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Prostatits vs. Neoplasia

Sonopath Forum

Sonopath Forum

Prostatits vs. Neoplasia

Wilson is a 13 year old intact male that is leaking urine constantly and having dysuria.

Urinary catheter passed easily and withdrew 170ml clear urine. 

Urinalysis mostly benign, slight increase in WBC’s

Wilson is a 13 year old intact male that is leaking urine constantly and having dysuria.

Urinary catheter passed easily and withdrew 170ml clear urine. 

Urinalysis mostly benign, slight increase in WBC’s

U/S shows big prostate with calcified nodules present. I see lots of small prostatic cysts and one large peri-prostatic cyst. With the calcification I’m leaning towards neoplasia, but the prostate seems to maintain some semblance of curvilinear pattern and the internal architecture is not consumed by a mass like lesion…so I’m not quite sure what’s happening here. On top of that, there’s some mucosal thickening at the cuj that might be general thickening but possibly TCC?.

Thanks in advance for thoughts.

Sam

Comments

EL
December 6, 2017 at 4:06 am -

Well sam I’m with ya… im

Well sam I’m with ya… im pushing to bph with dystrophic mineralization but certainly needs a needle pointed in the area of mineralization and get a variety of samples. Carcinoma can be elusive here. to me this is a “when in doubt put e needle in it scenario.”

franklinanimalclinic
December 6, 2017 at 3:20 pm -

Thanks,
I have a FNA pending

Thanks,

I have a FNA pending from IDEXX so we’ll see what it says.

Sam

franklinanimalclinic
December 10, 2017 at 4:21 am -

FNA back today with Dx of

FNA back today with Dx of carcinoma. The pathologist floated the possibility of a TCC. How often do we see TCC’s in a prostate?

No matter what, not good news for this dog.

Sam

EL
December 10, 2017 at 9:35 am -

Thanks for th efollow-up Sam

Thanks for th efollow-up Sam to complete the thread. The TCC vs prostatic carcinoma debate goes on as some pathologists think its the same thing and others not. Doesn’t change treatment though. Could drop a stent in and drain the cystic portion to manage the clinical signs may get some decent time onm this as what the pathologists haven’t done is grade these things well. I can tell you from our research growth rate varies greatly with carcinomas. Subjectively the less vascular ones on power doppler grow slower than the highly vascular ones just from observations in our UGELAB study https://sonopath.com/resources/research-publications.

A mast cell type grading system would be nice here.

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