This 9 year old FS dog presented with a one month history of weight loss, ADR. Splenic sample submitted for telecytology too.
Physical Exam: Thin, palpable abdominal left sided mass
CBC/Chem: ALT 170
This 9 year old FS dog presented with a one month history of weight loss, ADR. Splenic sample submitted for telecytology too.
Physical Exam: Thin, palpable abdominal left sided mass
CBC/Chem: ALT 170
Moderate splenic enlargement with multiple complex hypoechoic expansile mass
lesions up to 4 cm diameter is noted. The splenic capsule reveals interruptions with
protrusion of anechoic masses (potential fresh hematoma). There is moderate hepatomegaly. Multifocal expansile hypoechoic nodules are seen
throughout all liver lobes displacing the regular echotexture and expanding the capsule. A moderate amount of peritoneal effusion is noted. The mesentery is irregular
throughout with multifocal complex anechoic nodules.
The potential of a malignancy such as hemangiosarcoma is high in this case as the
presence of rupture and hemorrhage is a recognized malignancy criteria. Hemorrhage
from a liver nodule may contribute to the effusion as well.
The potential of the splenic and liver changes to be benign is very low.
Final diagnosis and full staging would require FNA of the spleen with liver and
mesenteric sampling as well as a 3 view radiographic study of the chest and
sonographic evaluation of the heart base for possible masses/pericardial effusion.
Exploratory surgery with splenectomy plus chemotherapy may be discussed as a
palliative measure after stabilizing the patient since mean survival times even with
metastatic spread may be up to 90 days.
The overall prognosis appears to be poor.
FNA/telecyotology of spleen and liver. Spleen: inflammation, but inadequate number of cells. Liver: hemorrhagic collection of cells with good numbers of hepatocytes supporting probable hepatocellular adenoma or carcinoma. Recommend follow-up liver biopsy.
