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Brief Summary of Findings:

Panjang had significant pathology present within her reproductive tract (Figures 2 and 3). A large mass associated with her right horn was observed as previously reported in March. The mass was approximately 50 mm thick extending from the uterine body into the right horn with evidence of fluid within the lumen (Figure 3). The mass is most likely a tumor, possibly a leimyoma, leiomyosarcoma, or adenocarcinoma. Other differentials for this mass would include chronic endometritis or pyometra, although this would be less likely given the history and clinical findings. The larger mass observed by Dr. Roth (12 cm) was not observed on this exam, but likely represents the large tissue mass found in Panjang’s stall in mid August (Figure 1). The observation of luteal tissue on Panjang’s right ovary (Figure 4) is consistent with a picture of continued cyclicity in this female despite the significant observed and historical pathology.

Immediate Plan:

For the immediate future, continue to monitor Panjang for any further hemorrhage or abnormal vaginal discharge. Based on the observed pathology and history of hemorrhagic discharge, Panjang may benefit from a period of rest from breeding with reevaluation of her reproductive tract via ultrasound (including a vaginal exam via speculum or endoscopy) in another 3 months. It appears that some of the pathology may be resolving. If her reproductive condition continues to progress with enlargement and or further hemorrhage, a uterine biopsy would provide necessary information to provide a prognosis for her future health and reproductive function. Histopathologic examination of the expelled mass is underway at the Veterinary Hospital of Universiti Putra Malaysia (UPM). more »

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