Mineralized mass of the spleen

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Mineralized mass of the spleen

Hello,

This is a 14 years old M/N Bichon that was diagnosed with an abdominal mass during a routine PE . Patient has CRD, moderate increase in ALKP, dental disease; not symptomatic

Patient has a splenic mass, no free fluid ; owner understands malignant vs benign but declined FNA due to old age

My question: due to architecture, echogenicity, linearity of splenic capsule does it suggest being a benign mass ? like  non-HSA and non-lymphomatous sarcomas of the spleen? Would elastography give more info and potentially differentiate inbetween benign versus malignant ? does many people use elastography these days ?

Thank you

Comments

EL

I would think benign. If the

I would think benign. If the patient is cushingoid then splenic mineralization will occur. I would remove it as its precarious but not typical for hemangiosarcoma. Sarcomas tend to disrupt architecture more.

vetecho

thank you
 

thank you

 

rlobetti

Another possiblity would be a

Another possiblity would be a granuloma.

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