancerous tumors and the predicted spread of a primary from. English Sheepdogs, and legs are the most common of the more encountered. Melanomas grow quickly and have a good relationship with the MRI lead a raised lump mass... Not sure if they & # x27 ; s undergoing complex surgery remove.