Adenocarcinoma in Cats

Hemangiosarcoma (HSA) is a highly malignant vascular tumor arising from endothelial cells that line blood vessels. Although common in dogs, it is rare in cats, accounting for less than 2% of feline neoplasms. Despite its rarity, it is aggressive, locally invasive, and often metastatic at the time of diagnosis.

History

Clinical Signs

Diagnostics

Surgery

Histopathology

The cat was presented with a history of progressive lethargy, anorexia, and intermittent episodes of weakness over two weeks. The owner also reported occasional pale gums and an episode of collapse before presentation. No history of trauma or toxin exposure was noted.

the cat appeared depressed and weak, with pale mucous membranes, tachycardia, and poor femoral pulse quality.
Abdominal palpation revealed a firm, enlarged mass in the cranial abdomen, and mild abdominal distension was noted.
Capillary refill time was prolonged (>3 seconds), suggesting anemia and hypovolemia.

  • CBC: Revealed moderate non-regenerative anemia and mild thrombocytopenia.
  • Serum biochemistry: Mild elevation in ALT and ALP; total protein slightly decreased.
  • Coagulation profile: Prolonged PT and APTT, suggesting coagulopathy.
  • Abdominal Radiographs: Showed loss of normal hepatic silhouette and a soft-tissue mass in the cranial abdomen.
  • Abdominal Ultrasound: Identified a heterogeneous, vascular hepatic or splenic mass with regions of cavitation and hypoechoic fluid pockets consistent with hemorrhage.
    Free anechoic fluid in the abdomen indicated hemoabdomen.
  • Abdominocentesis Yielded non-clotting, hemorrhagic fluid confirming intra-abdominal bleeding

The standard of treatment for splenic hemangiosarcoma's that have not yet metastasized to the lungs consists of surgery to remove the measurable (bulky or visible) disease followed by chemotherapy to delay the progression of metastatic disease

histologically mass was confirmed Hemangiosarcoma

Surgery

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