A 13-year-old FS Samoyed with history of azotemia and urinary leaking, on DES and NF diet, was presented for polyuria. Leukocyturia was present on urinalysis. Abnormalities on CBC and blood chemistry were thrombocytosis, monocytosis, elevated AST, ALT and ALP activity, hyperkalemia, and hyperamylasemia.
A 13-year-old FS Samoyed with history of azotemia and urinary leaking, on DES and NF diet, was presented for polyuria. Leukocyturia was present on urinalysis. Abnormalities on CBC and blood chemistry were thrombocytosis, monocytosis, elevated AST, ALT and ALP activity, hyperkalemia, and hyperamylasemia.
Case Study
03_00213 Snowball L Hepatocellular carcinoma
DX
Hepatocellular carcinoma.
Sonographic Differential Diagnosis
Left liver mass. The mass does impinge upon the diaphragm. Therefore, clean resection may not be possible. However an attempt at a left lobectomy in this patient may provide for long term survival.
Image Interpretation
The liver presented a 7.5 x 7.0 cm, deep left sided liver mass that was hyperechoic and impinging on the diaphragm. This may be resectable with complete left lobe lobectomy.
Outcome
Blood pressure measurements were within normal limits. After a normal coagulation panel, the patient underwent ultrasound-guided biopsy of the liver mass. The patient was treated with Denamarin pending histopathology results. The patient was sent for surgical consultation and it was determined that surgery was not a good option. At follow-up examination the patient was found to be doing well and stable on current treatment with Denamarin.
Comments
No further outcome provided.
Clinical Differential Diagnosis
Liver – acute liver disease (infection, trauma, toxin, drug induced), Cushing’s disease, chronic-active hepatitis, neoplasia Gastric ulceration
Sampling
US-guided Tru-cut biopsy of the liver mass revealed hepatocellular carcinoma.
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Patient Information
Gender :
Female, Spayed
Species :
Canine
Type of Imaging : Ultrasound
Status :
Complete
Clinical Signs
- Polyuria
History
- Azotemia
- Incontinence
Images
Blood Chemistry
- Alkaline Phosphatase (SAP), High
- ALT (SGPT), High
- Amylase, High
- AST (SGOT), High
- Potassium, High
CBC
- Monocytes, High
- Platelet Count, High
Clinical Signs
- Polyuria