As of a week ago, Nicole has lost her boyfriend, Bill, to leukemia. As of 2 and a half years before, he had become the love of her life. He was 39 years old
( Read more... )
Ah I'm sorry. I agree with sonya, it's unfortunately usually lymphoma until proven otherwise, especially with other PLN that are enlarged. The minor positive is that if it popped up quickly, will likely respond well to an onco protocol for a while...
Maybe the other mass is an ulcerated histiocytoma? They can look just like mast cells!
Sorry for all your friend has gone through. Treating pets of friends and family is really hard. :(
Well, the dog is probably 9-10 years old. I don't generally see histiocytomas in dogs that age; do you?
I looked at the slide last night. It was a mixed inflammatory population, but there were a number of mast cells and eos present, so I think MCT is the likely culprit. I called her and told her to get that thing lopped off ASAP, possibly accompanied by the enlarged LN.
They are certainly much more common in younger dogs, but I have seen them in all ages, and usually the path report will say that as well. However, it is usually a very monomorphic round cell population. I always confirm them and send them out to a pathologist, but have looked at lots in clinic before sending (or stain a slide for me-I'm such a nerd), and rarely have mast cells or eosinophils as part of the population. You get get a bunch of lymphocytes and inflammatory cells if they are undergoing regression.
Yeah, this was kind of a weird conglomeration of mast cells, eos, and plasma cells with a few neutrophils thrown in here and there. But actually, after looking further at pictures I'm not even convinced any more that they were plasma cells; I think they might be degranulated mast cells because there were a bunch of random granules surrounding them.
She took her to her own vet today and shared my impression with him. He's just going to take the damn thing off with wide margins on Friday.
Well, I can't really make sure of anything because I am not in on the surgery. The guy doing it is an actual board certified surgeon, though, so I'm not terribly worried.
Maybe the other mass is an ulcerated histiocytoma? They can look just like mast cells!
Sorry for all your friend has gone through. Treating pets of friends and family is really hard. :(
Reply
I looked at the slide last night. It was a mixed inflammatory population, but there were a number of mast cells and eos present, so I think MCT is the likely culprit. I called her and told her to get that thing lopped off ASAP, possibly accompanied by the enlarged LN.
Reply
Reply
She took her to her own vet today and shared my impression with him. He's just going to take the damn thing off with wide margins on Friday.
Reply
Reply
Reply
Leave a comment