Case Study

Pancreatic lymphosarcoma in a 12 year old FS DSH cat

This 12-year-old FS DSH cat presented for progressive anorexia, lethargy and weight loss. The physical exam revealed a palpable irregular mid-abdominal mass, mild dehydration, mild fever and poor body condition. The CBC revealed slight anemia with anisocytosis, polychromasia, and moderate nucleated RBCs. Blood chemistry revealed mildly elevated ALT, mildly elevated AST, and mildly elevated total bilirubin.

This 12-year-old FS DSH cat presented for progressive anorexia, lethargy and weight loss. The physical exam revealed a palpable irregular mid-abdominal mass, mild dehydration, mild fever and poor body condition. The CBC revealed slight anemia with anisocytosis, polychromasia, and moderate nucleated RBCs. Blood chemistry revealed mildly elevated ALT, mildly elevated AST, and mildly elevated total bilirubin.

DX

Pancreatic lymphosarcoma.

Sonographic Differential Diagnosis

Pancreatic mass suspicious for carcinoma or lymphoma. Potential for necrosis and inflammation with regional lymphadenitis.

Image Interpretation

A mixed hypoechoic and multifocal hyperechoic mass is occupying the left pancreatic limb. Focally swollen contour of the pancreas and surrounding free fluid with multifocal regional lymphadenopathy suggests a neoplastic process.