Prevalence
The most common oral malignancy in dogs (~30–40% of oral tumors). Cutaneous melanomas are usually benign; oral, mucosal, nail-bed, and ocular forms tend to be malignant.
Who gets it
Older dogs (median 11 years). Heavily-pigmented breeds: Scottish Terriers, Standard Poodles, Cocker Spaniels, Chow Chows.
Symptoms to watch for
- Mass in the mouth, on a nail bed, or on a paw pad
- Bad breath, bleeding from the mouth, drooling, dropping food (oral)
- Limping or swelling of a single toe (digital)
- Pigmented or unpigmented mass; can be amelanotic (color-less) and harder to recognize
How it's diagnosed
- Biopsy + histopathology (excisional preferred for digital)
- Immunohistochemistry (Melan-A, PNL2, S100) for amelanotic tumors
- Three-view chest radiographs + abdominal ultrasound for staging
- Regional lymph node aspirate
- Ki-67 proliferation index — strongly prognostic
Prognosis ranges
Stage I oral: median ~17 months. Stage IV: median 3 months. Digital: median 12 months post-amputation. The Oncept melanoma vaccine offers a survival benefit when added to local control.
Treatment landscape
Recurrent mutations in this cancer
Frequencies from canine clinico-genomic cohorts. SciRouter Oncology auto-checks every mutation in your dog's report against the OncoKB-aligned database for matched targeted therapies.
Questions to ask your vet
- Where is the primary — oral, digital, cutaneous, or ocular? It changes everything.
- What stage are we?
- Do we have clean margins on the excision?
- Should we add Oncept after surgery?
- What's the Ki-67 index?
- Is gilvetmab available through any trial?
Quality-of-life notes
Oral melanoma surgery looks dramatic but most dogs eat normally within days. Pain control during the first week is critical.