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Liver masses

Sonopath Forum

Sonopath Forum

Liver masses

  • 10 year old FN JRT with cushings disease, on trilostane
  • Progressive abdominal swelling, recent vomiting and diarrhoea with mild pyrexia
  • Multiple heterogenous liver masses, some distorting contour, also lymph node enlargement
  • The adrenal glands to not appear to be the primary cause
  • What would your top differential for this be? Are there any clues to differentiate between different neoplasias (carcinoma, lymphoma, mct, sarcoma etc) Owner is considering sampling….

 

  • 10 year old FN JRT with cushings disease, on trilostane
  • Progressive abdominal swelling, recent vomiting and diarrhoea with mild pyrexia
  • Multiple heterogenous liver masses, some distorting contour, also lymph node enlargement
  • The adrenal glands to not appear to be the primary cause
  • What would your top differential for this be? Are there any clues to differentiate between different neoplasias (carcinoma, lymphoma, mct, sarcoma etc) Owner is considering sampling….

 

 

Comments

EL
July 14, 2018 at 10:37 am -

I would use a 25g fna in a

I would use a 25g fna in a variety of the parenchymal echotextures to rule out carcinoma here which is a primary concern. 22 g in the LN in video 3.

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