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Comments
Cool presentaiton. the spleen
Cool presentaiton. the spleen is screaming lsa and with the big kidneys and infarcts with regenerative nodules they could be either infarcts and secondary cortical nodules or lsa. Infarcts and lsa go together often in my experience. I would 25 g fna spleen and kidney here should be definitive.
The splenic aspirates came
The splenic aspirates came back as mast cell tumour, kidneys normal cells and lymph node mostly small lymphocytes, occasional large lymphocyte and scattered mast cells. They could not call whether lymph node was metastatic but I have recommended splenectomy.
Just a little exerpt from
Just a little exerpt from VIN.
MCT one of the most common causes of splenomegally (visceral form).
Not very responsive to medical management- splenectomy is the treatment of choice.
Just to be practical this article in Associate has not bn updated since 2011.
I think you are right on to suggest a splenectomy.
Yes splenectomy for sure and
Yes splenectomy for sure and since I have yet to see MCT hit the kidney (but there’s a first time for everything) then active renal infarcts make a lot of sense which happens often wiht round cell neoplasia as paraneoplastic presentations. I would add renal bx to the sx plan as well and be sure to coag first.