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Gastric Neoplasia

Sonopath Forum

Gastric Neoplasia

– 6 1/2 yr old, MN Newfoundland presented for anorexia and vomiting over a few days

– bloodwork and survey rads unremarkable

– marked weight loss noted even at 120lbs (scanned this big boy on the floor)

– u/s showed a focal region of hypoechoic gastric wall thickening with loss of normal wall layering and no stomach contractions; some pockets of gas shadowing in the wall which may indicate ulceration

– gastric LN’s enlarged, round to irregular in shape and hypoehoic; splenic and possible renal LN’s showing similar appearance

– 6 1/2 yr old, MN Newfoundland presented for anorexia and vomiting over a few days

– bloodwork and survey rads unremarkable

– marked weight loss noted even at 120lbs (scanned this big boy on the floor)

– u/s showed a focal region of hypoechoic gastric wall thickening with loss of normal wall layering and no stomach contractions; some pockets of gas shadowing in the wall which may indicate ulceration

– gastric LN’s enlarged, round to irregular in shape and hypoehoic; splenic and possible renal LN’s showing similar appearance

– other organs appeared normal – no effusion

I am always hesitatant to make the call of gastric neoplasia with a thickened stomach wall as I know severe gastritis is a differential. This owner is going to go for a GI scope and biopsy. FNA was offered. ……But to me this looks like neoplasia – lymphoma and carcinoma being two top differentials. Thoughts?

Comments

rlobetti

With the gastric changes and

With the gastric changes and lymphadenomegaly, lymphoma most likley. As the mucosal layer appears intact scope and biopsy may miss the patholgy. Would recommend FNA of gastric wall and lymph nodes whilst under anesthesia for the scope as may be more diagnostic.

rlobetti

With the gastric changes and

With the gastric changes and lymphadenomegaly, lymphoma most likley. As the mucosal layer appears intact scope and biopsy may miss the patholgy. Would recommend FNA of gastric wall and lymph nodes whilst under anesthesia for the scope as may be more diagnostic.

EL

I agree with remo.. LSA or

I agree with remo.. LSA or Histiocytic sarcoma til proving a surprise. FNA of the LN and gastric wall should give the dx.

EL

I agree with remo.. LSA or

I agree with remo.. LSA or Histiocytic sarcoma til proving a surprise. FNA of the LN and gastric wall should give the dx.

Pankatz

Will ad histiocytic sarcoma

Will ad histiocytic sarcoma to my differential list – didn’t think about that one!

Thank you Remo and EL

Pankatz

Will ad histiocytic sarcoma

Will ad histiocytic sarcoma to my differential list – didn’t think about that one!

Thank you Remo and EL