A 15-year-old FS mixed breed dog with a history of being Ehrlichia positive, hypothyroid, having a grade 2 mast cell tumor, and a tumor on the right rear leg, was presented for evaluation of diarrhea and decreased appetite. Abnormalities on CBC and serum biochemistry were mild anemia, elevated amylase, hypoalbuminemia, and hyperglobulinemia.
A 15-year-old FS mixed breed dog with a history of being Ehrlichia positive, hypothyroid, having a grade 2 mast cell tumor, and a tumor on the right rear leg, was presented for evaluation of diarrhea and decreased appetite. Abnormalities on CBC and serum biochemistry were mild anemia, elevated amylase, hypoalbuminemia, and hyperglobulinemia.
Case Study
Suspect pancreatic carcinoma in a 15 year old FS Mixed breed dog
Sonographic Differential Diagnosis
Right limb pancreatic mass, mineralizing. This is highly suggestive of pancreatic carcinoma. Fine-needle aspirates would be warranted. There is a minor possibility of necrosis. Recommend ultrasound-guided fine-needle aspirates of the pancreatic mass as well as empirical treatment for pancreatitis. If no neoplasia is noted then pancreatitis protocol should be followed. However, this is highly suspicious of pancreatic carcinoma.
Image Interpretation
The pancreas presented a 4 x 3 cm, hypoechoic and focally mineralizing mass at the right pancreatic base. Associated periportal and upper gastrointestinal lymphadenopathy was noted. This mass was not resectable and most consistent with pancreatic carcinoma given the mineralization.
DX
Suspect pancreatic neoplasia.
Outcome
No further outcome is available.
Clinical Differential Diagnosis
GI clinical signs- IBD, neoplasia, parasites, dietary hypersensitivity, foreign body, intussusception.
Pancreas clinical signs- pancreatitis, neoplasia. Systemic disease – metastatic neoplasia, Ehrlichiosis.
Sampling
Owner was undecided on sampling and further diagnostics.
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Patient Information
Patient Name :
Ahdough L
Gender :
Female, Spayed
Species :
Canine
Type of Imaging : Ultrasound
Status :
Complete
Liz Wuz Here :
Yes
Code :
05_00073
Clinical Signs
- Anorexia
- Diarrhea
History
- Ehrlichia positive
- Hypothyroidism
- Neoplasia
Images
Blood Chemistry
- Albumin, Low
- Amylase, High
- Globulin, High
CBC
- RBC, Low
Clinical Signs
- Anorexia
- Diarrhea