06_00309 Lexi V TCC with mets to nodes

Case Study

06_00309 Lexi V TCC with mets to nodes

A 12-year-old SF Yorkshire terrier was presented for evaluation of hematuria and stranguria. On physical examination weight loss and severe dental disease were present. CBC was within reference range. Azotemia, hyperphosphatemia, and hyperglobulinemia were evident on serum biochemistry. Urinalysis showed hematuria, WBC’s, and SG of 1.020. On radiographs, bronchial pattern, some mineralization in the area of the bladder, lumbosacral spondylosis, and excessive GI gas.

 

Sonographic Differential Diagnosis

Cystourethral junction urethral mass into iliac lymph nodes and bladder mass all mineralizing strongly suggestive for transitional cell carcinoma.

Image Interpretation

Urinary bladder presented a polypoid mass occupying the cystourethral junction and trigonal area with focal areas of mineralization which measured approximately 2 x 2.5 cm. The mass enters into the cystourethral junction and expands approximately 1 to 1.5 cm at the proximal urethra. Focal areas of mineralization noted throughout. Concentric infiltrative pattern is noted through the trigone, cystourethral junction and the ventral bladder wall. Approximately 1 cm of the visible urethra was noted and minor thickening was present which could represent seeding. This lesion is non-resectable regardless. Iliac lymph nodes enlarged measuring 1 cm with focal areas of mineralization strongly suggestive for metastatic disease.

DX

TCC with mets to lymphnodes

Outcome

None

Clinical Differential Diagnosis

Bladder – neoplasia, uroliths, polyploid cystitis, chronic bacterial cystitis
Urethra – neoplasia, granulomatous urethritis, uroliths

Sampling

None

UA Specific Gravity Range

1.020

Patient Information

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

Clinical Signs

  • Hematuria
  • Stranguria
  • Weight loss

Exam Finding

  • Weight loss

Images

lexi_vitalevitale_lexi_tcc_cuj_trigone_2vitale_lexi_tcc_cuj_trigone_ln

Clinical Signs

  • Hematuria
  • Stranguria
  • Weight loss
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