3 years ago, the swelling below the lower eyelid of the left eye was smaller and soft. I incise and drain it (illustration). The owner did not want histology. The tentative diagnosis was an abscess.
Now, 3 years later, the swelling has grown much bigger in size.
I advised surgical excision of the firm and painless growth before it becomes much bigger and infected. The dog would then rub it and be in pain. The lump may be sent to the laboratory for histological examination of malignancy.
The owners said that the dog is old and would wait and see.