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Gastric lymphoma, diagnosed on U/S guided FNA, in a 12 year old FS DSH cat

Case Study

Gastric lymphoma, diagnosed on U/S guided FNA, in a 12 year old FS DSH cat

A 12-year-old spayed female DSH cat was presented for evaluation of decreased appetite. Abnormalities on physical examination included weight loss and a possible abdominal mass on palpation. CBC showed neutrophilia and lymphocytopenia.

A 12-year-old spayed female DSH cat was presented for evaluation of decreased appetite. Abnormalities on physical examination included weight loss and a possible abdominal mass on palpation. CBC showed neutrophilia and lymphocytopenia.

Sonographic Differential Diagnosis

Gastric mass. This is likely lymphoma/round cell neoplasia, with a minor potential for carcinoma or granulomatous disease.

Image Interpretation

A dramatically hypoechoic, mural, concentric mass is present encompassing most of the gastric wall and invading the pyloric outflow. Complete loss of mural detail is present.

DX

Gastric lymphoma

Outcome

The owners elected chemotherapy and patient was started on the CHOP protocol.

Comments

No further outcome provided.

Clinical Differential Diagnosis

Chronic renal disease, liver disease, inflammatory bowel disease, intra-abdominal neoplasia (liver, spleen, GI tract), intra-abdominal granulomatous inflammation, hyperthyroidism.

Sampling

US-guided FNA (22 gauge needle) of the stomach/pylorus mass was conducted. The cytology was consistent with gastric lymphoma.

Patient Information

Patient Name : Kaylie F
Gender : Female, Spayed
Species : Feline
Type of Imaging : Ultrasound
Status : Complete
Liz Wuz Here : Yes
Code : 04_00144

Clinical Signs

  • Anorexia

History

  • Decreased appetite

Exam Finding

  • Palpable mass
  • Weight loss

Images

kAYLIE1_07092011085734KAyliefna2_07092011085752

CBC

  • Lymphocytes, Low
  • Neutrophils, High

Clinical Signs

  • Anorexia