Dec 042017
 

Lymph node aspirate from a dog

 

Case Information

A 5-year old spayed female mixed breed dog (64 pounds) presented to the oncology service at Cornell University Hospital for Animals for further evaluation of a mass present for roughly one month on the ventral right side of the throat, alongside the trachea. On physical examination, the mass was approximately 7 cm in diameter, firm, and appeared deeply attached and not freely movable. A complete blood count, clinical chemistry profile, and urinalysis showed no significant abnormalities. A free T4 level ordered by the referring veterinarian was within normal limits. Thoracic radiographs and abdominal ultrasonography revealed no evidence of metastasis. However, a CT scan of the head and neck discovered right medial retropharyngeal lymphadenopathy (3.0 x 1.9 x 1.5 cm) in addition to the primary mass. Aspirates of the right medial retropharyngeal lymph node were submitted for cytologic evaluation.

Review the photomicrographs below and answer the following questions:

  1. Into which general tumor category would you classify the neoplasm (e.g epithelial, mesenchymal, round cell, endocrine/neuroendocrine)?
  2. Given the anatomic location of the primary mass, what are your top differentials?
  3. Does the unremarkable chemistry profile help rank your differentials?

Figure 1: Lymph node aspirate (20x objective)

Figure 2: Lymph node aspirate (100x objective)

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