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Presumptive primary cardiac lymphoma in a cat causing pericardial effusion
Nako Shinohara1, John M Macgregor, Anthony Calo
1Department of Clinical Sciences, Foster Hospital for Small Animals, Tufts University School of Veterinary Medicine, 200 Westboro Road, North Grafton, MA 01536, USA.
Insights
A rare case of primary cardiac lymphoma in a cat is presented, leading to pericardial effusion. Diagnosis was confirmed via cytology, and chemotherapy was initiated for this feline heart tumor.
Area of Science:
- Veterinary Medicine
- Cardiology
- Oncology
Background:
- Primary cardiac lymphoma is an uncommon malignancy in domestic animals.
- Pericardial effusion can be a clinical sign of cardiac masses in cats.
- Diagnostic challenges exist for identifying heart tumors in feline patients.
Purpose of the Study:
- To report a case of primary cardiac lymphoma in a cat.
- To describe the diagnostic process for feline cardiac neoplasia.
- To highlight the clinical presentation and initial management of cardiac lymphoma.
Main Methods:
- Echocardiography was used to detect a heart mass and pericardial effusion.
- Pericardiocentesis and ultrasound-guided fine needle aspirate were performed.
- Cytology of pericardial fluid provided the antemortem diagnosis.
Main Results:
- A 13-year-old Himalayan cat presented with weight loss and cardiomegaly.
- Echocardiography revealed pericardial effusion and a cardiac mass.
- Cytological analysis confirmed primary cardiac lymphoma.
Conclusions:
- Primary cardiac lymphoma should be considered in cats with unexplained pericardial effusion and cardiomegaly.
- Antemortem diagnosis is achievable through fine needle aspirate and cytology.
- Chemotherapy offers a treatment option for feline cardiac lymphoma.
Abstract:
We report a case of primary cardiac lymphoma in a cat, causing pericardial effusion. A 13-year-old castrated male Himalayan cat was evaluated for chronic weight loss and radiographic finding of cardiomegaly. Pericardial effusion and a heart mass were detected via echocardiography. Pericardiocentesis and ultrasound-guided fine needle aspirate of the heart mass were performed under sedation. Antemortem diagnosis of cardiac lymphoma was made based on cytology of pericardial fluid. Based on physical examination, laboratory tests and abdominal radiographs, primary cardiac lymphoma was established as the presumptive clinical diagnosis. Treatment with chemotherapeutic agents was initiated.
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