Mast Cell Disease

Case Of the Month

The patient was presented for weight loss, occasional vomiting, not herself, lethargic. CBC revealed mild anemia and elevated thyroid values. Clinical exam revealed a palpable intestinal mass and poor body condition.

The patient was presented for weight loss, occasional vomiting, not herself, lethargic. CBC revealed mild anemia and elevated thyroid values. Clinical exam revealed a palpable intestinal mass and poor body condition.

DX

Intestinal mast cell neoplasia.

Outcome

The patient was referred to an oncologist for evaluation. No further medical intervention was sought and at the time of the publication of this case the patient was still stable.

Clinical Differential Diagnosis

Neoplasia, abscess, foreign body, FIP.

Sampling

US-guided FNA: Mast cell neoplasia.

Sonographic Differential Diagnosis

Intestinal mass: Lymphoma, MCT, leiomyosarcoma, complicated inflammatory disease, FIP.

Image Interpretation

A focal intestinal mass is seen and progressive infiltrative pattern with loss of mural detail. Partial obstructive pattern is noted with trapped echogenic luminal ingesta prior to the mass.

Patient Information

Patient Name : http://sonopath.com/members/case-studies/cases/focal-intestinal-mass-and-mast-cell-neoplasia-14-year-old-dsh-fs-cat-diag
Gender : Female, Spayed
Species : Feline
Status : Complete

Clinical Signs

  • Anemia

History

  • Lethargy
  • Vomiting
  • Weight Loss

Exam Finding

  • Palpable mass
  • Weakness

Images

com_jan_14_12_intestinal_mass_mct_gabby_cafeo_14_yr_fs_dsh_muscularis3_intestinal_mass_mct_gabby_cafeo_14_yr_fs_dsh4_intestinal_mass_mct_gabby_cafeo_14_yr_fs_dsh_fna

Blood Chemistry

  • Hyperthyroidism
  • Total Protein, High

CBC

  • Hematocrit, Low

Clinical Signs

  • Anemia
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