Pancreatic neuroendocrine tumor (insulinoma) in a 14 year old FS American Eskimo Spitz dog

Case Study

Case Study

Pancreatic neuroendocrine tumor (insulinoma) in a 14 year old FS American Eskimo Spitz dog

A 14-year-old SF American Eskimo was presented for evaluation of persistent hypoglycemia, lethargy, and anorexia. On blood work hypoglycemia, mildly elevated ALP and ALT activity, and normal baseline cortisol and insulin were evident. 

A 14-year-old SF American Eskimo was presented for evaluation of persistent hypoglycemia, lethargy, and anorexia. On blood work hypoglycemia, mildly elevated ALP and ALT activity, and normal baseline cortisol and insulin were evident. 

Sonographic Differential Diagnosis

Pancreatic nodule, suspect insulinoma.

Image Interpretation

The right limb of the pancreas revealed a hypoechoic nodule that measured 1.13 x 1.11 cm with loss of architecture. This is strongly suggestive of insulinoma given the history.

DX

FNA of the pancreatic nodule revealed neuroendocrine tumor

Outcome

None

Clinical Differential Diagnosis

Pancreatic neoplasia
Insulinoma
Addison’s
Focal neoplasia/abscess/granuloma within abdominal or thoracic cavity
Cirrhosis

Sampling

FNA of the pancreatic nodule revealed neuroendocrine tumor.

Video

Patient Information

Patient Name : Katie Thompson
Gender : Female, Spayed
Species : Canine
Type of Imaging : Ultrasound
Liz Wuz Here : Yes
Code : 05-00124

Clinical Signs

  • Anorexia
  • Lethargy

Images

katie_nodule_anon

Blood Chemistry

  • Alkaline Phosphatase (SAP), High
  • ALT (SGPT), High
  • Glucose, Low

Clinical Signs

  • Anorexia
  • Lethargy