Large pancreatic mass?


– 15 yr old DSH presented for weight loss despite a very good appetite

– bloodwork including T4 unremarkable; rDVM could palpate a tubular mass in the caudal abdomen

– US showed EHBDO, thickended and dilated D-pap and severely enlarged inhomogeneous pancreas

– there was an IBD/lymphoma pattern in the SI with no obstruction; small non-obstructive renoliths

– a large, irregualar mass filld much of the caudal abdomen all the way to the UB; well vascularized on colour Doppler

– 15 yr old DSH presented for weight loss despite a very good appetite

– bloodwork including T4 unremarkable; rDVM could palpate a tubular mass in the caudal abdomen

– US showed EHBDO, thickended and dilated D-pap and severely enlarged inhomogeneous pancreas

– there was an IBD/lymphoma pattern in the SI with no obstruction; small non-obstructive renoliths

– a large, irregualar mass filld much of the caudal abdomen all the way to the UB; well vascularized on colour Doppler

I could not connect this definitively to the pancreas but looked very much like the abnormal pancreas. Any thoughts on the origin of this?  pancreas? ommental?

Due to the unliklihood of resecting this out, sampling was declined

 

 


3 responses to “Large pancreatic mass?”

  1. sure is stricturing the cbd

    sure is stricturing the cbd needs fna for sure… ive seen chronic panc do this so needs fna for sure. I would go 25g

     

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