Case Of The Month

A Case of Double Trouble

A Case of Double Trouble

MS is a 12 year old, neutered male Coton de Tulear.

He was referred to our hospital for routine anal sacculectomy (surgical removal of anal sacs), dental cleaning, dental x-rays and extraction of a broken tooth, and excisional biopsy of a dermal mass.

During our pre-anesthetic work up, we discovered a pulmonary (lung) mass on chest x-rays.

MS was anesthetized and ultrasound was utilized to guide a needle into the lung mass in order to obtain cells for cytological exam.  Note how close the mass is to the heart in the ultrasound image. 

While under anesthesia we also excised several skin masses and sent them for histopathology.  The broken tooth was extracted.

The cytology of the lung cells yielded a diagnosis of malignant carcinoma type cancer.

The histopathology of the skin masses yielded a diagnosis of malignant sarcoma type cancer.

This case is particularly interesting in that MS has two unrelated malignant cancers occurring simultaneously.  Also, it highlights the importance of a thorough pre-anesthetic work up since at no point has MS exhibited any respiratory symptoms. 

Northpark Animal Hospital

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