Episode 22  ·  12m 19s

The Cancer That Hides Until It's an Emergency — Canine Hemangiosarcoma

Dr. Michael LoSasso, DVM & Julie Schwenzer Frisco Emergency Pet Care
Canine cancer Hemangiosarcoma Breed risk Ultrasound screening Splenic masses
"More pet owners are hearing about canine cancer than ever before, but the reasons behind this rise aren't always what people assume."
— Julie Schwenzer

Episode summary

Why does canine cancer seem to come up so much more often now? Dr. LoSasso — quick to note he's an ER doctor, not an oncologist — points to a combination of factors rather than any single cause. Pets are living longer as veterinary medicine improves, which simply creates more time for age-related disease to surface. Diagnostics have advanced too, especially ultrasound, along with newer blood tests designed specifically to screen for certain cancers. And owners are paying closer attention than they used to — a shift he says accelerated during the COVID-19 period, when pets became an even more central part of the family than before.

Some breeds carry a clear predisposition. The Boxer is the breed most veterinarians think of first when cancer comes up, with Golden Retrievers close behind; he also sees a lot of hemangiosarcoma and lymphoma in Labradors, though he notes that's partly a numbers game — Labradors were the most popular breed in the country for decades before being recently overtaken by the French Bulldog. On environmental causes, he's candid that he hasn't seen evidence linking ordinary diet, exercise, or household conditions to higher cancer rates in his own experience — the clearest environmental link he points to is radiation exposure, citing places like Chernobyl and Fukushima.

"These dogs are happy, healthy — they get a clean bill of health, their blood work looks normal. Unless somebody's specifically doing an ultrasound of the abdomen, those masses go completely undetected until the day they actually break open and start to bleed."
— Dr. Michael LoSasso, DVM

The bulk of the conversation centers on hemangiosarcoma, a cancer that frequently forms as a mass on the spleen and produces no clinical signs at all — no lump you'd feel, no change in blood work, nothing to flag on a routine exam. Because abdominal ultrasound isn't part of a standard annual physical, these masses go undetected until they rupture and begin bleeding internally. At that point the dog collapses, gums turn pale, and a family that thought they had a perfectly healthy eight-, nine-, or ten-year-old dog is suddenly deciding between emergency surgery and euthanasia — often the same day.

Should ultrasound be part of a routine senior checkup?

Dr. LoSasso doesn't think it's a bad idea at all. He describes abdominal ultrasound as quick, non-invasive, and usually less expensive than X-rays — a straightforward way to screen the liver, spleen, and kidneys for problems before they become emergencies. He's equally open to annual chest X-rays in older dogs, and especially recommends it for small breeds prone to heart disease, since imaging can catch changes in heart size before symptoms ever appear. As he puts it: there's nothing harmful about sound waves — it's the same technology used routinely on pregnant women.

His practical takeaway for owners: physically feel your dog for masses regularly. Since many cancers — hemangiosarcoma especially — give no external warning until very late, hands-on exams at home paired with routine veterinary checkups remain one of the few ways to catch something before it turns into a crisis.

Questions answered in this episode

The following questions are answered by Dr. LoSasso in this episode, drawn directly from the conversation. These are real clinical answers from a practicing emergency veterinarian with 30+ years of experience.

