Liver Enzyme ALT of 6000?? And Lymphoma
My 13yo cat had been vomiting every few days for about a month, but otherwise acting normal. I brought him to the vet.. exam and blood work were unremarkable. The vet told me to keep monitoring him and if things didn't improve, bring him back in a month..
The occasional vomiting continued, so back he went. This time he felt something in his lower abdomen, so he had an ultrasound that day. And another round of bloodwork..
The ultrasound came back with bad news.. a discreet mass in the intestine, and what he assumes is a very swollen and aggravated lymph node in the abdomen. He said in all likelihood this is lymphoma, and said I should consult an oncologist asap. Unfortunately the closest is about an hour away, and has a 3 week waiting list.
A couple days later he called with new blood work results.. all normal again, except for the ALT, which was an unbelievable 6000! Has anyone ever seen a level like that before? Normally this value should be 27-158, according to the chart. In his previous bloodwork, this value was a nominal 47.
Apparently this means that the liver is now under major attack by the lymphoma, and is rupturing cells, thus the enzymes entering the blood stream. The other liver results are still normal, so he says this means the liver is still managing to function.
Coincidentally, the day that the vet tells me this is the first day he actually started acting sick. He's clearly getting weaker, tho still eating and drinking..
My vet has nothing to offer, really. He wants the oncologist to biopsy and assess chemo treatment. Not sure if that will still be an option in 3 weeks..
He says palliative treatment such as steroids would render biopsy results useless, so he doesn't want to prescribe unless I'm not going ahead with chemo..
It's a rock and a hard place, and my poor cat is in between...