Skin Lumps, Bumps & Cysts in Cats: A Vet’s 2025 Guide to Diagnosis, Treatment & When to Seek Help 😺🩺
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Skin Lumps, Bumps & Cysts in Cats: A Vet’s 2025 Guide to Diagnosis, Treatment & When to Worry 😺🩺
By Dr Duncan Houston, BVSc
🔍 Understanding Skin Lumps & Bumps
Finding a lump or bump on your cat can cause alarm, but not all growths are harmful. They can arise from infections, inflammatory reactions, benign tumors—like lipomas and cysts—or malignant masses. Prompt vet evaluation is key to determine what's safe and what's serious :contentReference[oaicite:4]{index=4}.
🐾 Common Types of Skin Abnormalities
- Abscesses: Painful, pus-filled swelling from bites or wounds—often hot and swollen :contentReference[oaicite:5]{index=5}.
- Cysts: Fluid or keratin-filled sacs under skin; often benign but can become infected :contentReference[oaicite:6]{index=6}.
- Lipomas: Soft, fatty benign tumors under skin—usually slow-growing and mobile :contentReference[oaicite:7]{index=7}.
- Skin tags & warts: Small, benign skin folds or growths; cosmetic concerns at most :contentReference[oaicite:8]{index=8}.
- Skin tumors: Includes mast cell tumors, fibrosarcoma, basal cell tumors—some benign, others malignant; may require surgery or oncology care :contentReference[oaicite:9]{index=9}.
🚩 How to Spot the Difference
- Rapid growth, ulceration, firmness, immobility, pain, or recurrence after removal—worrisome signs :contentReference[oaicite:10]{index=10}.
- Soft, movable, slow-growing lumps—likely lipomas or benign cysts.
- Hot, swollen, painful bumps—often abscesses or infected cysts.
- Multiple small raised spots—could be warts, hives, acne.
- Lumps at vaccination sites—monitor for potential injection-site sarcoma :contentReference[oaicite:11]{index=11}.
🔬 Veterinary Diagnosis: What to Expect
- Physical exam: Vet examines size, texture, mobility, and location.
- Fine-needle aspirate (FNA): Quick, low-cost way to sample cells from lumps :contentReference[oaicite:12]{index=12}.
- Biopsy: When FNA isn’t conclusive or malignancy suspected—a tissue sample under anesthesia :contentReference[oaicite:13]{index=13}.
- Culture: For suspected infections (abscess, cyst).
- Imaging & lab tests: X-rays, ultrasound, bloodwork if mass is deep, rapidly growing, or systemic signs are present :contentReference[oaicite:14]{index=14}.
🛠️ Treatment Options
Abscesses
- Incision & draining under sedation, flushed daily.
- Antibiotics and pain relief prescribed.
- Keep area clean; monitor for recurrence.
Cysts
- Small, painless cysts may just be monitored.
- Infected cysts—drainage plus antibiotics.
- Definitive treatment: surgical removal (including lining) to prevent return :contentReference[oaicite:15]{index=15}.
Lipomas & Skin Tags
- Benign and often left alone unless causing issues.
- Surgical excision if obstructive or irritated.
Skin Tumors (Benign & Malignant)
- Mast cell tumors: surgical removal usually curative; may need further treatment.
- Fibrosarcomas/injection-site sarcomas: require aggressive surgery ± radiation/chemotherapy :contentReference[oaicite:16]{index=16}.
- Basal cell tumors: often benign, removed if bothersome :contentReference[oaicite:17]{index=17}.
🏡 Home Care & Follow-Up
- Watch treated areas for swelling, redness, discharge, or pain post-treatment.
- Prevent pet from licking surgical sites (E‑collar if needed).
- Administer medications fully as directed—antibiotics, pain meds, anti-inflammatories.
- Keep environment clean—soft bedding, low stress with Woopf & Purrz.
- Use the Ask A Vet app for monitoring and follow-up guidance.
📅 Prevention & Monitoring
- Regularly groom and feel your cat's skin—know what’s normal.
- Keep indoor environments safe from trauma, fleas, mites.
- Avoid unnecessary vaccines at the same site; rotate injection sites :contentReference[oaicite:18]{index=18}.
- Neuter/spay early to reduce mammary tumor risk.
- Indoor cats have lower risk of abscesses and trauma.
📝 Quick Reference Table
| Finding | Likely Cause | Treatment |
|---|---|---|
| Hot, painful swelling | Abscess | Drain + antibiotics |
| Soft, fluid sac | Cyst | Monitor or remove |
| Soft, fatty lump | Lipoma | Often leave, remove if needed |
| Firm, fixed growth | Possible tumor | FNA/biopsy + removal ± oncology |
| Small, wart-like bump | Tag or benign tumor | Remove if irritating |