SIGNALMENT

HISTORY

• 5 episodes of weakness in past 4 months
• Bulging belly
• Uneplained weight loss
• Pale MMS and random coughing
• Panting and lethargy

PE FINDINGS

• Pale MMS
• Slightly distended abdomen

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LAB FINDINGS

• Anemic
• Reticulocytosis
• Left shift
• Monocytosis
• Lymphocytopenia

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LAB FINDINGS CONT'D

• Eosinopenia
• Thrombocytopenia
• Hempathology: increased Howell-Jolly bodies
• Neutrophilia

DIAGNOSIS

• Large dog and older
• History (regenerative anemia)
• Erythrocyte morphology
• These all suggest Hemangiosarcoma

DIAGNOSIS CONT'D

• Fine needle aspiration cytology that shows cancer
• CT Scan and xrays show extent

TREATMENT

• Surgery
• Further treatment after surgery
• Such as chemotherapy to prevent spread

OUTCOME

• Axel had surgery
• sarcoma was removed
• Following up with chemotherapy

REFERENCES

• https://online.vitalsource.com/#/books/9781118472736/pages/56803006
• http://www.acvim.org/PetOwners/AnimalEducation/FactSheets/Oncology/Hemangio...