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Lymphoblastic, Lymphocytic Lymphoma in a 10 year old FS DSH cat

Case Study

Lymphoblastic, Lymphocytic Lymphoma in a 10 year old FS DSH cat

This 10-year-old FS DSH cat presented for weight loss and anorexia. The physical exam revealed a small palpable caudal abdominal mass. Blood analysis was normal.

This 10-year-old FS DSH cat presented for weight loss and anorexia. The physical exam revealed a small palpable caudal abdominal mass. Blood analysis was normal.

Sonographic Differential Diagnosis

Partially obstructing colonic wall mass consistent with neoplasia such as adenocarcinoma, leiomyosarcoma or possibly lymphosarcoma.

Image Interpretation

A symmetrical, circumferential mural thickening involving a segment of descending colon is present. The affected colonic wall is located centrally and contracted while the adjacent, proximal colon is distended with a normal colonic gas curtain supporting an obstructive component.

DX

Colonic mixed lymphoblastic, lymphocytic lymphoma.

Outcome

The patient was treated with Elspar, vincristine, and prednisone.

Clinical Differential Diagnosis

GI pathology – Neoplasia, IBD with lymphadenopathy, intestinal foreign body, granulomatous disease.

Sampling

Subtotal colectomy was performed with complete excision of the mass. Histopathology demonstrated mixed lymphoblastic, lymphocytic lymphoma.

Patient Information

Patient Name : Athena R
Gender : Female, Spayed
Species : Feline
Type of Imaging : Ultrasound
Status : Complete
Liz Wuz Here : Yes
Code : 04_00064

Clinical Signs

  • Anorexia
  • Weight loss

History

  • Anorexia
  • Weight Loss

Exam Finding

  • Palpable mass

Images

Athena_r_2_02102010075128Athena_r_1_02102010075116

Clinical Signs

  • Anorexia
  • Weight loss