Sarcoma

Case contributed by Allison L Zwingenberger
Diagnosis certain

Presentation

Presents with left pelvic limb lameness.

Patient Data

Age: 11 years
Gender: Castrated male
Category: Domestic dog
Organism: American pit bull terrier

Pelvic limb and thorax

x-ray

Left pelvic limb: There is a large, soft-tissue opacity mass in the left pelvic limb, caudal to the femur and tibia. The borders of the mass are irregularly margined. There is mottled soft tissue and fat opacity in the subcutaneous tissues of the distal pelvic limb, and the soft tissues are thickened. There is effusion in the left stifle joint with surrounding osteophyte formation. The tissues surrounding the prepuce are also thickened. No aggressive lesions are present in the femur or tibia.

Thorax: The cardiovascular structures are normal in size and shape. The thorax is hypoinflated. No pulmonary nodules are visible. There is a small convex opacity dorsal to the second sternebra. The mediastinum and pleural space are normal. There is mild osteophyte formation in the shoulder joints.

Ultrasound

ultrasound

There is a heterogeneous, isoechoic mass measuring 4.0 cm in the spleen. The mass does not deform the splenic capsule. There is a large, multilobulated mass at the medial and caudal aspect of the left femur. This mass appears to be moderately vascularized and mildly septated. An additional mass with the same type of echogenicity is visible in the left abdominal flank. This mass is mildly vascularized and does not appear to invade the abdominal cavity. Fine-needle aspiration of the splenic mass and the left thigh were performed without evidence of immediate complication.

Case Discussion

An ultrasound was performed to screen for metastatic disease, and a 4 cm splenic mass was found. The limb mass, flank mass, and splenic mass were sampled with fine needle aspirates. Soft tissue sarcoma was diagnosed on cytology and immunohistochemistry.

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