– Jeb is a 12 yr old MN Jack Russel diagnosed with suspected UB TCC two years ago via ultrasound (by someone else)
– no biopsy was taken and pet placed on Piroxicam and has done clinically well
– now presenting with lethargy and hematuria
– ub bladder ultrasound showed various polyp like masses in the trigone region which at first I thought looked like uroliths but have positive colour Doppler flow and are not strong shadowing – could these be mineralized masses or maybe just masses covered in blood clots and crystals/mucus?
– Jeb is a 12 yr old MN Jack Russel diagnosed with suspected UB TCC two years ago via ultrasound (by someone else)
– no biopsy was taken and pet placed on Piroxicam and has done clinically well
– now presenting with lethargy and hematuria
– ub bladder ultrasound showed various polyp like masses in the trigone region which at first I thought looked like uroliths but have positive colour Doppler flow and are not strong shadowing – could these be mineralized masses or maybe just masses covered in blood clots and crystals/mucus?
– both kidneys were normal – no hydronephrosis
– jejunal LN’s hypoechoic and plump; medial iliac LN’s normal
– a round hypoechoic mass/cyst-like structure was detected in the region of the left pancreas – could this be a pancreatic cyst? enlarged LN?
Comments
the panc lesion looks like a
the panc lesion looks like a loculated cyst can drain easy enough. Well encapsulated. Ln cysts do this as well in which case you will get lymph type fluid back on centesis. On rare occasion I have seen TCC mineralize this much in the bladder but is an exception. But I would do traum catherterization here to see if you can dislodge the stones/mineralization, flush saline see if it will move.
the panc lesion looks like a
the panc lesion looks like a loculated cyst can drain easy enough. Well encapsulated. Ln cysts do this as well in which case you will get lymph type fluid back on centesis. On rare occasion I have seen TCC mineralize this much in the bladder but is an exception. But I would do traum catherterization here to see if you can dislodge the stones/mineralization, flush saline see if it will move.
Thanks Eric
In your
Thanks Eric
In your experience, how fast does TCC progress? Would be nice to get a copy of the orginal ultrasound but the clinic does not have it. Can piroxicam hold it off for years?
I have recommended a suction biopsy.
Thanks Eric
In your
Thanks Eric
In your experience, how fast does TCC progress? Would be nice to get a copy of the orginal ultrasound but the clinic does not have it. Can piroxicam hold it off for years?
I have recommended a suction biopsy.
TCC from the UGELAB procudre
TCC from the UGELAB procudre we do and now into about 200 cases I can say that it depends…
There are poorly vascular ones that grow very slow and highly vascular ones that grow fast. TCC really needcs a grading system. Older pets tend to grow their tumors slowly and younger ones faster… fertile soil theory..
TCC from the UGELAB procudre
TCC from the UGELAB procudre we do and now into about 200 cases I can say that it depends…
There are poorly vascular ones that grow very slow and highly vascular ones that grow fast. TCC really needcs a grading system. Older pets tend to grow their tumors slowly and younger ones faster… fertile soil theory..