Hi all. This is a 3 year old Siberian Forest cat, MN, 3.3kg. Chronic weight loss, good apetite, chronic vomiting. Today started vomiting blood. The clips, in my opinion, meet all the criteria for neoplasia (I´m thinking LSA or gastric adenocarcinoma)…enlarged, distorted LNs, focal large area of gastric wall increased thickeness (up to 3cm!), neovascularization, total loss of mural detail, low motility… I recommended FNA at least or endoscopic biopsy…Probably FNA better to access the external area for a better chance to avoid inflammatory changes?

Hi all. This is a 3 year old Siberian Forest cat, MN, 3.3kg. Chronic weight loss, good apetite, chronic vomiting. Today started vomiting blood. The clips, in my opinion, meet all the criteria for neoplasia (I´m thinking LSA or gastric adenocarcinoma)…enlarged, distorted LNs, focal large area of gastric wall increased thickeness (up to 3cm!), neovascularization, total loss of mural detail, low motility… I recommended FNA at least or endoscopic biopsy…Probably FNA better to access the external area for a better chance to avoid inflammatory changes?

Question…should this not be a neoplasia…what other differential would we be looking at? (granulomatous??…I´m struggling to think of any other conditions that meet all these findings…in such size…)

Owners are considering the FNA.

Thanks.