Sonopath Forum

gastric neoplasia

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.

Comments

January 18, 2016 at 7:34 pm -

This is gastric LSA til

This is gastric LSA til proven otherwise and easily sampled with 22g fna or 25. (http://sonopath.com/members/case-studies/cases/0400406-lillie-c-gastric-lsa)

see the fna here:

http://sonopath.com/members/case-studies/cases/gastric-lymphoma-12-year-old-mn-dsh-cat

On rare occasion I have seen granulomatous gastritis do this… eosinophilic (http://sonopath.com/members/case-studies/cases/gastritis-likely-granulomatous-lesion-11-year-old-fs-persian-cat)… but it tends to be more echogenic. Chase gastric lsa first wiht fna hten if its mixed inflammation go from there with core bx.

rlobetti

January 18, 2016 at 8:14 pm -

Another possiblilty would be

Another possiblilty would be fungal gastritis (outside chance though).

Anonymous

January 18, 2016 at 9:24 pm -

Thank you both. I checked the
Thank you both. I checked the links. I see it actually looks different… As you said. I hope I’m allowed to get a needle in there.
It’s a very sad case… It is a gorgeous, lovely cat… So young…