From:
"Bruce Williams, DVM"
Date: 2007-08-23 01:03:23 UTC
Subject: [ferrethealth] Re: Help with ultrasound and pathology report Dr.'s Opinions Please
To: ferrethealth@yahoogroups.com
Dear Karen:
It is difficult to tell exactly what is going on here without an
exploratory, but I think there are two distinct possibilities, both
of which should merit surgical consideration.
It is unclear whether the mass originates in the liver or is attached
to the liver. Biliary cystadenocarcinomas are slow-growing liver
tumors that are cavitary lesions in one or more hepatic lobes. If
confined to one, due to their slow growth, removal of the affected
lobe can be curative, or at least markedly slow the progression. The
other possibility here, due to the location of being by the right
hepatic lobe is the possibility of a large adrenal neoplasm.
It is difficult to say what the masses in the mesentary are - they
could be enlarged lymph nodes, or possibly metastases from a tumor.Th
effusion and the kidney cysts are not of any significance.
I think in this case, I would proceed with an exploratory laparotomy
and get a definitive diagnosis as well as see if the masses are able
to removed surgically. You are actually in a pretty good place to do
surgery.
With kindest regards,
Bruce Williams, DVM
--- In ferrethealth@yahoogroups.com, "keoneal27557" <keoneal@...>
wrote:
>
> 4 year old spayed female
> Assesment:
> 1. There was a moderate peritoneal effusion. A sample was obtained.
> 2. There was a 4.25 cm hyperechoic mass containing multiple fluid-
> filled cavities, up to 1.95 cm in diameter. The mass appeared to be
> attached to the caudal aspect of the right lateral liver lobe.
> 3. There was a 1.35 X 0.94 cm hypoechoic tissue with irregular
margins
> in the mesentry.
> 4. There were multiple areas of hyporchoic tissue with irregular
> margins in the mesentry.
> 5. There were multiple lymph nodes throughout the abdomen that were
> hypoechoic and enlarged.
> 6. There were solitary cysts in each kidney.
>
> Diagnosis:
> 1. Peritoneal effusion
> 2. Hepatic mass, likely neoplastic.
> 3. Calcified mass, possibly associated with the spleen, like
neoplastic.
> 4. Probable carcinomatosis or diffuse inflammation, mesentery.
> 5. Lymphomegaly
> 6. Renal cysts, like incidental
>
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