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Pancreatic lymphosarcoma in a 12 year old FS DSH cat

Case Study

Case Study

Pancreatic lymphosarcoma in a 12 year old FS DSH cat

This 12-year-old FS DSH cat presented for progressive anorexia, lethargy and weight loss. The physical exam revealed a palpable irregular mid-abdominal mass, mild dehydration, mild fever and poor body condition. The CBC revealed slight anemia with anisocytosis, polychromasia, and moderate nucleated RBCs. Blood chemistry revealed mildly elevated ALT, mildly elevated AST, and mildly elevated total bilirubin.

This 12-year-old FS DSH cat presented for progressive anorexia, lethargy and weight loss. The physical exam revealed a palpable irregular mid-abdominal mass, mild dehydration, mild fever and poor body condition. The CBC revealed slight anemia with anisocytosis, polychromasia, and moderate nucleated RBCs. Blood chemistry revealed mildly elevated ALT, mildly elevated AST, and mildly elevated total bilirubin.

Sonographic Differential Diagnosis

Pancreatic mass suspicious for carcinoma or lymphoma. Potential for necrosis and inflammation with regional lymphadenitis.

Image Interpretation

A mixed hypoechoic and multifocal hyperechoic mass is occupying the left pancreatic limb. Focally swollen contour of the pancreas and surrounding free fluid with multifocal regional lymphadenopathy suggests a neoplastic process.

DX

Pancreatic lymphosarcoma.

Outcome

The owner elected humane euthanasia as chemotherapy was declined.

Clinical Differential Diagnosis

Pancreatitis, neoplasia, cholangitis/hepatic disease, maldigestion, IBD, intestinal obstruction.

Sampling

Ultrasound-guided 22-gauge FNA of the hypoechoic region of the pancreatic pathology revealed pancreatic lymphosarcoma.

Video

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Patient Information

Patient Name : Thai M
Gender : Female, Spayed
Species : Feline
Type of Imaging : Ultrasound
Status : Complete
Liz Wuz Here : Yes
Code : 05_00035

Clinical Signs

  • Anorexia
  • Lethargy
  • Weight loss

History

  • Anorexia
  • Vomiting
  • Weight Loss

Exam Finding

  • Dehydration
  • Fever
  • Palpable mass
  • Weight loss

Images

Thai_2_12012009080555Thai_1_12012009080537

Blood Chemistry

  • ALT (SGPT), High
  • AST (SGOT), High
  • Total Bilirubin, High

CBC

  • Anisocytosis
  • RBC, Low

Clinical Signs

  • Anorexia
  • Lethargy
  • Weight loss