My Charlie has had 5-6 grade 1 MCTs removed. The first time, he was 14 months old and had a cluster of them on his back all removed. Then he had another one removed this past summer, at just about 2 years old. All have come back grade 1. I know how scary this is, as I've been there when I first was told, but thanks to so many wonderful posters here, particularly Cami with her great info, I've learned a lot about MCTs and I'm not as panicked about them as I was at first. I did meet with an oncologist, and she's following Charlie closely. We are doing abdominal ultrasounds on him every few months just to check and see if anything does metastasize to his internal organs, but she said in all honesty that only about 15% of grade 1 MCTs do anything scary. We're just on the overly-cautious side.
The best thing is to be vigilant about any new bumps you see and if you do see any, see your vet immediately. I've had Charlie on a regimen of 2 Benadryl tabs per day and 1 Tagamet or Pepcid per day. I checked with our oncologist, and she says this is perfectly safe to give dogs for long periods, like years. So we're keeping him on that.
I've also changed him to a high-quality kibble food for his breakfast and then the other meal of the day is raw. He also gets Nordic Natural fish oil. Fish oil has antiinflammatory properties.
I've also done extensive research on the holistic/herbal approach to upping the immunity, which as our doctor says is key, having a strong immune system. I've found 2 products I highly recommend, although they're expensive. One is K-9 Immunity Plus. It's supposed to boost the immune system. I have both my dogs on it and I think it's helping them both. I also have Charlie on a product call Apocaps which is suppost to support healthy cell function. It's a relatively new product on the market, but it's been developed by a leading cancer veterinarian. Charlie hasn't had any new mast cell tumors for the past 3 months, and he usually gets them in the summer, so we're hoping these pills and diet change have really been helping him.
The one thing our doctor says is if by chance he does get more, which is likely as they tend to recur or pop up in new places, not to panic. As long as they are all grade 1's, we shoudl be find.
Best of luck with your pup and I hope all goes well and you don't have to deal with anymore in her life!