– 10 year od FS Lab with history of vomting up her food
– hypoehcoic, irregualarly thickened pyloric wall with loss of wall layering and moderate fluid distension of the stomach
– nearby enlarged, round, hypoechoic LN – gastric LN?
– pet is going for scope and biopsy (results pending)
My concern is pyloric outflow obstruction and possible neoplasia (lymphoma, carcinoma), with localized severe gastritis also possible but least likely. Just want a second opion on this one – thanks!
– 10 year od FS Lab with history of vomting up her food
– hypoehcoic, irregualarly thickened pyloric wall with loss of wall layering and moderate fluid distension of the stomach
– nearby enlarged, round, hypoechoic LN – gastric LN?
– pet is going for scope and biopsy (results pending)
My concern is pyloric outflow obstruction and possible neoplasia (lymphoma, carcinoma), with localized severe gastritis also possible but least likely. Just want a second opion on this one – thanks!
Comments
With the thickened and
With the thickened and irregular gastric wall with loss of layering, neoplasia would be the most likely diagnosis but perforated ulcer and granulomatosis gastritis also possible. The fluid may represent focal peritonitis. The enlarged lymph node may be reactive or metastatic disease. Would recommend cytology of the fluid and lymph node.
I never like stomachs on dogs
I never like stomachs on dogs with adjacent lymphadeniopathy. Hypertrophic pyloric gastropathy can do this as well but this is a bit more irregular than that and leans toard neoplasia but downplay it wiht the owner so they don’t emotionally run with the C word. Bx bx bx is key here. Slurry feeding hydrolyzed diet and coverage for helicobacter Ive had luck with if not neoplastic on sampling.
I recently had a case like
I recently had a case like that in a 12 year old JRT with explosive vomit, the thickening was a a little bit more rounded in shape but similar size and asymmetric appearance and the polyp was resected by exlap. Histopath came back as Benign polyp. (Lucky!) But I agree that the first thought was neoplasia.