A 10-year-old SF Toy Poodle was presented for evaluation of polyphagia, possibly PU/PD, and markedly elevated ALP activity.
A 10-year-old SF Toy Poodle was presented for evaluation of polyphagia, possibly PU/PD, and markedly elevated ALP activity.
Case Study
Left adrenal mass with phrenic invasion in a 10 year old FS Toy Poodle
DX
left adrenal mass
Sonographic Differential Diagnosis
left adrenal mass
Image Interpretation
The left adrenal gland presented a focal mass with phrenic vein invasion to the level of the vena cava; however, the vena cava did not appear to be invaded at this time. The left adrenal gland measured 1.42 x 0.92; however, an extended invasion of approximately 2.0 cm into the level of the vena cava at the phrenic vein was noted. There was no capsular escape noted.
Outcome
This is strongly suggestive for pheochromocytoma or adenocarcinoma. LDDST and blood pressure measurements would be recommended with left adrenalectomy. There was no evidence of metastatic disease.
Clinical Differential Diagnosis
Cushing’s disease – pituitary-dependent, adrenal adenoma/carcinoma, iatrogenic
Patient Information
Patient Name :
Coco Munro
Gender :
Female, Spayed
Species :
Canine
Type of Imaging : Ultrasound
Status :
Complete
Liz Wuz Here :
Yes
Code :
07_00193
Clinical Signs
- Polydipsia
- Polyphagia
- Polyuria
Images
Blood Chemistry
- Alkaline Phosphatase (SAP), High
Clinical Signs
- Polydipsia
- Polyphagia
- Polyuria