FELINE ABDOMINAL NEOPLASIA

BUDDAH5 yo Male Castrated Himalayan

Presented to ER2 day history of weakness, non-productive

wretchingrDVM identified:

Severe anemia (PCV 20)Cranial Abdominal Mass

4 month history of weight loss, progressive inappetence

PHYSICAL EXAMBW 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 DIAGNOSTICSCBC:

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

– neoplasiaEchogenic Peritoneal Effusion with peritonitisCystic Cranial Abdominal NodulesDiffuse Abdominal LymphomoegalyUrinary Bladder Debris and Hematoma

NECROPSY

GROSS:PF – 80mL of red, viscous, turbid fluidLIVER – 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 centersLUNGS: 8 similar nodules (0.1-0.7cm) in all lobes

DIAGNOSIS

GROSS:Neoplasia with metastasis

HISTOPATH:Sarcoma