January 2018 – “Bernese Mountain Dogs and Round Cell Neoplasia… Whats the Deal and What Can We Do?” – Sonopath’s Case of the Month

When you are informed as to the most current treatments available, you can help your clients assess their options, instead of, or prior to referral. Dr. Buchholz’s  career is beyond stellar, so be assured you will be fully prepared to consult with your client. Here is example of a BMD and some inopportune round cell badness associated with a TTA.

Patient Information:

Age:           7-year old
Gender:   Female, Spayed
Species:   Canine
Breed:      Bernese Mountain Dog

Presenting Clinical Signs:

• History of TTA performed on both knees.
• The patient was presented for a mass seen on the right knee.
• Owner reported the patient seemed more tired and not motivated for walks; limping on right hind limb.
• Examination of the right leg found a 15 cm invasive mass at the knee.
• The patient was placed on NSAIDS and scheduled for further diagnostics. CBC/Chem was WNL.

Imaging/Sampling:

• Radiographs – Knee and Thorax

Above and Below: Thorax (right and left lateral projections): Multiple lung nodules within the entire parenchyma

• Abdominal Ultrasound

Above: Enlarged and nearly anechoic medial nodes iliac lymph node
Below: Enlarged splenic lymph node

Above: Knee (caudo-cranial projection): Previous TTA (healed). Big soft tissue mass (about 7-8 cm diameter) within the right knee located mainly caudally and medially. Moderate DJD.

Teleoncology Consultation:

• FNA of lung nodules, abdominal lymph nodes, and popliteal lymph nodes were recommended.
• Bone marrow examination was also offered as a diagnostic option.
• Chemotherapy and radiation therapy were discussed with the owner as the recommended treatment option.
• Restaging was performed on the patient after 2 months of treatment with chemo (CCNU) and palliative radiotherapy.