This 9-year-old FS Golden Retriever dog had a 3 year history of alimentary lymphoma that was in complete remission following a CHOP chemotherapy protocol. The patient presented with vomiting and melena. Blood analysis demonstrated mild regenerative anemia.
This 9-year-old FS Golden Retriever dog had a 3 year history of alimentary lymphoma that was in complete remission following a CHOP chemotherapy protocol. The patient presented with vomiting and melena. Blood analysis demonstrated mild regenerative anemia.
Case Study
Intestinal Lymphosarcoma in a 9 year old FS Golden Retriever dog
Sonographic Differential Diagnosis
Small bowel mural mass consistent with neoplasia. The annular appearance with an obstructive component is commonly seen with adenocarcinoma; however, a round cell tumor cannot be definitively ruled out.
Image Interpretation
The image demonstrates a longitudinal segment of small bowel with moderate echogenic distension (proximal) and mildly attenuating material positioned distally. Distally, the segment of small bowel is focally, markedly, circumferentially thick walled with complete loss of wall layering, resulting in significant luminal narrowing.
DX
Intestinal lymphomosarcoma
Outcome
The patient was treated with a rescue protocol with Adriamycin, and prednisone with poor results and declining clinical status. The owner elected euthanasia as opposed to surgical resection and further treatment.
Clinical Differential Diagnosis
GI pathology – Escape from lymphoma remission, gastroenteritis, other neoplasia, foreign body, parasitic disease. Blood loss from gastric hemorrhage likely owing to history.
Sampling
18 ga US-guided biopsy revealed lymphosarcoma.
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Patient Information
Patient Name :
Brandy L
Gender :
Female, Spayed
Species :
Canine
Type of Imaging : Ultrasound
Status :
Complete
Liz Wuz Here :
Yes
Code :
04_00054
Clinical Signs
- Melena
- Vomiting
History
- GI Issues
- Neoplasia
Images
CBC
- RBC, Low
Clinical Signs
- Melena
- Vomiting