Diagnosis and management of B cell chronic lymphocytic leukaemia in a cat
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Published on: July 20, 2016
1Department of Clinical Studies, University of Glasgow Veterinary School, Bearsden Road, Glasgow G61 1QH.
Insights
A cat diagnosed with B cell chronic lymphocytic leukemia experienced chronic vomiting and high lymphocyte counts. Conservative treatment with antiemetic drugs maintained stability for over a year without chemotherapy.
Area of Science:
- Veterinary Medicine
- Hematology
- Oncology
Background:
- Chronic intermittent vomiting and lymphocytosis are non-specific clinical signs in cats.
- B cell chronic lymphocytic leukemia (B-CLL) is a neoplastic proliferation of mature B lymphocytes.
Observation:
- A four-year-old, female domestic shorthair cat presented with a history of chronic intermittent vomiting and lymphocytosis.
- Flow cytometry analysis of peripheral blood revealed an abnormally large population of mature B lymphocytes.
Findings:
- The feline patient was diagnosed with B cell chronic lymphocytic leukemia.
- Conservative management using antiemetic drugs resulted in clinical stability for over one year.
- Chemotherapy was not required during the observation period.
Implications:
- This case highlights the potential for conservative management in feline B-CLL.
- Early diagnosis via flow cytometry is crucial for appropriate treatment strategies.
- Further research into feline lymphoid leukemias and their management is warranted.
Abstract:
A four-year-old, female neutered domestic shorthair cat had a history of chronic intermittent vomiting and lymphocytosis. B cell chronic lymphocytic leukaemia was diagnosed by flow cytometry, which revealed abnormally large numbers of mature B lymphocytes in the peripheral blood. The cat was treated conservatively with antiemetic drugs and remained stable without chemotherapy for over a year.

