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TCC Urethra

Sonopath Forum

Sonopath Forum

TCC Urethra

Hello,

Fritz is a 6 years old M/N Schnautzer that presented with straining while urinating. Rectal palpation identified a mass in the pelvic entry cranial at the site of prostate.

Hello,

Fritz is a 6 years old M/N Schnautzer that presented with straining while urinating. Rectal palpation identified a mass in the pelvic entry cranial at the site of prostate.

I did an FOCUS US and to me it looks like the pelvic urethra “goes” into the mass. Bladder seems to be clean. Couldn’t identify any enlarged pelic LN. I strongly suspect Urethral Transitional Carcinoma. Was able to see fluid moving inside the “mass” and I assume this is most likelly urine. FNA in clinic revealed multiple Transitional Cells with anysocytosis, anysokariosis, multiple nucleoli and no neutrophyls, bacteria.

My question : can this still be a prostate mass?  And if so would the treatment be any different ?

Thank you

Comments

randyhermandvm
November 20, 2015 at 9:10 pm -

1. The prostate looks

1. The prostate looks enlarged to me with a small amount of calcification. I would be concerned about neoplasia in that prostate.

2. The mass in the urethra could be a TCC but could it be an extension from the prostate- if there is a carcinoma there.

I am curious what the experts say

 

EL
November 20, 2015 at 10:10 pm -

Prostatic carcinoma til

Prostatic carcinoma til proven otherwise fna should tell the story. Big prostate in MN is always suspect and especially when mass like. These often spread to urethra or urethra to rpostate but given the size of the prostate likely thats where it started. See similar cases here:

http://sonopath.com/members/case-studies/search?text=prostatic+carcinoma&species=All

Nice images

vetecho
November 21, 2015 at 2:26 am -

Thank you EL and Randy.
Randy
Thank you EL and Randy.
Randy I think There is only one mass there and it does look like prostate. I don t see any macroscopic evidence of spreading into urethra or bladder but I know that is always a possibility.

vetecho
November 21, 2015 at 2:26 am -

Thank you EL and Randy.
Randy
Thank you EL and Randy.
Randy I think There is only one mass there and it does look like prostate. I don t see any macroscopic evidence of spreading into urethra or bladder but I know that is always a possibility.

vetecho
November 21, 2015 at 2:26 am -

Thank you EL and Randy.
Randy
Thank you EL and Randy.
Randy I think There is only one mass there and it does look like prostate. I don t see any macroscopic evidence of spreading into urethra or bladder but I know that is always a possibility.

vetecho
November 21, 2015 at 2:26 am -

Thank you EL and Randy.
Randy
Thank you EL and Randy.
Randy I think There is only one mass there and it does look like prostate. I don t see any macroscopic evidence of spreading into urethra or bladder but I know that is always a possibility.

vetecho
November 21, 2015 at 2:26 am -

Thank you EL and Randy.
Randy
Thank you EL and Randy.
Randy I think There is only one mass there and it does look like prostate. I don t see any macroscopic evidence of spreading into urethra or bladder but I know that is always a possibility.

randyhermandvm
November 21, 2015 at 3:54 am -

Thanks- I thought you were

Thanks- I thought you were referring to the thickening of the dorsal urethra wall. My mistake.

vetecho
November 21, 2015 at 5:13 pm -

No worries Randy. I wanted to

No worries Randy. I wanted to make sure I didn’t miss something obvious.

Thank you:)

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