This 14-year-old MN DSH presented for partial anorexia, progressively worsening abdominal pain on serial examinations, and weight loss. CBC and blood chemistry analysis revealed a severe lipase elevation with otherwise normal parameters.
This 14-year-old MN DSH presented for partial anorexia, progressively worsening abdominal pain on serial examinations, and weight loss. CBC and blood chemistry analysis revealed a severe lipase elevation with otherwise normal parameters.
Case Study
Pancreatic carcinoma in a 14 year old MN DSH cat
DX
Pancreatic carcinoma with moderate atypia and no evident inflammation or necrosis
Sonographic Differential Diagnosis
Focal pancreatomegaly with mild peripancreatic inflammation. The size, echogenicity and focal involvement of the pancreas with lack of severe peripancreatic inflammation is worrisome for neoplasia. Emerging, severe pancreatitis cannot be definitively ruled out.
Image Interpretation
The mid aspect of the left limb of the pancreas is markedly enlarged with lobulated serosal margins. The pancreatic parenchyma is hypoechoic, mildly heteroechoic and moderately well vascularized. The surrounding mesenteric fat is mildly echogenic.
Outcome
The patient was euthanized due to poor prognosis.
Clinical Differential Diagnosis
Pancreatitis- IBD, neoplasia of pancreatic origin, extra-pancreatic neoplasia.
Sampling
US guided 22 and 25 gauge FNA revealed pancreatic carcinoma with moderate atypia and no evident inflammation or necrosis.
Video
Patient Information
Patient Name :
Bogus W
Gender :
Male, Neutered
Species :
Feline
Type of Imaging : Ultrasound
Status :
Complete
Liz Wuz Here :
Yes
Code :
05_00002
Clinical Signs
- Abdominal Pain
- Anorexia
- Weight loss
Exam Finding
- Abdominal Pain
Images
Blood Chemistry
- Lipase, High
Clinical Signs
- Abdominal Pain
- Anorexia
- Weight loss