Hi- This is a 10 yr old m/n obese Golden Retriever. He had a large mass on the left shoulder removed two years ago that was hemangiosarcoma, liver /spleen sampled normally. Did doxyrubricin protocol. Mass regrew at one year. again removed another round of chemo . Abdomen is checked every three months with ultrasound he’s been great. He is dysplastic. today he presented for a marked change in his mobility. He is neurologically sound. I palpated mass like change at L6-7 area fna was lipid. ultrasound no change vertebrae. Rad i am posting I think I see a change in the L6. I haven’t seen a diagnosed HSA in a vertbrae but i’m worried my good luck may be running out with this guy.Am I seeing something? Next step CT?
Comments
Best would be CT to fully
Best would be CT to fully delinate the lesion but would most likley require a biopsy.
The cns is number 3 spot for
The cns is number 3 spot for HSA met. Yes CT
Yes the cranial articular
Yes the cranial articular processes appear to be lytic as well as part of the vertebral roof and the base of the transverse processes. PLus focal myelosclerosis of the vertebr. body. The ST component of the mass is either small or not seen owing to the quality of the rads.
If the owner wants further definition contrast enhanced CT is a good idea for sure. You cant come up with a histopath diagnosis on CT, but with these obvious radiographic you can expect to get a definitve conclusion on the character of the lesion even without sampling. Which is what the owner needs to know. The impact & value of the final histopath. diagnosis is rather small in this case unfortunately as therapeutic options are very limited…
thanks so much i will present
thanks so much i will present this to the owner– bad news as I thought.