FELINE ABDOMINAL NEOPLASIA. BUDDAH 5 yo Male Castrated Himalayan Presented to ER 2 day history of weakness, non-productive wretching rDVM identified:

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Presentation transcript:

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

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 ( cm) in all lobes

DIAGNOSIS GROSS: Neoplasia with metastasis HISTOPATH: Sarcoma