Sorry no pics to post with this one as was on someone elses machine. 10 year old MN Maltese with 2 cm, hypoechoic prostate that containes small hyperechoic areas throughout (non-shadowing) and no cystic/anechoic areas. Mildly irregular capsule. All tissue looked the same. Did FNA and came back as debris. During the aspirates, came out like a sebacious cyst would. ONly other ultrasound abnormality was a polyp appearing mass near dorsal trigone with mildly thickened bladder mucosa (polyp had small amount of low of PD).
Sorry no pics to post with this one as was on someone elses machine. 10 year old MN Maltese with 2 cm, hypoechoic prostate that containes small hyperechoic areas throughout (non-shadowing) and no cystic/anechoic areas. Mildly irregular capsule. All tissue looked the same. Did FNA and came back as debris. During the aspirates, came out like a sebacious cyst would. ONly other ultrasound abnormality was a polyp appearing mass near dorsal trigone with mildly thickened bladder mucosa (polyp had small amount of low of PD). Thoughts about the sebacious consistency? I feel good about the aspirates and don’t think there is other tissue to attempt to hit. Would you try prostatic wash and traumatic catheterization to sample polyp at same time? Biopsy? This clinic does have a scope, so urethroscopy is not out of the quesiton, although owners may not be up for the $.
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Is he clinical? If makles are
Is he clinical? If makles are neutered later in life their prostate can be enlarged and even mineralized. 20g fna in separate echotexture regions or 22 g is important. Must hit the variable echotextures to ensure a variety of sampling is present in the same alide. Otehrwise core bx is the way to go. Traum cath on these only gets whats involving the urethra so easy to miss the pathology there as well if the path is lobar.
Thank you, Eric. The entire
Thank you, Eric. The entire tissue looked the same, so I will recommend we go to tru cut instead of attempting another aspirate.