Persistent sore on older dog’s paw not improving with vet cream

[Elliewelly]

Can anyone tell me what this might be? She is an eleven year old shihtzu, been to the vets who gave us cream. We keep it clean, apply the cream and put a sock over it but it doesn’t seem to help. The vet admits he doesn’t know what it is, it doesn’t seem painful but given the chance she will nibble it. Has anyone seen one of these before ? Thanks

Bit hard to tell from the photo but it looks more like a raised lesion that the dog has traumatised, I'd like to get that off if there's enough loose skin to close and the dog's heart is good enough for GA. Histopathology if you're feeling flush, clinical waste bin if not. Worth having a juke at her teeth as well, if an 11yo small breed dog is under GA anyway and it's going well then seize the opportunity! (mind you some vets don't like doing dental work at the same time as a clean surgery so check first).

Is it flat or raised ? Hard to see from photo

Not sure what it is but my dog has lots of different lumps and bumps. I take the view at his age if it causes him pain or is in a position to become a major problem and is quick to remove we do so. Otherwise we leave alone as we won’t do invasive treatment for any malignant cancerous growths.

For something like yours then how much does it bother her. If the nibbling suggests pain then yes I think I would do a quick OP to remove and see what it is so you know what you are dealing with. We have had two benign tumours removed as they were in his mouth causing pain. They couldn’t get good margins without doing extensive work which we said no to knowing that they they may grow back but they haven’t so the ‘light touch’ approach has so far worked for us.

Thank you for your replies, it is raised slightly with black around it and pink in the middle. She did have a wart in the same place which either disappeared or she bit it off. She also has a lump on her back which she has had about three years but obviously she can’t get to that. It doesn’t seem painful, she lets me clean it before I put the cream on and it doesn’t affect her walking . She’s still a very active dog, still does zoomers and very playful. We’ll carry on with the cream then take her back to the vet.