Tongue lesion

Re: Tongue lesion

Rob Loxley — Thu, 20 Feb 2014 23:34:15 GMT

[quote user="Hannah Wynne Richards"]PLT has a lot of side-effects, the steroid component may predispose to infections, then ulceration[/quote]

at 0.125 mg prednisolone/kg/day??

Re: Tongue lesion

Glenn Hodgson — Thu, 20 Feb 2014 20:29:47 GMT

Got the histology result today. bilateral granulation tissue with microabcesses.

After excision I thought I palpated a 1x2 mm rod shaped stone on one side. History did not agree though.

As long as he's well I'm happy.

Thanks for the help all

Re: Tongue lesion

Hannah Wynne Richards — Fri, 07 Feb 2014 15:14:32 GMT

Try a different treatment for the back - PLT has a lot of side-effects, the steroid component may predispose to infections, then ulceration.

Wynne

Re: Tongue lesion

Richard Carter — Fri, 07 Feb 2014 10:18:13 GMT

check the dog doesn't eat lemons!!

Re: Tongue lesion

Stephen Courtney — Thu, 06 Feb 2014 22:41:56 GMT

I've seen similar lesions, left alone due to disinterest on the part of the owner, and they just sat there doing nothing, ever.

BUT you cannot diagnose a mass just by staring at it.....biopsy is the way to get an answer.

Re: Tongue lesion

Mark Hedberg — Thu, 06 Feb 2014 22:07:25 GMT

[quote user="Evelyn Barbour-Hill"]

If it's purely inflammatory and ulcerative of indeterminable origin, excisional biopsies will be curative!

[/quote]

Dentists. Honestly, the minute they can't root canal something, the next thing you know they're going on about chopping it out, see?

Re: Tongue lesion

Glenn Hodgson — Thu, 06 Feb 2014 19:59:02 GMT

Had this boy in today. clinical sogns abated on oxytet. lesions stable but still there. Going to biopsy if still there in a week. dog looks great otherwise.

Re: Tongue lesion

Evelyn Barbour-Hill — Mon, 27 Jan 2014 20:49:13 GMT

If it's purely inflammatory and ulcerative of indeterminable origin, excisional biopsies will be curative!

Re: Tongue lesion

Glenn Hodgson — Mon, 27 Jan 2014 18:48:37 GMT

The examination was under GA so we could get a good look. All else looked great, other tonsillar tissue NAD. No gross tonsilar tumor I am delighted to say! The lesions are more ulcerative, no thickening. I'm gunning for an infection. I was considering "baby ranulae".

1/5 errythema to vocal cords but nothing exciting.

This dog is generally well and other than his chronic sore back NAD on p.examination.

I think this is an oral disease. I'll see if He can be persuaded to stick his tongue out once his oxytet is finished and have another look.

If not clearly resolved I think I'll move directly to surgical biopsy to potentially reduce ga's.

I'll update in a couple of weeks.

Thanks for input!

Re: Tongue lesion

Nicola Lawlor — Mon, 27 Jan 2014 17:53:17 GMT

Were you able to have a good look at the tonsils in the throat at all? Had a similarly presenting case a few months back and it was actually only on palpation of the tonsils with a gloved finger that the cause of the problem was obvious to us - very difficult to visualise the issue even when we could feel a mass there - biopsy showed aggressive tonsillar tumour sadly in that case.

Re: Tongue lesion

Evelyn Barbour-Hill — Mon, 27 Jan 2014 17:50:05 GMT

[quote user="Gerry Polton"]Definitely worth a fine needle aspirate if the lesions persist.[/quote]

Or excisional biopsy?

Re: Tongue lesion

Gerry Polton — Mon, 27 Jan 2014 16:54:02 GMT

Dear Glenn

There are lingual tonsils: open lymphatic tissue like a lymph node without the lymph node capsule. These can enlarge due to a reactive hyperplasia, just like you can get a mild peripheral lymphadenopathy with autoimmune of other systemic inflammatory disease processes. The bilateral nature of the swellings in your case support the presence of a systemic or at least symmetric oral disease process. Since the photo shows excellent gingival health I am going to bet on what seems a little unlikely at first but the more I think about it the more concerned I become: lymphoma.

Definitely worth a fine needle aspirate if the lesions persist. Presumably there is no evidence of a generalised lymphadenopathy?

Gerry

Re: Tongue lesion

Richard Carter — Mon, 27 Jan 2014 16:42:45 GMT

looks like the sub-lingual salivary gland ducts inflamed - mucocele? - suggest covering abs/ a/infl, re-assess 10 days.