A 10-year-old MN Labrador was presented for evaluation of weight loss, weakness, and inability to move around. Elevated ALP activity was present on serum biochemistry.
A 10-year-old MN Labrador was presented for evaluation of weight loss, weakness, and inability to move around. Elevated ALP activity was present on serum biochemistry.
Enlarged prostate. Suspect prostatic carcinoma, prostatitis less likely.
The prostate in this patient was 3.24 x 2.9 cm. It was very hypoechoic to the surrounding fat. Given the neutered male status it is strongly suggestive of prostatic neoplasia. However, this does appear uniform. Chronic prostatitis is a possibility, but less likely. Focal areas of mineralization were noted.
The patient was euthanized due to continual clinical signs.
Sampling (US-guided fna/core bx/traumatic catheterization) would have been ideal for this patient at the time of the sonogram but was declined by the owner due to financial concerns.
Given that no overt clinical signs linked to the prostate were present, residual enlargement due to pre-neuter prostatic pathology is likely. Dogs that were neutered later in life often have mopre prominent residual prostates than those neutered as adloescents. Yet, monitoring for growth on US and emerging clinical signs is essential with these presentations.
Liver disease – neoplasia, chronic activity hepatitis, infectious (viral/bacterial), fibrosis, granulomatous disease. Weakness and weight loss – chronic kidney disease, neoplasia, generalized DJD, cardiac (tamponade, dilated cardiomyopathy).
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