Doxie suspcious mass

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Doxie suspcious mass

This is a 9 yr old Dachshund who presented to my associate for cough/gagging. Otherwise fine eating , playing etc.  The radiographs showed suspicious mass. The patient was imaged. I am wrestling with the location of this mass? Which side of diaphram? Has anyone  done fna or biopsy here and what is best access point? Which neoplasias have you seen?Thanks

 

This is a 9 yr old Dachshund who presented to my associate for cough/gagging. Otherwise fine eating , playing etc.  The radiographs showed suspicious mass. The patient was imaged. I am wrestling with the location of this mass? Which side of diaphram? Has anyone  done fna or biopsy here and what is best access point? Which neoplasias have you seen?Thanks

 

                    

Comments

EL
February 13, 2014 at 9:08 pm -

 
 
Great post: primary lung

 
 

Great post: primary lung mass carcinoma or sarcoma likely, granuloma or fungal in such regions but doubt it. But I have seen cholangiocarcinoma eat right through the liver into the diaphragm like this even though the liver looked ok. i have done fna transdiaphragmatic through the liver with spinal needle or core in a post mortem. I notify onwer/client of risk and do an fna but I am aggressive with needles. Could do CT and exploratory thoracic sx as this is th egold standard for these type lesions.

There are similar ones in the search engine such as this one just search “lung mass” in the basic search

http://sonopath.com/members/case-studies/search

http://sonopath.com/members/case-studies/cases/hemorrhagic-lung-mass-found-transdiaphragmatic-view-while-assessing-pancr

 
sherilin
February 13, 2014 at 9:26 pm -

Thanks great info! I think we

Thanks great info! I think we will be off to the thoracic surgeon I do  not think I’m bold enough to stick this one.

EL
February 13, 2014 at 9:08 pm -

 
 
Great post: primary lung

 
 

Great post: primary lung mass carcinoma or sarcoma likely, granuloma or fungal in such regions but doubt it. But I have seen cholangiocarcinoma eat right through the liver into the diaphragm like this even though the liver looked ok. i have done fna transdiaphragmatic through the liver with spinal needle or core in a post mortem. I notify onwer/client of risk and do an fna but I am aggressive with needles. Could do CT and exploratory thoracic sx as this is th egold standard for these type lesions.

There are similar ones in the search engine such as this one just search “lung mass” in the basic search

http://sonopath.com/members/case-studies/search

http://sonopath.com/members/case-studies/cases/hemorrhagic-lung-mass-found-transdiaphragmatic-view-while-assessing-pancr

 
sherilin
February 13, 2014 at 9:26 pm -

Thanks great info! I think we

Thanks great info! I think we will be off to the thoracic surgeon I do  not think I’m bold enough to stick this one.

rlobetti
February 14, 2014 at 5:06 am -

Another possiblity would be

Another possiblity would be an esophageal mass, with similar causes as mentioned by Eric as well as Spirocerca – could consider doing a scope.

sherilin
February 15, 2014 at 12:21 pm -

I was strongly considering

I was strongly considering esophgeal disease. Are there any good reference materials , journal articles or images, you can recommend. It is an area I always struggle with. Thanks

rlobetti
February 14, 2014 at 5:06 am -

Another possiblity would be

Another possiblity would be an esophageal mass, with similar causes as mentioned by Eric as well as Spirocerca – could consider doing a scope.

sherilin
February 15, 2014 at 12:21 pm -

I was strongly considering

I was strongly considering esophgeal disease. Are there any good reference materials , journal articles or images, you can recommend. It is an area I always struggle with. Thanks

EL
February 14, 2014 at 2:44 pm -

Thats a good thought nice!
 

Thats a good thought nice!

 

EL
February 14, 2014 at 2:44 pm -

Thats a good thought nice!
 

Thats a good thought nice!

 

rlobetti
February 15, 2014 at 12:28 pm -

Good descriptions in Textbook

Good descriptions in Textbook of Veterinary Internal Medicine (Ettinger) and Canine and Feline Gastroenterology (Washabau and Day).

rlobetti
February 15, 2014 at 12:28 pm -

Good descriptions in Textbook

Good descriptions in Textbook of Veterinary Internal Medicine (Ettinger) and Canine and Feline Gastroenterology (Washabau and Day).

rlobetti
February 15, 2014 at 12:44 pm -

Good descriptions in Textbook

Good descriptions in Textbook of Veterinary Internal Medicine (Ettinger) and Canine and Feline Gastroenterology (Washabau and Day).

sherilin
February 15, 2014 at 12:58 pm -

Thanks I will revisit those.

Thanks I will revisit those.

rlobetti
February 15, 2014 at 12:44 pm -

Good descriptions in Textbook

Good descriptions in Textbook of Veterinary Internal Medicine (Ettinger) and Canine and Feline Gastroenterology (Washabau and Day).

sherilin
February 15, 2014 at 12:58 pm -

Thanks I will revisit those.

Thanks I will revisit those.

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