Had CT done of my cat Lucas due to no resolution of respiratory problems with antibiotics. …

Had CT done of my cat Lucas due to no resolution of respiratory problems with antibiotics. Here are the results.Moderate to marked thickening of the roof of the nasopharynx • Otitis media bilaterally • Lymphadenopathy left medial retropharyngeal lymph nodeThe marked thickening of the mucosal lining of the roof of the nasopharynx in conjunction withthe enlarged left medial retropharyngeal lymph node are highly suggestive for neoplastic , and round cell neoplasia is the top differential diagnosis. Differentials include mast- cell tumor, squamous cell carcinoma, adenocarcinoma, other. The mucosal thickening of the roof of the nasopharynx can explain the bilateral otitis media due to mechanical obstruction of the openings of the auditory tubes into the nasopharynx. A differential to neoplastic infiltration is marked non-infectious inflammation (e.g. lymphocytic plasmacytic, eosinophilic) or granulomatous inflammation (e.g. Cryptococcosis) but the later one is considered far less likely here. The findings are not typical for inflammatory polyps.The bilateral otitis media is explains the history of head tilt and Horner’s syndrome. Rhinoscopy/retrograde pharyngoscopy is recommended for further evaluation including FNA sampling and biopsy. FNA sampling of the left medial retropharyngeal lymph node is warranted as well. The prednisolone treatment may influence results of the samples.I think all the tests and surgeries that may follow will be out of my budget. Already spent over $1000 to date with no resolution. Wondering if there are veterinarians who would go in and remove the polyp - appears to be a poly under soft palate - just to give the cat some relief and time.Opinions and suggestions are welcome.
Please Login to comment
2 Comment threads
0 Thread replies
0 Followers
 
Most reacted comment
Hottest comment thread
2 Comment authors
Krista MagnificoSarah Greco Recent comment authors
  Subscribe  
Notify of
Sarah Greco
Member

Good morning- I’m sorry you’ve been through so much already, and still are having issues. Did you speak candidly with your primary vet already about all of these findings and your wishes? (Meaning the removal of the polyp or at least some relief) That is probably where I would start. I would also make a few phone calls… local rescue organizations that may be willing to help fund your surgery. Or possibly your vet may let you pay a little at a time as you have already paid so much? I hope things get better soon!😊🐾

Krista Magnifico
Member

I agree with Sarah! Ask around to find someone locally to give you affordable options.