A 16-year-old SF DSH was presented for evaluation of chronic elevated fPL, weight loss, and decreased appetite. Abnormalities on CBC and serum biochemistry were monocytosis and elevated BUN and phosphate.
Case Study
Pancreatic carcinoma with carcinomatosis in a 16 year old FS DSH cat
Sonographic Differential Diagnosis
Pancreatic mass with regional omental spread. Strongly suspect pancreatic carcinomatosis with secondary effusion.
Image Interpretation
The left pancreatic base revealed a nodular mass that measured 4.6 cm and enveloped the pancreatic duct and extended in a spider web type fashion in through the regional omentum with regional lymphadenopathy or omental nodules. The abdomen in this patient presented a large amount of echogenic ascites and was found to be serohemorrhagic on abdominocentesis.
DX
Pancreatic carcinoma with carcinomatosis
Outcome
None
Clinical Differential Diagnosis
Pancreas – neoplasia, chronic pancreatitis, abscess
GIT – IBD, neoplasia, focal perforation, ulceration
Focal peritonitis
Neoplasia
Sampling
Cytology was performed of the pancreas and abdominal fluid and revealed malignant neoplasia, suspect carcinoma.
Video
Patient Information
Patient Name :
Zoey M
Gender :
Female, Spayed
Species :
Feline
Type of Imaging : Ultrasound
Status :
Complete
Liz Wuz Here :
Yes
Code :
05_00191
Clinical Signs
- Anorexia
- Weight loss
Images
Blood Chemistry
- BUN high
CBC
- Monocytes, High
Clinical Signs
- Anorexia
- Weight loss
Special Testing
- fPLI Positive