16-year-old FS DLH cat was presented for weight loss. A mass was found on abdominal palpation. A CBC revealed a marked leukocytosis, thrombocytosis and a decreased hematocrit.
16-year-old FS DLH cat was presented for weight loss. A mass was found on abdominal palpation. A CBC revealed a marked leukocytosis, thrombocytosis and a decreased hematocrit.
Case Study
Lymphoma in a 16 year old FS DLH cat
DX
Mass and node: lymphoma
Sonographic Differential Diagnosis
Likely lymph node mass suggestive for lymphoma or similar neoplastic invasion. Minor potential for granulomatous disease.
Image Interpretation
A large mildly heterogenous mass was noted in the region of mesenteric root lymph node and likely represents derivation from lymphatic tissue. Loss of structural integrity would suggest a neoplastic process or potentially a granulomatous lesion such as F.I.P.
Outcome
Chemotherapy was recommended, however, the cat was lost to follow up.
Clinical Differential Diagnosis
Neoplasia (lymphoma, adenocarcinoma, leiomyoma, leiomyosarcoma, mast cell tumor.) Pancreatic pathology: severe pancreatits ; Reactive lymph node, partial obstruction and/or perforation of the intestinal tract secondary to a neoplasm, foreign body, granuloma, pyogranulomatous inflammation (FIP,) abscess.
Sampling
A fine needle aspirate of the 5 cm mass/lymph node
Video
Patient Information
Patient Name :
Amy G
Gender :
Female, Spayed
Species :
Feline
Type of Imaging : Ultrasound
Status :
Complete
Liz Wuz Here :
Yes
Code :
04_00187
Clinical Signs
- Weight loss
History
- Weight Loss
Exam Finding
- Palpable mass
Images
CBC
- Hematocrit, Low
- Platelet Count, High
- WBC, High
Clinical Signs
- Weight loss