Mineralized mass of the spleen


Hello,

This is a 14 years old M/N Bichon that was diagnosed with an abdominal mass during a routine PE . Patient has CRD, moderate increase in ALKP, dental disease; not symptomatic

Patient has a splenic mass, no free fluid ; owner understands malignant vs benign but declined FNA due to old age

My question: due to architecture, echogenicity, linearity of splenic capsule does it suggest being a benign mass ? like  non-HSA and non-lymphomatous sarcomas of the spleen? Would elastography give more info and potentially differentiate inbetween benign versus malignant ? does many people use elastography these days ?

Thank you


3 responses to “Mineralized mass of the spleen”

  1. I would think benign. If the

    I would think benign. If the patient is cushingoid then splenic mineralization will occur. I would remove it as its precarious but not typical for hemangiosarcoma. Sarcomas tend to disrupt architecture more.

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