what are the effects of heart worms in a dog who has had heart worms for years?

I have my late grandfathers dog. As far as i can remember she has had heart worms, at least 10 yrs. She has lost a lot of weight and has an absest or tumor coming out of her right hind leg. I don’t want her to suffer. Is this an effect from heartworms and do I need to have her put down?


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