- 15 year old mn Feline DLH with recent onset anorexia and ascites.
- Cytology done on ascites showed a modified transudate with mild mesothelial reactivity. 100 cell differential count on the abdominal fluid showed 39% nondegenerate neutrophils, 4% small lymphocytes, and 57% large mononuclear cells. TP<4g/dl.
- 15 year old mn Feline DLH with recent onset anorexia and ascites.
- Cytology done on ascites showed a modified transudate with mild mesothelial reactivity. 100 cell differential count on the abdominal fluid showed 39% nondegenerate neutrophils, 4% small lymphocytes, and 57% large mononuclear cells. TP<4g/dl.
- Abdominal ultrasound showed a thickened, echogenic mesentery and a moderate amount of abdominal fluid. Intestinal wall detail was poor, but no specific masses were seen. The liver lobes were separated by anechoic fluid, but no hepatic masses or nodules were seen. The liver capsule was smooth and curvilinear and the liver was normal in size. There was no hepatic or splenic congestion.
- My #1 rule out is carcinomatosis, followed by FIP, less likely lymphoma, fungal disease. I am attaching pics of the mesentery/midabdomen. Any other thoughts?
- I recommended chest radiographs as well as fna’s of the spleen and liver since previous cytology done on the abdominal fluid was nondiagnostic. I am also wondering about a path review of the initial fluid cytology. Is it worth doing a Colorado pcr test for LSA if the fluid cytology showed only a 4% lymphocyte count?
Comments
With the large mononuclear
With the large mononuclear cells i would be concerned for neoplasia. pcr yes and can do a cytospin and immediate slide prep for a better read on the sediment. in my experience older cats get dry form fip and younger get the wet form and i think there are studies that confirm this…remo??
Older cats with this presentation and no passive congestion in the HV and CVC usually means neoplasia.
With the large mononuclear
With the large mononuclear cells i would be concerned for neoplasia. pcr yes and can do a cytospin and immediate slide prep for a better read on the sediment. in my experience older cats get dry form fip and younger get the wet form and i think there are studies that confirm this…remo??
Older cats with this presentation and no passive congestion in the HV and CVC usually means neoplasia.