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Splenic lymphosarcoma or mast cell tumor

Sonopath Forum

Splenic lymphosarcoma or mast cell tumor

Hello

I was hoping for confirmation of an abnormal spleen on a 7.5year old F/S boxer.

I believe I see an enlarged splenic lymph node and irregularities in ehcogenicity within the spleen. It was not readily apparent on the convex probe but seems to be real on the linear probe.

I suspect if the changes are accurate that the most likely diagnosis would be lymphosarcoma or mast cell tumor. Has had a large cutaneous mast cell removed previously that was not submitted for histopath.

Thanks. Brent

Hello

I was hoping for confirmation of an abnormal spleen on a 7.5year old F/S boxer.

I believe I see an enlarged splenic lymph node and irregularities in ehcogenicity within the spleen. It was not readily apparent on the convex probe but seems to be real on the linear probe.

I suspect if the changes are accurate that the most likely diagnosis would be lymphosarcoma or mast cell tumor. Has had a large cutaneous mast cell removed previously that was not submitted for histopath.

Thanks. Brent

Comments

rlobetti

From the appearance of the

From the appearance of the spleen a lymphoma would be my first differential but would still FNA it to confirm the diagnosis.

EL

Round cell neoplasia (mct,

Round cell neoplasia (mct, lsa, histocytic sarcoma…) likely. Splenitis fungal or bacterial possible. The keys here are the scalloping capsular contour (mainly in the video), subtle micronocular honeycomb appearance and the splenic Ln enlargement in the far field that you measured. Needs a needle after benadryl injection 10 min before IM.

note your near field is dark because your focal point is too deep. If you move the focal point to 1 am the image would be cleaner.

nice post.

here are some similar cases from the basic search of “splenic mast cell”

http://sonopath.com/members/case-studies/search?text=splenic+mast+cell&species=All

tosullivan

Great stuff. Thanks

Great stuff. Thanks