From:
"Sue Liszewski"
Date: 2003-12-10 20:40:56 UTC
Subject: RE: [ferrethealth] Help with histopathology report, please...
To: ferrethealth@smartgroups.com
Message-ID: <LAW12-F40YkZjjvytOO00026915@hotmail.com>
The mass removed was vry infected and went onto the node. i do think its
removal will only improve the ability to recover from that infection.
The cystic structure, revealed a lot of cells and the person reading it
could not be certain what it was, which is frequently the case with
cytologic samples. They usu say that biopsy would be more definitive.
These structures could be a lymphatic response to infection or cancer and I
guess watching for recurrance is the key. I know they were internal but
they will probably refill (if they haven't already). I would certainly use
an antibiotic for a while and possibly do x rays to see if you see then and
also to watch for recurrance.
It is always hard to make a diagnosis with out actually being there. But I
hope this helps a bit.
Dr. Sue
>From: "Ulrike" <ferretlove_@ntlworld.com>
>Reply-To: ferrethealth@smartgroups.com
>To: "Ferrethealth" <ferrethealth@smartgroups.com>
>Subject: [ferrethealth] Help with histopathology report, please...
>Date: Wed, 10 Dec 2003 17:19:42 +0000 (GMT Standard Time)
>
>My Baby had an operation last Thursday, I wrote about it a few days ago.
>She is about 7 1/2 years old, neutered. Pictures of her operation are on
>page
>www.ferretlove.co.uk/babyop.htm
>
>I am just worried that nothing was wrong with her at all and I put her
>through a big operation for nothing... The report does not make much sense
>to me...
>
>Ulrike
>
>
>Histopathology report
>
>History
>
>1.Sudden appearance tumour L inguinal, ? lymph node. Off food, lost
>weight.
> Cut surface necrosed. 2. Ex lap all internal organs NAD. Cystic
>tumour
>small curvature of stomach, aspirated fluid.
>
>Diagnosis
>
>Cellulitis and Purulent Lymphadenitis
>
>Prognosis
>
>Prognosis: Uncertain Aetiology Not Clarified In This Submission
>
>Commentary
>
>The submission consists of a biopsy sample of skin and subcutis, including
>mass, from the inguinal area, plus a fluid sample from which two smears
>were
>made, for cytology.
>
>HISTOPATHOLOGY: the sections reveal the mass is a lymph node embedded in
>subcutaneous adipose tissue. The latter is heavily infiltrated by mixed
>inflammatory cells, with a high proportion of neutrophils, and the
>inflammation extends into the lymph node, which is also rather
>haemorrhagic,
>but shows little cortical follicular activity. There is no overt evidence
>of neoplasia in the sections examined. There is mild hyperplasia of
>mammary
>gland elements in the dermis overlying the inflamed node, and although
>there
>is some inflammation within the gland, the pattern is not that of a true
>mastitis, more of a bystander effect.
>
>The appearances are consistent with focally severe, sub-acute cellulites
>with associated purulent lymphadenitis. The cause could not be identified
>in the sections, but is presumed to be bacterial infection.
>
>CYTOLOGY: the smears are about 50% erythrocytes and 50% nucleated cells,
>but unfortunately, for some reason, the latter are poorly preserved and the
>majority difficult to identify. Most are small, round cells about 1-1.5x
>the diameter of an erythrocyte and I suspect they are lymphoid. This would
>suggest the mass is either a hyperplastic lymph node, or a lymphoma. The
>lack of cellular detail in the smears, however, means I am unfortunately
>unable to make a firm diagnosis.
>
>
>
>
>
>--
>If you want to share pictures, use the calendar, or start a vote
>visit http://www.smartgroups.com/groups/ferrethealth
>
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