This 8-year-old spayed female DSH cat was presented for rapid weight loss, anorexia, and vomiting. The physical exam revealed mild dehydration, intestinal thickening on palpation, and mild hyperthermia. CBC and blood chemistry values were normal. Urinalysis was not performed.
This 8-year-old spayed female DSH cat was presented for rapid weight loss, anorexia, and vomiting. The physical exam revealed mild dehydration, intestinal thickening on palpation, and mild hyperthermia. CBC and blood chemistry values were normal. Urinalysis was not performed.
Case Study
Gastric lymphoma in an 8 year old FS DSH cat
Sonographic Differential Diagnosis
Suggestive for gastric lymphoma or carcinoma.
Image Interpretation
Examination of the gastrointestinal tract revealed variable areas of hypoechoic mural thickening with loss of mural detail. The mesenteric root lymph nodes and epigastric lymph nodes were enlarged. The stomach presented significant gastric wall thickening measuring 1.5cm in certain areas and was sampled by fine needle aspirate.
DX
Gastric lymphoma
Outcome
The owners declined chemotherapy. The patient was treated with 1mg/kg prednisolone BID with marked improvement regarding the clinical symptoms, increased appetite and weight gain 1 month post diagnosis.
Clinical Differential Diagnosis
Intestinal neoplasia, IBD, maldigestion, extra GI neoplasia, GI foreign body, pancreatitis.
Sampling
22 gauge US-guided FNA of the proximal gastric wall revealed gastric lymphoma with suppurative inflammation.
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Patient Information
Patient Name :
Kittykat C
Gender :
Female, Spayed
Species :
Feline
Type of Imaging : Ultrasound
Status :
Complete
Liz Wuz Here :
Yes
Code :
04_00120
Clinical Signs
- Anorexia
- Vomiting
- Weight loss
History
- Anorexia
- Vomiting
- Weight Loss
Exam Finding
- Dehydration
- Fever
- Thickened Intestines
- Weight loss
Images
Clinical Signs
- Anorexia
- Vomiting
- Weight loss