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The patient is a canine Cocker Spaniel, SF, 6 years of age, weighing 19.6 lbs. She was presented with a history of panting, shaking, vomiting and diarrhea. Blood work shows azotemia, AST 175, GGT 20 possible mass in abdomen, with concern for chest metastasis, per ACVR. BP 161/92
Mineralizing pancreatic mass with suspicion for metastatic disease, liver, regional lymph nodes and lung. Poor prognosis depending on underlying cytology.
The pancreas was hypoechoic, nodular and irregular with loss of detail. Pericapsular inflammatory pattern was noted. The pancreas revealed variable areas of mineralization and cystic changes within the mass itself. The contour was ill defined and infiltrative throughout the cranial abdomen and mesentery enveloping the gastrointestinal tract, which per se did not have any overt pathology; however, much of it was not visible owing to the extent of the pancreatic tumor. A chain of enlarged, rounded, hypoechoic lymphnodes was seen. FNAs were performed on the pancreatic lesion, LN and lung lesion.
The lung revealed hypoechoic consolidations in variable portions of the intercostal views. This is strongly consistent with metastatic disease given the abdominal pathology.
None
Cytology revealed pancreatic adenocarcinoma with metastasis to the lung and lymph node.
