– images of the spleen of an 11 year FS Lab x with history of urinary incontinence and renal failure
– these irregular, hyperechoic nodules were diffusely located throughout the spleen
Could these just be multiple myelolipomas (I have never seen so many) or should I be biopsying this spleen?
– images of the spleen of an 11 year FS Lab x with history of urinary incontinence and renal failure
– these irregular, hyperechoic nodules were diffusely located throughout the spleen
Could these just be multiple myelolipomas (I have never seen so many) or should I be biopsying this spleen?
Comments
They look like myelolipomas –
They look like myelolipomas – however, the spleen seems to have a mottled and almost nodular appearance. I would consider doing an FNA, CBC, serum proteins, and calcium.
They look like myelolipomas –
They look like myelolipomas – however, the spleen seems to have a mottled and almost nodular appearance. I would consider doing an FNA, CBC, serum proteins, and calcium.
Yes good observation the
Yes good observation the spleen is also a bit enlarged and with scalloping contour so likely mixed bag here. The echogenic nodules couldbe lipogranulomas but in the mix of things it surely needs a needle to differentiate reactive hypersplenism form neoplasia such as MCT LSA or even occult splenitis. Maybe give benadryl im before sticking to make you feel safe:)
Yes good observation the
Yes good observation the spleen is also a bit enlarged and with scalloping contour so likely mixed bag here. The echogenic nodules couldbe lipogranulomas but in the mix of things it surely needs a needle to differentiate reactive hypersplenism form neoplasia such as MCT LSA or even occult splenitis. Maybe give benadryl im before sticking to make you feel safe:)
Thanks!
Does
Thanks!
Does lipogranuloma=myelolipoma?
Thanks!
Does
Thanks!
Does lipogranuloma=myelolipoma?
Summary from Dr.
Summary from Dr. Google:
lipogranuloma /lipo·gran·u·lo·ma/ (-gran″u-lo´mah) a foreign body inflammation of adipose tissue containing granulation tissue and oil cysts.
Myelolipoma are a benign neoplasm and a variant form of lipoma containing hematopoietic tissues.
These tumors are relatively uncommon in dogs and can be found as benign splenic tumors[2], but have also been reported in the adrenal glands[3] and spinal cord.
Myelolipomas in dogs are usually diagnosed incidentally at necropsy without previous clinical signs of illness related to the tumor. However, spinal cord involvement may cause neurological deficits such as acute paraplegia[4] and large splenic masses may result in systemic signs such as weight loss, abdominal distension, vomiting, anemia and elevated ALT and ALP activity.
Diagnosis is based on presenting clinical signs, and findings of radiographic and ultrasonographic studies.
A definitive diagnosis requires histological examination of biopsied material, usually obtained during surgery.
Surgical extirpation in most cases is curative.
Summary from Dr.
Summary from Dr. Google:
lipogranuloma /lipo·gran·u·lo·ma/ (-gran″u-lo´mah) a foreign body inflammation of adipose tissue containing granulation tissue and oil cysts.
Myelolipoma are a benign neoplasm and a variant form of lipoma containing hematopoietic tissues.
These tumors are relatively uncommon in dogs and can be found as benign splenic tumors[2], but have also been reported in the adrenal glands[3] and spinal cord.
Myelolipomas in dogs are usually diagnosed incidentally at necropsy without previous clinical signs of illness related to the tumor. However, spinal cord involvement may cause neurological deficits such as acute paraplegia[4] and large splenic masses may result in systemic signs such as weight loss, abdominal distension, vomiting, anemia and elevated ALT and ALP activity.
Diagnosis is based on presenting clinical signs, and findings of radiographic and ultrasonographic studies.
A definitive diagnosis requires histological examination of biopsied material, usually obtained during surgery.
Surgical extirpation in most cases is curative.