Case Index - - October 2005 - Case of the Month.

Scroll down to the bottom for the final answer.

Signalment:  13 y.o. lab mix dog

History: weight loss (5 # in 2 months, 65# BW), PU/PD for same time. Elevated liver enzymes (ALK PHOS 1200, ALT 120)

Image of region of right adrenal gland

Questions:
i. Differentials for lesion?
ii. Other imaging tests indicated?





















Answer:

Adrenal adenocarcinoma
DDX: other para-aortic mass lesions
Testing: LDDS test, ACTH stimulation, evaluation of the caudal vena cava for evidence of tumor invasion