A 9-year-old FS DLH cat was presented with anorexia. Physical examination revealed mild dehydration and poor body condition. Mildly elevated SAP and mildly elevated ALT were found in the blood chemistry profile. Urinalysis was unremarkable.
A 9-year-old FS DLH cat was presented with anorexia. Physical examination revealed mild dehydration and poor body condition. Mildly elevated SAP and mildly elevated ALT were found in the blood chemistry profile. Urinalysis was unremarkable.
Case Study
Hepatocellular carcinoma in a 9 year old FS DLH cat
Sonographic Differential Diagnosis
Hepatic abscessation or necrotizing neoplasm occasionally present with similar characteristics and cannot be ruled out.
Image Interpretation
Long-axis view of the right liver demonstrates a well-circumscribed, ovoid, echogenic, multicystic right lobar liver mass impinging on the diaphragm. The echogenic appearance is the result of distal enhancement within the numerous small, closely associated cysts comprising the mass.
DX
Hepatocellular carcinoma
Outcome
Surgery was performed in this case because the pathology was localized to the right lobes, and the adjacent portal hilus was not affected. The patient recovered reluctantly owing to postoperative anemia but remained asymptomatic for 5 months until a mass developed in the cranial mediastinum. The cranial mediastinal mass was not defined histopathologically but was aspirated to reveal lymphoid hyperplasia. The owner elected humane euthanasia at that time.
Comments
No video is available on this patient.
Clinical Differential Diagnosis
Multi-organ pathology: pancreatitis, neoplasia, inflammatory hepatopathy, biliary calculi, IBD, GI obstruction.
Sampling
Surgical resection and biopsy revealed hepatocellular carcinoma.
Patient Information
Patient Name :
Patches L
Gender :
Female, Spayed
Species :
Feline
Type of Imaging : Ultrasound
Status :
Complete
Liz Wuz Here :
Yes
Code :
03_00091
Clinical Signs
- Anorexia
Exam Finding
- Dehydration
- Poor or unkempt coat
Images
Blood Chemistry
- Alkaline Phosphatase (SAP), High
- ALT (SGPT), High
Clinical Signs
- Anorexia