<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "https://jats.nlm.nih.gov/publishing/1.3/JATS-journalpublishing1-3.dtd"><article xml:lang="en" dtd-version="1.3" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="case-study"><front><journal-meta><journal-id journal-id-type="issn">2581-2416</journal-id><journal-title-group><journal-title>ARSHI Veterinary Letters</journal-title><abbrev-journal-title>ARSHI Vet Lett</abbrev-journal-title></journal-title-group><issn pub-type="ppub">2581-2416</issn><publisher><publisher-name>Bogor Agricultural University</publisher-name><publisher-loc>Bogor, Indonesia</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.29244/avl.10.1.1-2</article-id><article-categories><subj-group><subject>Veterinary</subject></subj-group></article-categories><title-group><article-title>Surgical management of a digital mast cell tumor in a geriatric mixed-breed female dog</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Yong</surname><given-names>Ethan Low Chiew</given-names></name><xref ref-type="aff" rid="AFF-1"></xref><xref ref-type="aff" rid="AFF-2"></xref><xref ref-type="corresp" rid="cor-0"></xref></contrib><contrib contrib-type="author"><name><surname>Singh</surname><given-names>Shiv Kumar</given-names></name><xref ref-type="aff" rid="AFF-3"></xref></contrib></contrib-group><aff id="AFF-1">Foundation in Science, TMC College, Jalan Loke Yew 55200, Kuala Lumpur, Cheras, Malaysia</aff><aff id="AFF-2"><institution content-type="dept">Program of Veterinary Professional, School of Veterinary Medicine and Biomedical Sciences</institution><institution-wrap><institution>IPB University</institution><institution-id institution-id-type="ror">https://ror.org/05smgpd89</institution-id></institution-wrap><addr-line>16680 Bogor Jawa Barat</addr-line><country country="ID">Indonesia</country></aff><aff id="AFF-3">Windsor Animal Hospital, 10470, Tanjung Pinang Tanjung Tokong Pulau Pinang, Malaysia</aff><author-notes><corresp id="cor-0">Corresponding author: Ethan Low Chiew Yong, Foundation in Science, TMC College, Jalan Loke Yew 55200, Kuala Lumpur, Cheras, Malaysia. Program of Veterinary Professional, School of Veterinary Medicine and Biomedical Sciences, IPB University, 16680 Bogor Jawa Barat, Indonesia. </corresp></author-notes><pub-date date-type="pub" iso-8601-date="2025-12-14" publication-format="electronic"><day>14</day><month>12</month><year>2025</year></pub-date><pub-date date-type="collection" iso-8601-date="2026-2-1" publication-format="electronic"><day>1</day><month>2</month><year>2026</year></pub-date><volume>10</volume><issue>1</issue><issue-title>February</issue-title><fpage>1</fpage><lpage>2</lpage><history><date date-type="received" iso-8601-date="2025-11-3"><day>3</day><month>11</month><year>2025</year></date><date date-type="rev-recd" iso-8601-date="2025-12-2"><day>2</day><month>12</month><year>2025</year></date><date iso-8601-date="2025-12-7" date-type="accepted"><day>7</day><month>12</month><year>2025</year></date></history><permissions><copyright-statement>Copyright © 2026 The Author(s).</copyright-statement><copyright-year>2026</copyright-year><copyright-holder>The Author(s).</copyright-holder><license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by-sa/4.0/"><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by-sa/4.0/</ali:license_ref><license-p>This is an Open Access article under the terms of the Creative Commons Attribution-ShareAlike 4.0 International License (CC BY-SA 4.0), which permits unrestricted use, distribution and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><self-uri xlink:title="Surgical management of a digital mast cell tumor in a geriatric mixed-breed female dog" xlink:href="https://doi.org/10.29244/avl.10.1.1-2">Surgical management of a digital mast cell tumor in a geriatric mixed-breed female dog</self-uri><abstract><abstract><p>Digital mast cell tumours (MCTs) in dogs present a surgical challenge because their acral location often limits the achievement of adequate oncologic margins. This report describes the clinical presentation, surgical management, and histopathological confirmation of a digital MCT in an geriatric dog. A 15-year-old mixed-breed female dog weighing 7.6 kg was presented with a mass in the interdigital region of