– 13 yr old FS Yorkie mix with history of chronic wt loss, decreased appetite, lethargy
– anemia, neutrophilia, low albumin, high globulin and elevated urea on bloodwork
– diffuse pattern of hypoechoic nodules in the spleen -some almost target-like
– broad-based hyperechoic mass in the urinary neck with positive colour flow on Doppler
– FNA’s and biospies are unfortaunately declined and owner opted for palliative care at this stage.
– 13 yr old FS Yorkie mix with history of chronic wt loss, decreased appetite, lethargy
– anemia, neutrophilia, low albumin, high globulin and elevated urea on bloodwork
– diffuse pattern of hypoechoic nodules in the spleen -some almost target-like
– broad-based hyperechoic mass in the urinary neck with positive colour flow on Doppler
– FNA’s and biospies are unfortaunately declined and owner opted for palliative care at this stage.
Lymphoma would be my rule-out in the spleen with possibility of other round-cell neoplasia (benign hyperplasia and EMH also possible). And I am concerned about TCC, carcinoma in the bladder.
My main question is, can TCC met to the spleen or do we have two separate lesions here?
Comments
Spleen not the usual site for
Spleen not the usual site for metastasis but has been reported in people but cannot find anything in the dog. Thus may be dealing with 2 seperate lesions and ideally an FNA of the spleen would help getting closer to a diagnosis. From the history that you give, I would be more worried about lymphoma/other splenic neoplasia than the TCC, which may be incidental at this point.
Spleen not the usual site for
Spleen not the usual site for metastasis but has been reported in people but cannot find anything in the dog. Thus may be dealing with 2 seperate lesions and ideally an FNA of the spleen would help getting closer to a diagnosis. From the history that you give, I would be more worried about lymphoma/other splenic neoplasia than the TCC, which may be incidental at this point.
Thanks Remo I am more worried
Thanks Remo I am more worried about the splenic lesion as the TCC cases I have seen are not really that sick at least early in the disease process
This type of bladder lesion
This type of bladder lesion is usually locally disruptive and mets to spleen unlikely… iliacs lungs and brain would be more probable when tcc mets. The spleen likely something else… round cell neoplasia, splenitis, pronounced nodular hyperplasia and yes needs a needle to know.