Firm Bumps on Your Cat or Dog Attached by a Stalk - What's Going On?

Story at-a-glance -

  • A basal cell tumor is a slow-growing overgrowth of cells on the outer layer of the skin. They can be either benign or malignant, but most are benign. In dogs, basal tumors are usually found on the head, neck, or forelimbs. In cats, they can develop almost anywhere on the body
  • These tumors are typically firm bumps that may be attached by a stalk. They can range in size from less than 1 centimeter to up to 10 centimeters in diameter. Malignant tumors are most often seen in older cats, and appear flatter than benign tumors
  • A confirming diagnosis is made through microscopic examination of tissue through either a fine-needle aspiration or a biopsy. The standard treatment for both benign and malignant basal cell tumors is surgery, which provides a complete cure if the entire tumor can be excised

By Dr. Becker

A basal cell tumor is a slow-growing, disordered overgrowth of the cells on the outer layer of your pet’s skin, called the epidermis. Generally speaking, a benign proliferation of basal cells is called a basal cell tumor, while a malignant proliferation of cells is called basal cell carcinoma.

These tumors are more common in cats than dogs, and most are benign. Sun exposure is a common cause of basal cell tumors in people, but not much evidence exists that the same is true for pets.

Basal cell tumors typically develop in middle-aged and older dogs, especially in certain breeds like the Wirehaired Pointing Griffon, Kerry Blue Terrier, and Wheaten Terrier. In dogs, the tumors are typically found on the head, in particular the ears, and also the neck and forelimbs.

When it comes to cats, older domestic longhairs, Himalayans, and Persians are the breeds most at risk. In kitties, the tumors can develop almost anywhere on the body.

Appearance of Basal Cell Tumors

In both dogs and cats, basal cell tumors appear as firm, solitary, encapsulated and often hairless or ulcerated bumps that may be attached to the skin by a stalk. The tumors vary in size from less than one centimeter to a large tumor that can be 10 centimeters in diameter. In cats in particular, the tumors are often pigmented.

While most basal cell tumors in cats and dogs are benign, they can grow quite large and tend to ulcerate and become infected or inflamed.

Malignant basal cell tumors are most often seen in senior and geriatric cats, especially in Persian-type kitties. These tumors often look like ulcerated spots on the head, neck, or legs. Unlike benign basal cell tumors, these carcinomas are flatter, locally invasive, and may have more than one center. Fortunately, local or systemic metastasis of these tumors is rare.

In dogs, malignant basal cell tumors are usually called basosquamous carcinomas (BSC). These typically develop in older dogs, and the Saint Bernard, Scottish Terrier, and Norwegian Elkhound are at highest risk. Unlike benign basal cell tumors, these carcinomas can be found almost anywhere on a dog’s body. Thankfully, they are also unlikely to metastasize.

Diagnosis and Treatment

Your veterinarian may suspect a basal cell tumor just by its appearance on your pet’s body. However, a confirming diagnosis is made through microscopic examination of the tissue through either a fine-needle aspiration or a tissue biopsy. Samples are sent to a lab to be examined by a veterinary pathologist, who will determine whether the tumor is benign or malignant, along with its grade and stage. This information will help your veterinarian determine the best treatment protocol for your pet.

The standard treatment for basal cell tumors, whether benign or malignant, is surgical removal. Cryosurgery, which is freezing via liquid nitrogen, is sometimes used for very small lesions. Benign tumors can recur if they’re not completely excised, which happens when the surgeon can’t remove a wide enough margin around the tumor, or when it’s in a location that makes it impossible to remove the entire thing.

Sometimes kitties will develop other basal cell tumors in the general area of the original tumor. Occasionally, basal cell carcinomas will also recur, but they develop slowly and metastasis very rarely occurs. However, basosquamous carcinomas in dogs tend to be more aggressive than other types of basal cell tumors.

Fortunately, most dogs and cats make a full recovery after complete excision of a basal cell tumor.

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