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Pancreatic carcinoma in a 12 year old MN DSH cat

Case Study

Case Study

Pancreatic carcinoma in a 12 year old MN DSH cat

A 12-year-old neutered male DSH cat was presented for inappetence, polydipsia, and lethargy. The patient had a history of FLUTD and pancreatitis. Recent laboratory testing had shown leukocytosis and hyperlipasemia. Abdominal pain was present on abdominal palpation. Loss of abdominal detail was evident on survey abdominal radiographs.

A 12-year-old neutered male DSH cat was presented for inappetence, polydipsia, and lethargy. The patient had a history of FLUTD and pancreatitis. Recent laboratory testing had shown leukocytosis and hyperlipasemia. Abdominal pain was present on abdominal palpation. Loss of abdominal detail was evident on survey abdominal radiographs.

Sonographic Differential Diagnosis

Pancreatic mass, suspect carcinoma, lymphoma, or pancreatic necrosis and inflammation.

Image Interpretation

An ill-defined mixed hypoechoic mass is present in the pancreatic body infiltrating in an irregular pattern through the echogenic surrounding fat. Power Doppler shows areas that are void of vasculature, which is suggestive for necrosis.

DX

Pancreatic carcinoma with necrosis and chronic hemorrhage.

Outcome

The owner elected for euthanasia.

Clinical Differential Diagnosis

Ascites – transudate/modified transudate/septic or non septic exudate. Pancreatic pathology – chronic pancreatitis, neoplasia. Bladder rupture.

Sampling

U/S guided fine needle aspirate of the pancreas. Pancreatic cytology was compatible with a carcinoma as well as evidence of necrosis and chronic hemorrhage.

Video

Video Player

Patient Information

Patient Name : Jesse B
Gender : Male, Neutered
Species : Feline
Type of Imaging : Ultrasound
Book : yes
Status : Complete
Liz Wuz Here : Yes
Code : 05_00057

Clinical Signs

  • Anorexia
  • Lethargy
  • Polydipsia

History

  • FLUTD
  • Pancreatitis

Exam Finding

  • Abdominal Pain

Images

PancreaticCAFNA

Blood Chemistry

  • Lipase, High

CBC

  • WBC, Low

Clinical Signs

  • Anorexia
  • Lethargy
  • Polydipsia