the limb. Clinical examination revealed that the dog remained active, with no obvious abnormalities in posture or gait. Because digital mast cell tumors (MCTs) are difficult to manage surgically owing to limited tissue for adequate margins, surgical excision was selected. Intraoperatively, the mass was found to extend around digit IV, requiring complete excision with digit amputation. Histopathological examination confirmed the presence of a mast cell tumour with infiltrative neoplastic mast cell proliferation. Postoperative management included wound cleansing, modified Robert Jones bandaging, amoxicillin-clavulanate, prednisolone, and topical hypochlorous acid-based wound care.</p></abstract></abstract><kwd-group><kwd>dog</kwd><kwd>geriatric</kwd><kwd>digital mast cell tumor</kwd><kwd>digit amputation</kwd><kwd>surgery</kwd></kwd-group><custom-meta-group><custom-meta><meta-name>File created by JATS Editor</meta-name><meta-value><ext-link ext-link-type="uri" xlink:href="https://jatseditor.com" xlink:title="JATS Editor">JATS Editor</ext-link></meta-value></custom-meta><custom-meta><meta-name>issue-created-year</meta-name><meta-value>2026</meta-value></custom-meta></custom-meta-group></article-meta></front><body><sec><title>■ INTRODUCTION</title><p>Mast cell tumor (MCT) is one of the most common cutaneous neoplasms in dogs and shows marked biological variability, ranging from relatively indolent lesions to aggressive tumors with metastatic potential. Clinically, canine MCTs may present with diverse gross appearances, making definitive diagnosis dependent on cytology or histopathology. Histopathologic evaluation is also important for prognostic interpretation because tumor behavior is influenced by grade, proliferative activity, and margin status <xref ref-type="bibr" rid="BIBR-6">(Scase et al., 2006)</xref><xref ref-type="bibr" rid="BIBR-4">(Klahn et al., 2022)</xref>.</p><p>Digital MCTs represent a particular clinical challenge because the anatomy of the digit limits the ability to obtain adequate surgical margins while preserving function. For this reason, digit amputation is often considered the most practical option when local infiltration prevents conservative excision <xref ref-type="bibr" rid="BIBR-2">(Grassinger et al., 2021)</xref><xref ref-type="bibr" rid="BIBR-1">(Abrams et al., 2021)</xref>. This report describes the surgical management of a digital/interdigital MCT in a geriatric mixed-breed female dog.</p></sec><sec><title>■ CASE</title><p><bold><italic>History</italic></bold>: A dog named Bobby was presented to Windsor Animal Hospital, with a complaint of a mass located in the interdigital region of the limb. The lesion raised concerns because of its distal location and the possibility of progressive local involvement. <italic>Signalment</italic>: The patient was a 15-yearold mixed-breed female dog weighing 7.6 kg. Presenting status: The dog was alert and active. No obvious abnormalities in posture or gait were observed. </p><p><bold><italic>Clinical findings</italic></bold>: A mass was identified in the interdigital region of the limb. Grossly, after excision, the mass was spherical, firm, and reddish-yellow. During surgery, the lesion was strongly associated with the tissues surrounding digit IV (<xref rid="figure-1" ref-type="fig">Figure 1</xref>). </p><p><bold><italic>Clinical examination</italic></bold>: The patient was active and in a stable general condition, with no apparent locomotor impairment despite the presence of an interdigital mass. Based on the lesion's distal location and concern for local progression, surgical removal was elected. </p><p><bold><italic>Additional examination</italic></bold>: The excised tissue was subjected to histopathological examination in an external laboratory. Microscopically, the lesion comprised a dense population of neoplastic mast cells with an infiltrative growth pattern. </p><p><bold><italic>Differential diagnoses</italic></bold>: mast cell tumour, in-flammatory mass, abscess, and other soft tissue neoplasms of the  digit/interdigital  region.  Diagnosis:  The  final  diagnosis  was  a  mast  cell  tumour  (MCT).  <italic>Prognosis</italic>:  The  prognosis  was  considered  favourable  (fausta)  based  on  the  treatment  course. </p><p><bold><italic>Therapy</italic></bold>:  Surgical  excision  was  performed  under Zoletil  anaesthesia,  as  recorded  in  the  case  notes. The procedure  used  a    minor surgical  set, bone  scissors,  and  a laser. A laser made a circumferential incision around the mass. The mass extended deep around digit IV; therefore, digit IV was amputated using bone scissors for complete excision. The wound bed was checked for haemorrhage, treated with Hydrocyn spray, and bandaged. After surgery, the wound was cleaned with sterile saline and protected with a modified Robert Jones dressing.</p><fig id="figure-1" ignoredToc=""><label>Figure 1</label><caption><p>A 15-year-old mixed-breed female dog presented with a digital/interdigital mass (A) and surgical findings of the digital mass: (B) preoperative appearance; (C) gross appearance after excision; (D) postoperative wound appearance. laser. </p></caption><graphic mime-subtype="jpg" mimetype="image" xlink:href="https://journal.ipb.ac.id/arshivetlett/article/download/72575/version/53065/33048/398019/ARSHI_Vet_Lett-10-1-1-g1.jpg"><alt-text>Image</alt-text></graphic></fig></sec><sec><title>■ RESULTS AND DISCUSSION</title><p>This case illustrates the practical challenges of managing digital MCTs in dogs. Although the patient showed no obvious gait abnormality, the lesion had infiltrated the tissues surrounding digit IV, demonstrating that digital tumors may appear clinically limited while already being locally invasive. This supports careful surgical planning even when clinical signs are mild <xref rid="BIBR-2" ref-type="bibr">(Grassinger et al., 2021)</xref><xref ref-type="bibr" rid="BIBR-1">(Abrams et al., 2021)</xref>.</p><p>Histopathology confirmed that digital masses in dogs can mimic other lesions. In canine MCT, pathology aids in the diagnosis and prognosis with details, such as grade and margins <xref ref-type="bibr" rid="BIBR-6">(Scase et al., 2006)</xref><xref ref-type="bibr" rid="BIBR-4">(Klahn et al., 2022)</xref>. Here, infiltrative growth indicated surgery. Digit amputation was justified because wide excision is difficult in digits, where the tissue is limited, and preserving function may hinder tumour control. Amputation ensures better complete removal than conservative excision <xref ref-type="bibr" rid="BIBR-2">(Grassinger et al., 2021)</xref><xref ref-type="bibr" rid="BIBR-1">(Abrams et al., 2021)</xref>.</p><p>Although molecular evaluation was not performed in this case, KIT-related abnormalities are recognized in canine MCT and may be relevant in more advanced, recurrent, or incompletely excised tumors. Such information may guide targeted therapy in selected patients, although it was not required for the present localized lesion <xref ref-type="bibr" rid="BIBR-3">(Halsey et al., 2017)</xref><xref ref-type="bibr" rid="BIBR-5">(Macedo et al., 2022)</xref>.</p><p>Postoperative care focused on wound protection, inflammation control, and prevention of secondary infection. The patient received amoxicillin-clavulanate, prednisolone, topical Hydrocyn spray and gel, and regular bandage changes. In distal limb surgery, especially after digit amputation, careful wound management is essential because of limited soft tissue coverage and mechanical stress during ambulation.</p></sec><sec><title>■ CONCLUSION</title><p>Histopathology confirmed a digital/interdigital mast cell tumour in a geriatric female mixed-breed dog. As the lesion infiltrated the tissues around digit IV, digit amputation was necessary for complete excision, supporting it as an effective local control strategy for digital masses.</p></sec></body><back><sec><title>■ AUTHOR INFORMATION</title><p>Corresponding Author</p><p>*ELCY:  ethanlowchiewyong@apps.ipb.ac.id</p><p>Program of Veterinary Professional, School of Veterinary Medicine and Biomedical Sciences, IPB University, Bogor, West Java, 16680 INDONESIA.</p></sec><ref-list><title>■ References</title><ref id="BIBR-1"><element-citation publication-type="article-journal"><article-title>Variability in tumor margin reporting for soft tissue sarcoma and cutaneous mast cell tumors in dogs: A systematic review</article-title><source>Veterinary Surgery</source><volume>50</volume><issue>2</issue><person-group 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