Found this left adrenal tumor ( originating from cranial pole). Was afraid to poke it. Does it resemble Pheo? RDVM didn’t check the BP. On exam was 175-Systolic. If Phecromocytoma can bleed and cause arhytmia, right?
If sx not an option would Mitotane be an alternative or to extensive to respond?The right Adr was normal. This 14 year old Springer F?S is doing good except PU/PD.
Thank you,
Calin
Found this left adrenal tumor ( originating from cranial pole). Was afraid to poke it. Does it resemble Pheo? RDVM didn’t check the BP. On exam was 175-Systolic. If Phecromocytoma can bleed and cause arhytmia, right?
If sx not an option would Mitotane be an alternative or to extensive to respond?The right Adr was normal. This 14 year old Springer F?S is doing good except PU/PD.
Thank you,
Calin
Comments
another 2 images.
another 2 images.
another 2 images.
another 2 images.
Its possible but may be
Its possible but may be coming from the right adrenal. The echotexture is correct for pheo. What I do on these it identify the displaced normal porgans like the spleen, kidney, pancreas and eventually adrenals. Video of the right kidney through the CVC and same from the left kidney through the CVC would help identify further. Take serial BP and see if there is hypertension. I do perform 25 gauge FNA of these but watch for adrenal surge and tachycardia. Only happened once to me after hundreds of fna of adrenals.
Its possible but may be
Its possible but may be coming from the right adrenal. The echotexture is correct for pheo. What I do on these it identify the displaced normal porgans like the spleen, kidney, pancreas and eventually adrenals. Video of the right kidney through the CVC and same from the left kidney through the CVC would help identify further. Take serial BP and see if there is hypertension. I do perform 25 gauge FNA of these but watch for adrenal surge and tachycardia. Only happened once to me after hundreds of fna of adrenals.
Question is what are the
Question is what are the clinical signs, as in a 14 year old dog it may ne an incidental finding? Once off BP of 175 may be associated with a stress response rtaher than true hypertension. Serial BP and FNA would be indicated.
Question is what are the
Question is what are the clinical signs, as in a 14 year old dog it may ne an incidental finding? Once off BP of 175 may be associated with a stress response rtaher than true hypertension. Serial BP and FNA would be indicated.
Sorry, was away.
Thank you
Sorry, was away.
Thank you for your responses. Definatelly left adrenal origin. Multiple images taken, right adrenal normal. Clinical signs were PU/PD only ( according to RDVM).
Owner declined FNA due to risks involved. I was just wondering “if it looks like Pheocromocytoma”
RDVM offered to refer for sx.Owners didn’t decide yet.
Calin
Sorry, was away.
Thank you
Sorry, was away.
Thank you for your responses. Definatelly left adrenal origin. Multiple images taken, right adrenal normal. Clinical signs were PU/PD only ( according to RDVM).
Owner declined FNA due to risks involved. I was just wondering “if it looks like Pheocromocytoma”
RDVM offered to refer for sx.Owners didn’t decide yet.
Calin
Eric, what did you do in that
Eric, what did you do in that case you had adrenal surge? after FNB?
Veronica
Eric, what did you do in that
Eric, what did you do in that case you had adrenal surge? after FNB?
Veronica
Run and hide…… wondering
Run and hide…… wondering about that myself.
Do you treat as for arrhytmia or?
Calin
Run and hide…… wondering
Run and hide…… wondering about that myself.
Do you treat as for arrhytmia or?
Calin
The one that happened to me
The one that happened to me It self limited and wasnt a problem had a tachycardic episode that slowed down. Remo what would you do??
The one that happened to me
The one that happened to me It self limited and wasnt a problem had a tachycardic episode that slowed down. Remo what would you do??
Complications could be
Complications could be hypertension and arrhythmias, both of which are self limiting as the catecholamine surge is transient and often requires no intervention. If worried one can pre-treat with phenoxybenzamine, however, this needs to be done for a couple to days prior to FNA.
Complications could be
Complications could be hypertension and arrhythmias, both of which are self limiting as the catecholamine surge is transient and often requires no intervention. If worried one can pre-treat with phenoxybenzamine, however, this needs to be done for a couple to days prior to FNA.