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.
Case Study
Gastric lymphoma, diagnosed on U/S guided FNA, in a 12 year old FS DSH cat
DX
Gastric lymphoma
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.
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.
Video
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
CBC
- Lymphocytes, Low
- Neutrophils, High
Clinical Signs
- Anorexia