Thank you all for your support and understanding. I knew if anyone would understand the heartache of making this decision it would be PTers.

I spoke with the vet yesterday and asked many more questions. I just don't want to remember my Duke in pain wishing I had or had not done something. I will choose what is best for my boy no matter how painstakingly hard that decision might be. I still hold out hope that maybe, just maybe it could be something benign, she said it is possible on the first aspiration she hit a blood vessel and that is why we ended up with just blood (no tumor cells at all - good or bad). I told the vet my feelings of putting him through surgery at almost 9.5 years old. The risk of him bleeding to death on the table is my greatest fear since we don't know exactly what caused the bleeding the first time, she also agrees that this is a concern. I could go from weeks, months and maybe even years to just...nothing, he would be gone and I would live with the guilt of doing that to him forever. I am leaning towards palliative care, just making him as comfortable as I possibly can and loving him with all my heart if it ends up being something malignant. He shows no signs at this time of even being ill and I am greatful for that. Eats like a horse as always, plays and has that wounderful twinkle in his eyes that he has always had when he looks at me. After talking to the vet about my concerns for surgery she offered to do an ultrasound on Monday instead. Sometimes an ultrasound can answer some of the questions we have. If it is porous(sponge-like) it is normally malignant, if not then we could just be dealing with some benign lump. If is in the middle, well obviously we will be in the same place we are now. I asked her what she thought of another aspiration...she said she would most definitely be for that and will do it under ultrasound guidance this time to be sure she gets what she wants. I pray this time we can see something that will give us answers. I will keep you posted on the results from the aspiration.

She has given me her scenerio of "what if this was her dog". She said she would have to at least do the biopsy, she would need to know. But for me if the aspiration can give me the answers I need without putting him through the risk of bleeding subcutaneously again then I choose that route.

I know I will ponder all this again once I know something on Monday...I just continue to pray and ask for prayers that God points me in the right direction, keeps my heart from making a decision that only benefits me and not Duke.

Thank you all again...
Traci