Focal intestinal mass and mast cell neoplasia in a 14 year old DSH FS Cat diagnosed by US-guided FNA

Case Study

Case Study

Focal intestinal mass and mast cell neoplasia in a 14 year old DSH FS Cat diagnosed by US-guided FNA

The patient presented for weight loss, occasional vomiting, not herself, lethargic. CBC revealed mild anemia and elevated thyroid values. Clinical exam revealed a palpable intestinal mass and poor body condition.

The patient presented for weight loss, occasional vomiting, not herself, lethargic. CBC revealed mild anemia and elevated thyroid values. Clinical exam revealed a palpable intestinal mass and poor body condition.

DX

Intestinal mast cell neoplasia

Sonographic Differential Diagnosis

Intestinal mass: Lymphoma, MCT, leiomyosarcoma, complicated inflammatory disease, FIP.

Image Interpretation

A focal intestinal mass is seen and progressive infiltrative pattern with loss of mural detail. Partial obstructive pattern is noted with trapped echogenic luminal ingesta prior to the mass.

Outcome

The patient was referred to an oncologist for evaluation.

Clinical Differential Diagnosis

Neoplasia, abscess, foreign body, FIP.

Sampling

US-guided FNA: Mast cell neoplasia

Video

Patient Information

Patient Name : gabby cafeo
Gender : Female, Spayed
Species : Feline
Type of Imaging : Ultrasound
Book : yes
Status : Complete
Liz Wuz Here : Yes
Code : 20_00005

Clinical Signs

  • "Not Doing Right"
  • Anemia
  • Anorexia
  • Depression
  • Hiding behavior
  • Lethargy
  • Vomiting
  • Weight loss

History

  • Lethargy
  • Vomiting
  • Weight Loss

Exam Finding

  • Palpable mass
  • Weakness

Images

intestinal_mass_mct_gabby_cafeo_14_yr_fs_dsh_massintestinal_mass_mct_gabby_cafeo_14_yr_fs_dsh_muscularisintestinal_mass_mct_gabby_cafeo_14_yr_fs_dshintestinal_mass_mct_gabby_cafeo_14_yr_fs_dsh_fna

Blood Chemistry

  • Hyperthyroidism
  • Total Protein, High

CBC

  • Hematocrit, Low

Clinical Signs

  • "Not Doing Right"
  • Anemia
  • Anorexia
  • Depression
  • Hiding behavior
  • Lethargy
  • Vomiting
  • Weight loss
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