This is a 12 year old FS, Germain Shorthair
This is a 12 year old FS, Germain Shorthair
– history of moderately elevated liver enyzmes for the past 2 years that we have been monitoring (o declined u/s)
– pet presented today for severe ascites
– lethargic but still eating and no v/d
– I was expecting to find evidence of end-stage liver disease but saw this instead
– there was no pericardial effusion or evidence of dilated hepatic veins
– liver looked relatively normal
– omentum hyperechoic, nodular
– spleen had multiple hypoechoic parenchymal nodules
– belly tap: clear, straw coloured fluid
Does this look like carcinomatosis? How would you biopsy – possible to get an FNA? Attempted to look for portal hypertension – where do you usually measure this – at the hilus? What PRF do you use?
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Comments
Carcinomatosis. lymphomatosis
Carcinomatosis. lymphomatosis or similar by deductive reasoning yes. You can get a shopping spree of fna (24 ior 25 g given the fluid and to minimize artifact) of the spleen and anything else abnormal and/or drain the abdomen and take the more cellular samples usually at the end of the drainage and spin it down. Take the cellular portion of the cytospin and make a slide immediately and send that out. The neoplastic cells are undergoing programmed death and denaturing so the fresher the better to have a solid sample for interpretation.
Cool case bad px.
Carcinomatosis. lymphomatosis
Carcinomatosis. lymphomatosis or similar by deductive reasoning yes. You can get a shopping spree of fna (24 ior 25 g given the fluid and to minimize artifact) of the spleen and anything else abnormal and/or drain the abdomen and take the more cellular samples usually at the end of the drainage and spin it down. Take the cellular portion of the cytospin and make a slide immediately and send that out. The neoplastic cells are undergoing programmed death and denaturing so the fresher the better to have a solid sample for interpretation.
Cool case bad px.