– 11 year old MN Lab Ret presented for severe weight loss, chronic intermitent vomiting, trembling and anxious behaviour
– HR 210, BP systolic average (only taken one time so far 154); routine blood work unremarkable
– Left adrenal tumour on ultrasound with a tumour thrombus in the CVC (pheo, adenocarcinoma)
– I am also suspicious of invasion into the aorta as seen in some views – I had a very hard time tracing the phrenicoabdominal blood vessels on colour Doppler but could trace the renal artey that appeared clean
– 11 year old MN Lab Ret presented for severe weight loss, chronic intermitent vomiting, trembling and anxious behaviour
– HR 210, BP systolic average (only taken one time so far 154); routine blood work unremarkable
– Left adrenal tumour on ultrasound with a tumour thrombus in the CVC (pheo, adenocarcinoma)
– I am also suspicious of invasion into the aorta as seen in some views – I had a very hard time tracing the phrenicoabdominal blood vessels on colour Doppler but could trace the renal artey that appeared clean
Does this look like aorta involvement? I assume this would be tricky surgery if not impossible at this stage?
Comments
Still of tumour in CVC with
Still of tumour in CVC with positive blood flow in and around the mass
Cool case! Could you see
Cool case! Could you see turbulence in the Aorta?
Actually in the video you
Actually in the video you posted there seems to be fluid deviation from the aortic mass (subtle spontaneous contrast), like an airplane wing. I think you’re right
Certainly its in the CVC but
Certainly its in the CVC but not sure on aorta here. Needs CT with contrast for surgical planning. Depending on the surgeon if just in the CVC they can take it out like pulling out an upside down mushroom assuming no mets in liver or spleen so fna any nodules in those organs as a screening process. Urine catecholamines (Marshfield Labs) to screen for Pheo which is my suspicion here.
Certainly its in the CVC but
Certainly its in the CVC but not sure on aorta here. Needs CT with contrast for surgical planning. Depending on the surgeon if just in the CVC they can take it out like pulling out an upside down mushroom assuming no mets in liver or spleen so fna any nodules in those organs as a screening process. Urine catecholamines (Marshfield Labs) to screen for Pheo which is my suspicion here.
Thank-you EL surgical
Thank-you EL surgical referral has been recommended and CT