This is a 14 years old DSH F/S that I scanned for anorexia, ADR. Bloodwork was normal.
At the ICCJ I did find this mass that to me it looks like neoplastic mesenteric lymph nodes and a segment of intestine that is also severly abnormal. FNA in house highly suggestive of Lymphoma .
Qs: Do you think that is ileum? Is there any way to suspect large vs small cell L. based on cytology, localization, appearance?
This is a 14 years old DSH F/S that I scanned for anorexia, ADR. Bloodwork was normal.
At the ICCJ I did find this mass that to me it looks like neoplastic mesenteric lymph nodes and a segment of intestine that is also severly abnormal. FNA in house highly suggestive of Lymphoma .
Qs: Do you think that is ileum? Is there any way to suspect large vs small cell L. based on cytology, localization, appearance?
Comments
Here is a thread from VIN:
I
Here is a thread from VIN:
I am entering it as a file attachment.
Another thread had this comment:
“From what I have read CHOP seems to be preferred, COP lesser preferred, and unlikely to respond to chlorambucil/pred. I have also read that there is no value (prognostic or therapeutic) to determining B vs. T cell. I’ve seen median survival times ranging from 24 weeks to 210 days (210 days being for all lymphoma including small cell which has a better prognosis). Also, my understanding is that his MCT has likely metastasized based on the nature of MCTs, although there is no clear evidence of mets at this time (other than regional LNs). I couldn’t find any significant value to chemo for his MCT”
Doesn’t seem to be universal agreement here.
Here is a thread from VIN:
I
Here is a thread from VIN:
I am entering it as a file attachment.
Another thread had this comment:
“From what I have read CHOP seems to be preferred, COP lesser preferred, and unlikely to respond to chlorambucil/pred. I have also read that there is no value (prognostic or therapeutic) to determining B vs. T cell. I’ve seen median survival times ranging from 24 weeks to 210 days (210 days being for all lymphoma including small cell which has a better prognosis). Also, my understanding is that his MCT has likely metastasized based on the nature of MCTs, although there is no clear evidence of mets at this time (other than regional LNs). I couldn’t find any significant value to chemo for his MCT”
Doesn’t seem to be universal agreement here.
I could not enlarge the still
I could not enlarge the still images.
Are we looking at the ICCJ or could this possibly be gastric?
To the left side of the image it appears to be hepatic tissue? Do we get a small “peek”
of the pyolorus at the end of the clip. Enlarged gastric LN/s?
OK I tepedly committed my opinion. I will wait for EL to comment. I can be embarrased again.
I could not enlarge the still
I could not enlarge the still images.
Are we looking at the ICCJ or could this possibly be gastric?
To the left side of the image it appears to be hepatic tissue? Do we get a small “peek”
of the pyolorus at the end of the clip. Enlarged gastric LN/s?
OK I tepedly committed my opinion. I will wait for EL to comment. I can be embarrased again.
Thank you Randy
the duodenum
Thank you Randy
the duodenum pyloric junction was normal and also descendind duodenum. there is a si ( i think is ileum) going into that “mass” (cecum?). all this is closelly hugged by severly enlarged LNodes.
Calin
Thank you Randy
the duodenum
Thank you Randy
the duodenum pyloric junction was normal and also descendind duodenum. there is a si ( i think is ileum) going into that “mass” (cecum?). all this is closelly hugged by severly enlarged LNodes.
Calin
thank you again Randy for
thank you again Randy for attaching the post. Good cytologic description. Helps a lot!
thank you again Randy for
thank you again Randy for attaching the post. Good cytologic description. Helps a lot!
Very lymphoma…. LN
Very lymphoma…. LN sandwich I call it strangling the mesenteric root with the rounded hypoechoic LN and the distal ileum in th enear field with the hyperechoic luminal stripe to identify it as intestinal.
search the basic search for “intestinal lymphoma” and you will see lots of these but careful as spontaneous necrosis, bowel infarcts, fip can all look like early intestinal lsa hence the need for a needle always. You can search all these key words as well in the basic search.
Yes needs chemo right away. If small cell lsa pred leukeran orally is as good as anything in a cat. intermediate or large cell needs chop or similar.
Very lymphoma…. LN
Very lymphoma…. LN sandwich I call it strangling the mesenteric root with the rounded hypoechoic LN and the distal ileum in th enear field with the hyperechoic luminal stripe to identify it as intestinal.
search the basic search for “intestinal lymphoma” and you will see lots of these but careful as spontaneous necrosis, bowel infarcts, fip can all look like early intestinal lsa hence the need for a needle always. You can search all these key words as well in the basic search.
Yes needs chemo right away. If small cell lsa pred leukeran orally is as good as anything in a cat. intermediate or large cell needs chop or similar.
Thank you EL. will start tx
Thank you EL. will start tx right away
Thank you EL. will start tx
Thank you EL. will start tx right away