Hemangiosarcoma is a cancer of blood vessel walls that grows most often in the spleen or heart, where it can bleed with no warning. In the Golden Retriever Lifetime Study, more than 7 percent of over 3,000 dogs had been diagnosed by a median age of about eight, and almost 90 percent of those tumours were internal1. The German Shepherd Dog is also widely reported as predisposed2.
The disease is usually silent until a bleed. The signs of a bleed are sudden weakness or collapse, pale gums, a swollen belly, rapid breathing, and then a recovery over a day or so as the blood is reabsorbed, which can make the episode easy to dismiss. Any collapse in a senior dog of an at-risk breed is a same-day emergency, and pale gums are the thing to check.
Ask your vet about periodic abdominal ultrasound and heart screening in the highest-risk breeds. Treatment is surgery, sometimes with chemotherapy; the outlook depends on how far the cancer has spread, and the conversation is an honest one12.
This is general information, not a diagnosis. Your vet knows your dog.
Sources
- Descriptive analysis of haemangiosarcoma occurrence in dogs enrolled in the Golden Retriever Lifetime Study (Hillman et al.). Veterinary and Comparative Oncology, 2023 (peer reviewed). Accessed 2026-09-22.
- Breed-Predispositions to Cancer in Pedigree Dogs (Dobson JM). ISRN Veterinary Science, 2013 (peer reviewed review). Accessed 2026-09-22.