Presentation A 13-year-old female, intact Australian shepherd presents with tissue protruding from the vulva in the last two days. The tissue is red and smooth and cannot be reduced. Photo courtesy Dr. Kendra Freeman Challenge 1) The majority of vulvar and vaginal tumors in dogs are: a) Benign b) Malignant 2) Wide surgical excision with pubic split procedure is often needed to remove these tumors completely. a) True b) False 3) What is the recurrence rate for vaginal leiomyomas if the dog has an ovariohysterectomy at the time of mass removal? a) 0 percent b) 10 percent c) 20 percent d) 50 percent