Splenic lymphoma in a 15 year old MN DSH cat

Case Study

Splenic lymphoma in a 15 year old MN DSH cat

A 15-year-old neutered male DSH cat was presented for evaluation of polyphagia, weight loss, and severe splenomegaly. Abnormalities on CBC and serum biochemistry included leukocytosis, mild hypoalbuminemia, and an elevated BUN 42.

A 15-year-old neutered male DSH cat was presented for evaluation of polyphagia, weight loss, and severe splenomegaly. Abnormalities on CBC and serum biochemistry included leukocytosis, mild hypoalbuminemia, and an elevated BUN 42.

Sonographic Differential Diagnosis

Infiltrative splenic and hepatic pattern. Round cell neoplasia is suspected.

Image Interpretation

The spleen was severely enlarged at 2.0 cm with scalloping contour and hypoechoic parenchyma. The liver was severely enlarged with increased portal markings. The common bile duct measured 0.2 cm. Regional hepatic and epigastric lymph nodes were enlarged. Free fluid was noted, and is likely paraneoplastic, due to lymphatic obstruction.

DX

Lymphoma

Outcome

None

Clinical Differential Diagnosis

Splenic disease: neoplasia (lymphoma, mast cell tumor), splenitis, torsion, congestion; chronic kidney disease.

Sampling

FNA was performed and no complications were noted. Cytology revealed lymphoma.

Patient Information

Patient Name : Homer G
Gender : Male, Neutered
Species : Feline
Type of Imaging : Ultrasound
Status : Complete
Liz Wuz Here : Yes
Code : 08_00128

Clinical Signs

  • Polyphagia
  • Weight loss

Exam Finding

  • Splenomegaly

Images

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Blood Chemistry

  • Albumin, Low
  • BUN high

CBC

  • WBC, High

Clinical Signs

  • Polyphagia
  • Weight loss
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