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The veterinarian will move the needle around to a few different places within the mass while pulling back on the syringe. This creates negative pressure within the syringe, drawing cells from the mass into the needle and syringe.

The slides are then stained and examined under a microscope. Since lipomas are composed of adipose fat tissue, visualization of this type of tissue on the slide is fairly diagnostic.

Adipose tissue has very characteristic large, empty-looking cells, and often the material on the slide itself has a greasy texture to it.

Many masses may have more than one type of tissue present, and so one drawback to fine needle aspiration is that it may be possible to miss sampling some cells, leading to a missed diagnosis.

If those occur, resampling of the mass with fine needle aspiration should be done at a minimum; your veterinarian may recommend a biopsy or complete removal of the tumor instead.

Many veterinarians will usually recommend a wait-and-see approach to lipomas. Of course, if anything changes significantly, your dog should return to the veterinarian for re-evaluation as soon as possible.

Another option is to forego the wait-and-see approach and proceed directly to surgical removal. The advantage to going directly to surgery is that the surgery is much easier while the mass is smaller.

Many lipomas merge with the healthy fat tissue next to them, which makes it difficult for the surgeon to determine the edges of the tumor and therefore uncertain if they removed all of it.

Some surgeons may recommend a weight-loss regimen for the dog starting several weeks before surgery; this may make it easier for the surgeon to visualize the edges of the tumor, ensuring complete removal.

Another advantage of proceeding directly to surgery is that benign lipomas may be indistinguishable from the more malignant infiltrative lipomas and liposarcomas, so removing the tumor early on will improve the prognosis, should the tumor turn out to be one of those types of tumors.

Infiltrative lipomas and liposarcomas are discussed in more detail later in this article. Other treatment options for lipomas such as using steroid injections, liposuction, and laser therapy have been reported in the veterinary literature.

The treatments had varying degrees of success and the number of patients in the studies were fairly small, so the jury is still out on adopting any of those options for treatment at this time.

There is a rare variant of lipomas found in dachshunds, called diffuse lipomatosis, in which nearly the entire skin is affected, resulting in rolls of fat around the neck and trunk.

However, this is only a temporary fix as the tumor tissue will regrow. Infiltrative lipomas are very locally invasive tumors that arise from the fat cells and invade deep tissue such as muscle, nerves, and bone.

However, they rarely spread to other sites metastasize , and so are considered only partially malignant. The tumors appear to be soft, lumpy swellings in the fat layer under the skin, usually on the chest and legs.

They are very rare in dogs, but are most common in middle-aged female doberman pinschers, Labrador retrievers, and miniature schnauzers.

Diagnosis of these tumors can be difficult since results of a fine needle aspirate often appear the same as the more benign lipomas.

The diagnosis comes from advanced imaging CT or MRI , evidence of deep tissue involvement at the time of surgery for lipoma removal, or from pathology results of the removed tumor.

Thus, it may be prudent to consider surgical removal of any lipomas on dogs that have been shown to be most at risk for infiltrative lipomas. Whenever possible due to the location of the tumor, surgical removal is recommended.

The surgeon will remove as much of the tumor as possible debulk the tumor , but due to the infiltrative nature of the tumor, it is nearly impossible to remove all of it.

Dogs that are treated with surgery alone lived about 18 months after diagnosis. The exception is if the tumor is on a leg — amputation of the entire limb would likely remove the entire tumor and be considered curative.

Radiation therapy is usually recommended in conjunction with surgical debulking of the tumor. Radiation therapy consists of targeted doses of radiation daily for treatments.

The dogs are under general anesthesia for the minutes of treatment, since they need to be absolutely still for correct targeting of the radiation.

Side effects are generally mild, and include redness, irritation, and loss of fur in the area being treated. Radiation therapy is more effective when smaller amounts of tumor tissue is present, so debulking the tumor surgically first provides the best results.

Chemotherapy is generally not effective for localized tumors such as infiltrative lipomas, and as such, is not usually recommended.

In rare cases, a low-dose chemotherapy protocol designed to reduce the formation of new blood vessels may be used to prevent tumor recurrence by limiting new blood supply to the area of the tumor.

Liposarcomas are rare malignant tumors of the adipose tissue underneath the skin. They are solitary masses without a clearly defined border.

They usually develop on the chest or legs and can be either soft or firm to the touch. Liposarcomas are locally invasive, and may spread metastasize to the lungs, liver, spleen, or bones, though metastasis is not as likely with liposarcomas as it is with other cancers.

Older male Shetland sheepdogs and beagles are most at risk for liposarcomas. Unfortunately, fine needle aspiration of a malignant liposarcoma usually yields cells that look like a benign lipoma.

Thus a biopsy of the mass is usually needed to make a diagnosis; two different types of biopsies can be performed.

With a tissue biopsy, your dog is administered a local anesthetic, and a small piece of the lump is removed and sent to the laboratory for analysis.

Research has found that one single high-nitrate meal could improve cognitive function. But you need the right kind of fat.

Extra-virgin olive oil contains a compound called oleocanthal, which is what gives olive oil the peppery flavor that makes you choke when you inhale too quickly.

Regular olive oil is processed, and extra-virgin is unprocessed. As is the case with most foods, processing creates some undesirable qualities in olive oil.

Not only does that make regular olive oil a less healthy option that extra-virgin, but it also puts it on par with a slew of other oils that Lugavere says we should avoid.

Many of us have been taught that canola oil is a healthy source of omega-3 fatty acids. These oils contain polyunsaturated fats, which when intact in whole foods are protected from oxidation, which leads to inflammation.

Always be sure to ask restaurants which oils they use. Spinach, arugula, tomatoes, bell peppers, chia seeds, avocado, grilled shrimp, extra-virgin olive oil, balsamic vinegar, salt, pepper, minced raw garlic, lemon.

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