Good to hear from you, Mary! And a 2 week trip to Italy is so exciting!

One more thing to ask the vet. If the biopsy comes back positive (or bad), then what? This may also help you decide if the biopsy can wait.

Prayers from RI for sweet Creamsicle, she has done well with you. And she will continue to do well, you always look out for her. I was surprised to learn she is 13 years of age. I do see that no matter what, this will be on your mind on the trip (assuming you do go). I'm sorry about that.