Dr. LoSasso attributes it to a combination of factors: pets are living longer as veterinary medicine improves, which creates more time for age-related disease to appear; diagnostics like ultrasound and specialized cancer-screening blood tests have advanced; and owners pay closer attention to their pets' health than in past decades, a shift he says accelerated during the COVID-19 period as pets became even more integrated into families.
Dr. LoSasso says the Boxer is the breed most veterinarians think of first when it comes to cancer risk, with Golden Retrievers close behind. He also sees a lot of hemangiosarcoma and lymphoma in Labradors, though he notes that's partly because Labradors were, for decades, the most popular breed overall (recently overtaken by the French Bulldog).
Dr. LoSasso says he hasn't seen evidence of that in his own experience, though he's not a cancer researcher and doesn't follow the literature closely. He notes the clearest environmental cancer risk is radiation exposure — citing events like Chernobyl and Fukushima — which affects people and animals alike in the areas involved.
Dr. LoSasso explains that hemangiosarcoma frequently forms as a mass on the spleen with no clinical signs at all — the dog appears happy and healthy, and routine blood work looks normal. Because abdominal ultrasound isn't part of a standard annual exam, these masses often go completely undetected until they rupture and begin bleeding into the abdomen, at which point the dog collapses with pale gums and the family is suddenly facing an emergency, often deciding between surgery and euthanasia the same day.
Dr. LoSasso doesn't think it's a bad idea at all. He describes ultrasound as a quick, non-invasive, usually inexpensive way to screen the liver, spleen, and kidneys for problems, and notes it's the same safe technology used routinely on pregnant women. He's similarly open to annual chest X-rays in older dogs, especially small breeds prone to heart disease, since they can catch changes in heart size before symptoms appear.
Dr. LoSasso recommends regularly putting your hands on your dog and feeling for masses across the whole body. Since many cancers, including hemangiosarcoma, produce no external symptoms until very late, physical exams at home combined with a veterinarian's routine checkup remain one of the few ways to catch something before it becomes an emergency.
JulieMore pet owners are hearing about canine cancer than ever before, but the reasons behind this rise aren't always what people assume. Why do we see more reports of canine cancer? We'd love your perspective on what's contributing to this trend.
Dr. LoSassoGood morning, Julie. First, I'm not an oncologist, I'm just an ER guy, but I suspect we see more cancer for a variety of reasons. We've extended life a bit longer as medicine and care improves, so we're seeing patients get older before end of life. Age isn't a disease, but with advancing age come advancing problems, so the longer our pets live, the more opportunity there is for things to go wrong. We've also got advancing diagnostics — more blood work, and for us in the ER, really the advent of ultrasound lets us see things more clearly, including cancer. There are also blood tests now designed specifically to screen for certain cancers — I don't have direct experience with those, they're not really an emergency modality, but they're available, probably more in general practice.
JulieDo you think pet parents are more on top of checking things, or is it more the veterinary system — more tests, better detection, diagnosing things quicker?
Dr. LoSassoI think most of it isn't owner detection specifically, but better care overall. A lot happened during the COVID pandemic that brought people closer to their pets, and they pay more attention now than ever. There was a trend back in the 30s and 40s where veterinarians mostly worked on farm animals — dairy cattle, sheep, food animals — and companion animals were almost a side gig. We gradually shifted to valuing our companions more through the 60s, 70s, 80s, and 90s, and then had another paradigm shift around COVID when pets became even more part of the family. They get better care now because people's consideration of pets as family members has really changed.
JulieYou practiced general medicine before ER — did you find certain breeds genetically predisposed, making cancer more common in their group?
Dr. LoSassoOh, absolutely, there are breeds predisposed to specific types of cancer, not just cancer in general. We see hemangiosarcoma, we see lymphoma. The Boxer is probably the breed most veterinarians think of first when you say cancer — Golden Retriever is right behind that. In terms of hemangiosarcoma and lymphoma, I see a lot in Labradors, but I also just see a ton of Labradors — they were the most popular breed for decades, before being unseated by the French Bulldog. It wasn't that the Labrador was pushed aside by Goldens or some similar bird dog — it was something totally different that replaced them.
JulieWhat about environmental factors — could those contribute to higher cancer rates?
Dr. LoSassoI don't think so, I haven't seen evidence of that, though I honestly don't follow the research closely. I couldn't say we're doing anything in our own environments that increases cancer rates. In certain places you'd absolutely see that, just like in people — I'm talking specifically about nuclear accidents, Chernobyl, Fukushima, places like that would see an increase from elevated radiation. There are probably places in the U.S. with more radiation than they should have too, and we'd expect increased cancers in both people and animals there.
JulieYou're in a unique position as both a veterinarian and a long-term pet parent — do lifestyle factors like diet and exercise play a role in cancer development, in your experience?
Dr. LoSassoNot that I've seen. I see a tremendous amount of hemangiosarcoma and lymphoma. Hemangiosarcoma occurs frequently on the spleen — it causes large splenic masses that, at some point, will break open and start bleeding into the abdomen. The challenge for owners is serious because there are no clinical signs that these masses exist. These dogs are happy and healthy, they get a clean bill of health, their blood work looks normal — and unless a vet is specifically doing an abdominal ultrasound, which isn't a routine part of an annual exam, those masses go completely undetected. Nobody knows it's happening until the mass breaks open and starts to bleed, and the dog comes in collapsed with white gums. It's a real challenge because you go from thinking you have a super healthy dog to a life-threatening condition, and families either go forward with surgery or end up making the difficult decision to euthanize. It's a very sudden problem — really hard to watch, going from a healthy eight, nine, ten-year-old dog to saying goodbye that same day.
JulieYou mentioned ultrasound — do you think that should be part of a routine annual checkup in older dogs?
Dr. LoSassoI don't think it hurts, I don't think it's a bad idea at all. It's a great way to look at livers, spleens, kidneys, and detect things early — usually less expensive than X-rays too. I don't think routine radiographs are a bad idea either, especially past a certain age. We talk about how much faster dogs age than we do — their lifespan is roughly a seventh or sixth of ours — so having chest films done every so often isn't unreasonable, the same way we'd think about it for ourselves every several years. For little dogs prone to heart failure — Poodles, Chihuahuas, Schnauzers — does it make sense to do an ultrasound every year? I don't think that's a bad idea, especially if they've got a heart murmur; it keys you into changes in heart size and function. We could detect a lot of heart disease earlier if these little old coughing dogs got a lung ultrasound once a year or every six months. Looking in the abdomen isn't a bad idea either — ultrasound doesn't take long, doesn't need to be expensive, and it's completely non-invasive. If it were invasive, we wouldn't be scanning pregnant women all the time — there's nothing harmful about sound waves.
JulieAre there signs that could indicate early cancer, other than lumps?
Dr. LoSassoSeeing the mass itself, putting your hands on your dog all over, certainly helps. The sooner people find those things, the better chance we've got of getting them relief and getting some diagnostics done.

Related episodes

Related services

Have a question for Dr. LoSasso?

We are open right now — and if your pet needs emergency care, come straight in.