Docstoc

Feline Abdominal Neoplasia

Document Sample
Feline Abdominal Neoplasia Powered By Docstoc
					FELINE ABDOMINAL
    NEOPLASIA
                    BUDDAH
— 5 yo Male Castrated Himalayan
— Presented to ER
  — 2 day history of weakness, non-productive wretching
  — rDVM identified:
    — Severe anemia (PCV 20)
    — Cranial Abdominal Mass
  — 4 month history of weight loss, progressive inappetence
            PHYSICAL EXAM
— BW 4.24kg – BCS 3/9
— Quiet, depressed, responsive
— T 99.2 P 280 R 80
— MM: pale, unable to assess CRT
— Doppler BP: 60mmHg systolic
— Grade II/VI murmur, resolved after (2) 5mg/kg LRS
  boluses
— Vocalized on palpation of cranial abdomen – large firm
  mass palpable on both right and left sides
   INITIAL DIAGNOSTICS
— CBC:
  — Severe leukocytosis (39,420) – neutrophilia with left
    shift
  — Severe normocytic, hypochromic anemia (PCV 17)
  — Moderate hypoproteinemia (PP 5.4)



— Chemistry Profile:
  — Moderate hypoproteinemia (albumin 2.6 and globulins
    2.3)
  — Mildly decreased ALP (10)
ULTRASOUND
              ULTRASOUND
— Cranial Abdominal Mass (likely splenic in origin)
— Diffuse Nodular Hepatomegaly with cystic masses –
    neoplasia
—   Echogenic Peritoneal Effusion with peritonitis
—   Cystic Cranial Abdominal Nodules
—   Diffuse Abdominal Lymphomoegaly
—   Urinary Bladder Debris and Hematoma
                 NECROPSY
— GROSS:
 — PF – 80mL of red, viscous, turbid fluid
 — LIVER – multinodular, white-tan, firm nodules with cystic
   cavities
   — Efface/expand entire caudate, right lateral, and right medial lobes
   — Efface 2/3 of quadrate lobe
 — SPLEEN – similar mass effaces 80% of spleen (11.5x6x3
   cm)
 — DIAPHRAGM – 20 similar nodules (0.5-2cm in diameter)
 — MESENTERY – 5-10 similar nodules, cystic centers
 — LUNGS: 8 similar nodules (0.1-0.7cm) in all lobes
               DIAGNOSIS
— GROSS:
  — Neoplasia with metastasis

— HISTOPATH:
  — Sarcoma

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:1
posted:4/24/2014
language:English
pages:20