Cancer is one of the leading causes of death in dogs over 10 years of age. Navigating diagnosis, treatment decisions, and end-of-life care requires welfare-centred thinking at every stage.
Canine cancer welfare centres on ensuring that treatment decisions prioritise quality of life and that dogs are not subjected to aggressive therapy that prolongs suffering without meaningful benefit. Veterinary oncology has transformed canine cancer from universally fatal to frequently manageable, with many dogs experiencing extended good-quality lives through treatment. However, not all cancers are treatable with curative intent, and owners must be supported in making realistic assessments about prognosis, treatment burden, and quality of life at each stage. Pain management is particularly critical for bone cancers, where under-treatment of pain is common. Advance discussion of euthanasia criteria — establishing agreed quality-of-life thresholds before they are reached — is the most welfare-protective preparation for living with a dog with cancer.