- 12 yr. old MN DSH
- Not eating well, weight loss, muscle wasting
- Abd US shows diffuse muscularis thickening in the SI and stomach
- No enlarged LN found
- ? involvement of spleen and L kidney
I told the O full thickness biopsy of SI was the most likely to give a definitive dx (lyphoma vs IBD). I mentioned that FNA of the kidney and spleen is possible, and less invasive, but also less likely to give a definitive dx.
What do you think of the kidney and spleen? Potential for lymphoma dx w/FNA?
Thank you!
- 12 yr. old MN DSH
- Not eating well, weight loss, muscle wasting
- Abd US shows diffuse muscularis thickening in the SI and stomach
- No enlarged LN found
- ? involvement of spleen and L kidney
I told the O full thickness biopsy of SI was the most likely to give a definitive dx (lyphoma vs IBD). I mentioned that FNA of the kidney and spleen is possible, and less invasive, but also less likely to give a definitive dx.
What do you think of the kidney and spleen? Potential for lymphoma dx w/FNA?
Thank you!
Comments
Spleen is a little plump but
Spleen is a little plump but likely reactive or very early lsa. Kidney nsf. Minor ibd gi pattern. Anything going on in the pancreas?
Thanks for your thoughts
Thanks for your thoughts EL.
Not much in the pancreas as I recall, but I will go back and look again.
Creatnine was up to 3.9…. also a hyperthyroid cat on meds for a few years.