Sonopath Forum

Pedunculated gastric mass?

-11 year old Shih Tzu

-presented for evaluation after recent diagnosis of Cushing’s disease

-only symptom noted (that prompted the work-up for Cushing’s) is polyphagia

-U/S also showed:

-cystoliths and thickened apical bladder wall

-non-obstructive renoliths

-mildly heterogenous right pancreatic limb

Is this an incidental gastric mass? Likely differentials?

Thanks!

-11 year old Shih Tzu

-presented for evaluation after recent diagnosis of Cushing’s disease

-only symptom noted (that prompted the work-up for Cushing’s) is polyphagia

-U/S also showed:

-cystoliths and thickened apical bladder wall

-non-obstructive renoliths

-mildly heterogenous right pancreatic limb

Is this an incidental gastric mass? Likely differentials?

Thanks!

Comments

randyhermandvm

November 3, 2015 at 4:47 am -

It sure looks like a

It sure looks like a pedunculated polyp. You always have the most interesting image sets.

I did a VIN search and found this abstract.

You will need to click on the screen shot to enlarge and read the text.

November 3, 2015 at 6:11 am -

Great stuff guys…images and

Great stuff guys…images and abstract. I’m betting on well differentiated epithelial tumor as it comes off the mucosal layer and submucosa and rest of wall is fine. It does look a bit obstructive though… a scope and a snare should take care of it. Nice move on the doppler.

smbrowndvm

November 3, 2015 at 2:33 pm -

Thanks guys! That makes

Thanks guys! That makes sense. I will let you know if the owner goes for removal.

Suzanne