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Carcinoma in a 13 year old FS DLH cat

Case Study

Case Study

Carcinoma in a 13 year old FS DLH cat

A 13-year-old spayed female DLH cat was presented for evaluation of recent onset poorly controlled diabetes mellitus. Abnormalities on laboratory workup included urinary tract infection, leukocytosis with a left shift, hyperglycemia, elevated BUN and elevated phosphorus. CPL was negative.

A 13-year-old spayed female DLH cat was presented for evaluation of recent onset poorly controlled diabetes mellitus. Abnormalities on laboratory workup included urinary tract infection, leukocytosis with a left shift, hyperglycemia, elevated BUN and elevated phosphorus. CPL was negative.

Sonographic Differential Diagnosis

There is an infiltrative hepatic and right renal pattern. Early left kidney involvement is possible. Carcinomatosis or lymphomatosis pattern with peritonitis is suspected.

Image Interpretation

The left kidney was enlarged, hypoechoic and irregular with a pericapsular inflammatory pattern and loss of corticomedullary detail. The right kidney was severely enlarged with distorted architecture and hyperechoic surrounding fat. The liver was severely enlarged with hypoechoic, nodular change and pericapsular inflammatory pattern. Free fluid was noted in the abdomen.

DX

Carcinoma and suppurative peritonitis

Outcome

None

Comments

No image or video of the left kidney is available.

Clinical Differential Diagnosis

Renal disease: chronic kidney disease, pyelonephritis, renolith, renal abscess. Hyperglycemia: uncontrolled diabetes mellitus, stress.

Sampling

Ultrasound-guided FNAs of the free fluid and mass near the left kidney were obtained. Free fluid revealed severe suppurative peritonitis with reactive cells. The mass near left kidney revealed pockets of apparent carcinoma cells.

Video

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Patient Information

Patient Name : Girl B
Gender : Female, Spayed
Species : Feline
Type of Imaging : Ultrasound
Status : Complete
Liz Wuz Here : Yes
Code : 06_00238

Images

girl_bruck_abdominal_lymphomatosis_telecytology_rkgirl_bruck_abdominal_lymphomatosis_telecytology_liver_2girl_bruck_abdominal_lymphomatosis_telecytology

Blood Chemistry

  • BUN high
  • Glucose, High
  • Phosphorus, High

CBC

  • Bands
  • Neutrophils, High
  • WBC, High

Special Testing

  • cPLI Negative

Urinalysi

  • Bacteria Present