Suspected bladder mass

Sonopath Forum

Suspected bladder mass

Hi,

Would just like to verify that this lesion looks suspicious for bladder mass rather than urolith.  Patient is elderly with large number of epithelial cells and wbcs on UA.  To me it looks like it is not shadowing and is contiguous with bladder wall, but on doppler no significant blood flow.  Thanks, jas

Hi,

Would just like to verify that this lesion looks suspicious for bladder mass rather than urolith.  Patient is elderly with large number of epithelial cells and wbcs on UA.  To me it looks like it is not shadowing and is contiguous with bladder wall, but on doppler no significant blood flow.  Thanks, jas

Comments

DrMac

Yes that looks like a sessile

Yes that looks like a sessile based mass in the dorsoapical wall. The doppler may just not be picking up blood flow. Accumulated cellular debris or a blood clot would be less likely.  

Assuming the dog was in dorsal or lateral recumbency during the scan, you can stand the dog up or manipulate the UB to see if the mass stays in the same location. 

I think TCC would be the primary rule out based on sonographic appearance. Biopsy would be ideal. Piroxicam may also be considered with recheck sonograms if renal function is ok. 

DrMac

One more thing..
Im not sure

One more thing..

Im not sure if yiou have heard of CADET BRAF test or if its available to you, but that could be another option to try to see if this is TCC considering the epithelial cells in the urine. 

jas

Thanks, DrMac, I will see if

Thanks, DrMac, I will see if the owner wants to pursue the test. 

The pet is already on Rimadyl for osteoarthritis, so will look into switching to piroxicam.  Right now she is asymptomatic.  jas

rlobetti

No need to change from

No need to change from Rimadyl as it is also a cox inhibitor similar to piroxicam. Previcox and Deramaxx would also have a similar effect. If it does turn out to be a TCC then can also consider adding vinblastine at 2 weekly intervals.

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