04_00406 Lillie C Gastric LSA

Case Study

04_00406 Lillie C Gastric LSA

A 7-year-old SF DSH was presented for evaluation of a two-week period of vomiting food. Physical examination and blood work were within normal limits. There had been no response to fenbendazole therapy.

A 7-year-old SF DSH was presented for evaluation of a two-week period of vomiting food. Physical examination and blood work were within normal limits. There had been no response to fenbendazole therapy.

Sonographic Differential Diagnosis

Gastric mass with regional lymphadenopathy. Likely lymphoma or similar neoplasia. FNA were performed without complication.

Image Interpretation

The gastric wall was thickened at 0.6-0.8 cm with complete loss of detail and areas of remodeling. Regional lymph nodes were enlarged. This is consistent with ulcerative disease, chronic inflammatory disease or potential neoplasia such as lymphoma or sclerosing carcinoma. The gastric pattern developed into an overt mass that involved the gastric fundus and measured 3.06 cm. This is strongly suspicious for lymphoma. Epigastric lymph node was noted and measured 0.49 cm.

DX

Gastric lymphoma

Outcome

The patient is doing well on Prednisone.

Clinical Differential Diagnosis

GIT – IBD, lymphoma, other neoplasia, Helicobacter gastritis, ulceration foreign body, dietary hypersensitivity, granulomatous enteritis

Sampling

FNA of gastric mass: Lymphoma

Patient Information

Gender : Female, Spayed
Species : Feline
Type of Imaging : Ultrasound
Status : Complete

Clinical Signs

  • Vomiting

Images

clark_lillie_gastric_lymphomaclark_lillie_gastric_lymphoma_2clark_lillie_gastric_lymphoma_ln

Clinical Signs

  • Vomiting