A 16-year-old SF DSH was presented for evaluation of decreased appetite and weight loss. Current therapy was Cerenia, and mirtazapine. fPL was abnormal.
Case Study
Pancreatic mineralizing mass in a 16-year-old FS Domestic Short Hair Cat
DX
Enlarged irregular spleen.
Sonographic Differential Diagnosis
Enlarged irregular spleen.
Mineralizing pancreatic mass.
Mildly enlarged liver
Outcome
Ultrasound guided FNA of the pancreatic mass is essential to rule out carcinoma versus pancreatic necrosis and possible abscessation. FNA of the spleen and liver are also warranted to rule out reactive spleen versus underlying infiltrative disease. Guarded prognosis dependent upon cytology.
Comments
The pancreas revealed a mixed, hypoechoic, mineralizing mass that measured 3.5 cm x 1.1 cm with ill-defined, irregular contour. The contours were ill defined. The mass was slightly vascular. Appears to be deriving from the right base. Reactive surrounding fat was visualized. Ultrasound guided FNA essential to rule out carcinoma versus pancreatic necrosis and possible abscessation. The mass was slightly vascular. Appears to be deriving from the right base.
The spleen was mildly enlarged with undulating capsular contour measuring 1.0 cm in width. This is consistent with reactive spleen owing to immune stimulus or early infiltrative disease such as mast cell disease or lymphoma. 25-gauge FNA would be ideal.
The liver presented diffusely hyperechoic with mild coarse architecture. Excessive gall bladder debris was noted with minor over-distention. The common bile duct was normal. This is consistent with lipidosis minor with a potential for neoplasia.
Pancreas – chronic pancreatitis, acute pancreatitis, neoplasia, abscess
GIT – neoplasia, IBD, foreign body, ulceration
Clinical Differential Diagnosis
Pancreas – chronic pancreatitis, acute pancreatitis, neoplasia, abscess
GIT – neoplasia, IBD, foreign body, ulceration
Patient Information
Patient Name :
Foxy Smith
Gender :
Female, Spayed
Species :
Feline
Type of Imaging : Ultrasound
Status :
Complete
History
- Anorexia
- Weakness
- Weight Loss
Images
