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The dog is not spayed and has never had puppies. She has two hard gland-like masses by her two back nipples—one quite large and the other smaller.",[20,24,25],{},"According to Patricia, the dog acts normally: she eats as usual and does not seem bothered when the lumps are pressed or handled. Because the dog is short and overweight, one of the masses sits close to the ground. She scratches her belly on grass and carpets, which suggests the lumps are not causing her pain.",[20,27,28],{},"A few months ago, her veterinarian identified the growths as some type of tumor but chose not to operate because of the dog's age and the fact that surgery would require removing all of her nipples. Patricia is looking for a second opinion. She describes the dog as family—a gift she received at six weeks old, 14 years ago, when Patricia was diagnosed with lung cancer. The dog has been by her side throughout, and now Patricia wants to do the same for her.",[15,30,32],{"id":31},"understanding-mammary-tumors-in-dogs","Understanding Mammary Tumors in Dogs",[20,34,35],{},"In dogs of this size that were never spayed, mammary tumors—breast cancer—are common. Roughly half of these tumors are malignant. (1) Based on the description, the masses may be benign, but only a biopsy can confirm that with certainty.",[37,38,40],"h3",{"id":39},"weighing-the-benefits-and-risks-of-surgery","Weighing the Benefits and Risks of Surgery",[20,42,43],{},"At this dog's age, the key question is how much time she has left, with or without surgery. If a dog with malignant cancer has tumors removed, they might live around another 14 months, more or less. 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