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GI Masses ileocolic junction and jejunum

Sonopath Forum

Sonopath Forum

GI Masses ileocolic junction and jejunum

17 yo M/N DSH, chronic vomiting, good appetite, recent 1# weight loss, normal bloodwork, on methimazole.

Liver: several (4-5) 5-8mm hypoechoic ill-defined nodules.

Mildly thickened intestinal loops with prominent muscularis. Reactive LN between stomach and liver (6mm), with hyperechoic fat, colic LN 3.9mm. Spleen WNL.

2 similar round intramural masses (1cm each), hypoechoic, with positive blood flow. One is in the jejunum, other one is at the IC junction. I thought the first one was the cecum, because it almost looks like a blind pouch.

FNA of the liver and the IC mass pending.

What do you think of these 2 nodules? Lymphoma? granuloma?

Thank you!

Julie

Jejunum mass:

IC mass:

Comments

rlobetti
December 12, 2020 at 3:58 pm -

Looks more like infiltrative

Looks more like infiltrative neoplasia with lymphoma the most likely diagnosis. 

sonopaws
December 12, 2020 at 4:09 pm -

Thank you Dr. Lobetti… 🙂

Thank you Dr. Lobetti… 🙂

sonopaws
December 14, 2020 at 8:16 pm -

Update with FNA results:
 
GI

Update with FNA results:

 

GI nodule: mast cell tumor.

Liver: normal hepatocytes.

MCT in the intestinal wall. Do we do chemo? Is the surgical resection of the 2 nodules indicated? 

Thanks for your input.

Julie

EL
December 15, 2020 at 12:39 pm -

Last I heard Pred Leukeran

Last I heard Pred Leukeran protocol is as good as any on mast cell in cats.

sonopaws
December 15, 2020 at 12:50 pm -

Thank you Eric!

Thank you Eric!

rlobetti
December 15, 2020 at 2:16 pm -

As there are multiple nodules

As there are multiple nodules would go for chemo rather than surgery – pred and leukeran.

sonopaws
December 15, 2020 at 2:18 pm -

Thank you! 

Thank you! 

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