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Intestinal mass ?

Sonopath Forum

Sonopath Forum

Intestinal mass ?

Hello,

 

This is a 12 years old DSH obese F/S that has chronic vomiting. ( every day once or twice). Bloodwork NAF, still has good apetite and not major weight loss

I can see lymphadenopathy at ICCJ but also wondering if there is an abnormal intestinal segment with abnormal wall layers? I don’t think that I can get an answer on FNA on this so exploratory with full thickness biopsy would be the next step?

Thank you

 

Hello,

 

This is a 12 years old DSH obese F/S that has chronic vomiting. ( every day once or twice). Bloodwork NAF, still has good apetite and not major weight loss

I can see lymphadenopathy at ICCJ but also wondering if there is an abnormal intestinal segment with abnormal wall layers? I don’t think that I can get an answer on FNA on this so exploratory with full thickness biopsy would be the next step?

Thank you

 

Comments

EL
January 18, 2016 at 7:42 pm -

I agree you would get a non

I agree you would get a non definitive fna cyto reading here. There is some loss of detail but this is minimal and minial thickening. Focal IBD/emerging necrosis is my primary diff here… small cell lsa possbile. Best scenario in my opinion is IOP US and delineate the lesion in surgery sonographically and resect it out and bx/culture the wall and maybe a shopping spree of bx eleewhere if need be.

If its a $ concern the tx IBD and watch it in a week or so and see if progressing or regressing… they go both ways on these.

check out number 3 from ECVIM 2009

http://sonopath.com/resources/research-publications

and interventional procedures

http://sonopath.com/resources/interventional-procedures

 

vetecho
January 18, 2016 at 8:36 pm -

Thank you EL

Thank you EL

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