– 14 year old FS Pug presented for vomiting with a few specks of blood present
– history of waxing and waning diarrhea, and positive for giardia in the past (but now negative)
– bloodwork unremarkable except for eosionphilia
– u/s showed some loops of jejunum with an increased muscularis layer but no disruption in wall layering ( ddx:IBD vs lymphoma); stomach and pylorus normal but alot of digesta in fundus limiting exam of part of stomach
– 14 year old FS Pug presented for vomiting with a few specks of blood present
– history of waxing and waning diarrhea, and positive for giardia in the past (but now negative)
– bloodwork unremarkable except for eosionphilia
– u/s showed some loops of jejunum with an increased muscularis layer but no disruption in wall layering ( ddx:IBD vs lymphoma); stomach and pylorus normal but alot of digesta in fundus limiting exam of part of stomach
– left adrenal normal but right adrenal tumour seen distorting normal adrenal shape with small hypoechoic nodules and a subtle central hyperechoic region
– CVC looks free of tumour invasion
We decided to treat with metronidazole, famotidine, sulcrate and RC GI low fat canned diet for GI signs. My feeling is that the R adrenal mass has nothing to do with current signs – so have recommended to repeat scan to monitor. Also recommended baseline BP measurement.
I know this could be benign although the distoration of the capsule bothers me so early adenocarcinoma and pheo possible. Any thoughts on the appearance of this mass? (I am not one to FNA adrenals) Surgery to remove was discussed with owners but at 14 years of age, they do not want to pursue.
Comments
Sometimes a unilateral
Sometimes a unilateral adrenal adenocarcinoma leaves the other adrenal smaller. You said the L adrenal was normal. This may be a helpful hint to define this mass.
Sometimes a unilateral
Sometimes a unilateral adrenal adenocarcinoma leaves the other adrenal smaller. You said the L adrenal was normal. This may be a helpful hint to define this mass.
Adenoma likely …functional
Adenoma likely …functional or non, myelolipoma possible, pheo possible. Check serial blood pressures to check hypertension. Rescan in 2 weeks see if growing as not much more to expand until its in th evena cava. if it were invading then adenoca or pheo would be the choices.
Adenoma likely …functional
Adenoma likely …functional or non, myelolipoma possible, pheo possible. Check serial blood pressures to check hypertension. Rescan in 2 weeks see if growing as not much more to expand until its in th evena cava. if it were invading then adenoca or pheo would be the choices.
Will continue to monitor –
Will continue to monitor – thank-you
Will continue to monitor –
Will continue to monitor – thank-you