Lymphoblastic intestinal lymphoma in a 2 year old Maine Coon cat

Case Study

Lymphoblastic intestinal lymphoma in a 2 year old Maine Coon cat

This 2-year-old Maine Coon cat was presented after five days of vomiting and anorexia. The physical examination revealed mildly thickened intestines and 5% dehydration. Blood analysis revealed mild regenerative anemia and slightly elevated globulin levels.

This 2-year-old Maine Coon cat was presented after five days of vomiting and anorexia. The physical examination revealed mildly thickened intestines and 5% dehydration. Blood analysis revealed mild regenerative anemia and slightly elevated globulin levels.

Sonographic Differential Diagnosis

Focal IBD, infiltrative neoplastic disease (most likely lymphoma), mast cell, and adenocarcinoma. Other differentials for intestinal neoplasia in the cat include: fibrosarcoma, undifferentiated sarcoma, leiomyoma, leiomyosarcoma, plasmacytoma, and neuroendocrine carcinoma. The lymphadenopathy may be reactive or neoplastic.

Image Interpretation

There was a small bowel mass effect, with loss of mural detail and hyperechoic mesentery in the immediate area of the mass (which may reflect adhesions). There was also mild to moderate hypoechoic mesenteric lymphadenopathy.

DX

Lymphoblastic intestinal lymphoma

Outcome

The owners elected euthanasia due to financial concerns.

Clinical Differential Diagnosis

Foreign body, IBD, pancreatitis, FIP, neoplasia, toxicity, infectious.

Sampling

22ga US-guided FNA of node revealed lymphoblastic lymphoma.

Patient Information

Patient Name : Tbone F
Species : Feline
Type of Imaging : Ultrasound
Status : Complete
Liz Wuz Here : Yes
Code : 04_00133

Clinical Signs

  • Anorexia
  • Vomiting

Exam Finding

  • Dehydration
  • Thickened Intestines

Images

tbone_gi_mass_01202010090237tbone_fna_node_01202010090441

Blood Chemistry

  • Globulin, High

CBC

  • RBC, Low

Clinical Signs

  • Anorexia
  • Vomiting
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