- 14 year old FS West Highland Terrier was treated for a urinary tract infection 1 month ago. Labwork showed mild azotemia (BUN=31, Creat=1.5), inappropriate USG=1.008, and elevated ALT and ALKP. The patient was placed on Clavamox for 14d.
- Recheck bloodwork done last week shows progressive elevation of the liver enzymes. The patient is PU/DP and has a decreased appetite.
- 14 year old FS West Highland Terrier was treated for a urinary tract infection 1 month ago. Labwork showed mild azotemia (BUN=31, Creat=1.5), inappropriate USG=1.008, and elevated ALT and ALKP. The patient was placed on Clavamox for 14d.
- Recheck bloodwork done last week shows progressive elevation of the liver enzymes. The patient is PU/DP and has a decreased appetite.
- Abdominal US shows a 2.0cm hypoechoic gastric wall mass originating from the mucosal surface of the left ventral stomach (greater curvature), projecting into the stomach lumen. The stomach is otherwise empty.
- The kidneys show mild degenerative changes, the liver parenchyma is homogeneous with prominent portal markings, and the splenic parenchyma shows mild micronodular changes without any capsular abnormalities.
- FNA’s of the gastric mass were not very productive. FNA’s were also performed on the liver.
- Just wondering, could this mass be the cause of the dog’s clinical signs or is this just an incidental finding?
- What would be best to do next….endoscopy or exploratory surgery?
- My differential diagnoses for the mass include benign tumor (leimyoma, epitheliod), neoplasia (leiomyosarcoma, lymphoma, carcinoma), and much less likely artfact (kibble, pill-patient was presumably fasted and mass really seems to connect to the wall).
