7: Liver and spleen Flashcards
How many portal triads should a liver biopsy contain?
6
When is it adequate to use an FNA for a liver biopsy?
Lymphoma and lipidosis
What’s the problem with a trucut biopsy?
Long and thin so hard to get the triads
What can you send liver biopsies off for?
Histo, culture, PCR, copper levels etc
Is neoplasia usually benign or metastatic?
metastatic
What can be confused with metastatic liver cancer?
Nodular hyperplasia (benign)
What does liver tumour resection depend on?
Hilus involvement
Why should you ensure you don’t ligate the splenic artery?
Goes to pancreas
What proportion of splenic masses are malignant?
2/3
What proportion of malignant splenic masses are haemangiosarcoma?
2/3
If incidental, are splenic masses usually malignant or benign?
Benign
What is the usual diagnosis if haemoperitoneum in a large breed dog?
Haemangiosarcoma
What must you check for in haemangiosarcoma?
Pulmonary metastasis and evidence of atrial haemangiosarcoma, arrhythmia
What are the lobes of the canine liver?
Left lateral and medial, right lateral and medial, quadrate, caudate
Whats are the four types of hepatic shunts?
Congenital extrahepatic, congenital intrahepatic, acquired, portal vein hypoplasia
