Consider a needle and a probe with telecytology to stage the patient for surgery vs medical therapy. This results in Enhancing Diagnostic Efficiency™ at its finest. This month’s patient presented with splenic masses which could be a number of things (hematoma, hemangiosarcoma, round cell neoplasia, necrosis…) some of which are surgical and others that are not. With a needle, a probe, and SonoPath SDEP telecytology protocol within hours we knew this was a non surgical oncology case involving multiple organs with the ability to start chemotherapy within hours of presentation to the clinic. Ultrasound performed by Eric Lindquist DMV, DABVP, case managed by Dr. Alan Pomerantz and the staff of Franklin Lakes Animal hospital, telecytology read by Lawrence McGill DVM, PhD, DACVP.
A 12-year-old MN Labrador Retriever mix was presented with chronic diarrhea +/- syncopal episodes.Low grade anemia was found on CBC with unremarkable blood chemistry findings.
A 12-year-old MN Labrador Retriever mix was presented with chronic diarrhea +/- syncopal episodes.Low grade anemia was found on CBC with unremarkable blood chemistry findings.
Within 6 hours of the patient presenting for syncope and sonogram the definitive diagnosis was made to enable potential CHOP, Wisconsin or similar protocols to be implemented before further lymphoma spread could occur. The patient is currently (As of 8/27/16) undergoing chemotherapy and doing well so far.
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FNA was sampled from both the spleen and liver.
Spleen revealed multiple masses, the largest of which measured 4.43 and 2.58 cm with other hypoechoic nodules. The masses were moderately complex ,most consistent with sarcoma or similar. Other splenic nodules were noted measuring 2.8 cm. Splenic lymph node was enlarged at 1.6 cm. Liver in this patient was mildly enlarged, slightly coarse. Hepatic lymph nodes were slightly enlarged at 2 x 1 cm maintaining length to width ratios. Gallbladder and common bile duct were normal. Heart: Rapid view of the heart revealed no right auricular masses.
3-view chest radiographs were recommended along with an echocardiogram. Given the syncopal episodes, serial blood pressures to assess for systemic hypertension were recommended. FNA of both the spleen and liver were performed without complication. Cytology interpretation: High grade lymphoma in liver and spleen.
