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Fonti N, Parisi F, Aytaş Ç, Degl’Innocenti S, Cantile C. Neuropathology of Central and Peripheral Nervous System Lymphoma in Dogs and Cats: A Study of 92 Cases and Review of the Literature. Animals (Basel) 2023; 13:862. [PMID: 36899719 PMCID: PMC10000237 DOI: 10.3390/ani13050862] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2023] [Revised: 02/20/2023] [Accepted: 02/24/2023] [Indexed: 03/03/2023] Open
Abstract
The literature about nervous system lymphoma (NSL) in dogs and cats is fragmentary, based on a few case series and case reports with heterogeneous results. The aim of our study was to retrospectively analyze 45 cases of canine and 47 cases of feline NSL and compare our results with previously reported data, also providing an extensive literature review. Breed, age, gender, clinical signs, type, and neurolocalization were recorded for each case. The pathological patterns and phenotype were assessed by histopathology and immunohistochemistry. The occurrence of central and peripheral NSL was similar between the two species in both primary and secondary types. NSL occurred with a slightly higher prevalence in Labrador Retrievers, and spinal cord lymphoma (SCL) was associated with young age in cats. The most frequent locations were the forebrain in dogs and the thoracolumbar segment in cats. Primary central nervous system lymphoma (CNSL) in cats most frequently involved the forebrain meninges, particularly as a B-cell phenotype. Peripheral NSL mostly affected the sciatic nerve in dogs and had no preferred location in cats. Nine different pathological patterns were identified, with extradural as the most prevalent SCL pattern in both species. Finally, lymphomatosis cerebri was described for the first time in a dog.
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Affiliation(s)
- Niccolò Fonti
- Department of Veterinary Sciences, University of Pisa, Viale delle Piagge n. 2, 56124 Pisa, Italy
| | - Francesca Parisi
- Department of Veterinary Sciences, University of Pisa, Viale delle Piagge n. 2, 56124 Pisa, Italy
| | - Çağla Aytaş
- Department of Veterinary Sciences, University of Pisa, Viale delle Piagge n. 2, 56124 Pisa, Italy
| | - Sara Degl’Innocenti
- School of Veterinary Medicine and Science, University of Nottingham, Loughborough LE12 5RD, UK
| | - Carlo Cantile
- Department of Veterinary Sciences, University of Pisa, Viale delle Piagge n. 2, 56124 Pisa, Italy
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2
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Rissi DR. A review of primary central nervous system neoplasms of cats. Vet Pathol 2023; 60:294-307. [PMID: 36803009 DOI: 10.1177/03009858231155400] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/22/2023]
Abstract
Primary central nervous system (CNS) neoplasms are uncommonly diagnosed in cats. The majority of primary feline CNS neoplasms described in the veterinary literature consist of meningioma and glioma occurring mainly in the brain and less often in the spinal cord. Although most neoplasms can be diagnosed based on routine histologic evaluation, less typical tumors need to be further characterized using immunohistochemistry. This review compiles the relevant information about the most common primary CNS neoplasms of cats available in the veterinary literature, aiming to serve as a converging source of information for the topic.
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Durand A, Keenihan E, Schweizer D, Maiolini A, Guevar J, Oevermann A, Gutierrez-Quintana R. Clinical and magnetic resonance imaging features of lymphoma involving the nervous system in cats. J Vet Intern Med 2022; 36:679-693. [PMID: 35048412 PMCID: PMC8965233 DOI: 10.1111/jvim.16350] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2021] [Revised: 12/10/2021] [Accepted: 12/21/2021] [Indexed: 12/25/2022] Open
Abstract
Background Lymphoma is the most common spinal cord neoplasm and second most common intracranial tumor in cats, but description of specific magnetic resonance imaging (MRI) features is lacking. Objective Describe the clinical and MRI features of lymphoma affecting the central (CNS) or peripheral (PNS) nervous system or both in cats. Animals Thirty‐one cats with confirmed cytological or histopathological diagnosis or both of lymphoma involving the CNS or PNS or both, and MRI findings of the lesions. Methods Multicenter retrospective descriptive study. Signalment and medical information were recorded. Magnetic resonance imaging findings were reviewed by 3 observers following a list of predefined criteria and consensus was sought. Frequency distributions of the different categorical data were reported. Results Median duration of clinical signs at time of presentation was 14 days (range, 1‐90). Neurological examination was abnormal in 30/31 cats. On MRI, lesions affecting the CNS were diagnosed in 18/31 cats, lesions in both CNS and PNS in 12/31, and lesions in the PNS only in 1/31. Intracranial lesions were diagnosed in 22 cats (extra‐axial, 7/22; intra‐axial, 2/22; mixed, 13/22), and spinal lesions were diagnosed in 12 (6/12 involving the conus medullaris and lumbosacral plexuses). Infiltration of adjacent extra‐neural tissue was present in 11/31 cases. Contrast enhancement was seen in all lesions, being marked in 25/30. Meningeal enhancement was present in all but 2 cases. Several distinct MRI patterns were observed. Conclusions and Clinical Importance Nervous system lymphoma in cats has a wide range of MRI features, of which none is pathognomonic. However, together with clinical data and cerebrospinal fluid (CSF) analysis, MRI may provide a strong tentative antemortem diagnosis.
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Affiliation(s)
- Alexane Durand
- Department of Clinical Veterinary Science, Vetsuisse Faculty, University of Bern, Bern, Switzerland
| | - Erin Keenihan
- Department of Molecular Biomedical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, North Carolina, USA
| | - Daniela Schweizer
- Department of Clinical Veterinary Science, Vetsuisse Faculty, University of Bern, Bern, Switzerland
| | - Arianna Maiolini
- Department of Clinical Veterinary Science, Vetsuisse Faculty, University of Bern, Bern, Switzerland
| | - Julien Guevar
- Department of Clinical Veterinary Science, Vetsuisse Faculty, University of Bern, Bern, Switzerland
| | - Anna Oevermann
- Department of Clinical Research and Veterinary Public Health, Vetsuisse Faculty, University of Bern, Bern, Switzerland
| | - Rodrigo Gutierrez-Quintana
- Division of Small Animal Clinical Sciences, School of Veterinary Medicine, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, United Kingdom
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4
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Lampe R, Levitin HA, Hecht S, Vieson MD, Selting KA, Hague DW, Foss KD. MRI of CNS lymphoma with choroid plexus involvement in five dogs and one cat. J Small Anim Pract 2021; 62:690-699. [PMID: 33769594 DOI: 10.1111/jsap.13324] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2020] [Revised: 02/04/2021] [Accepted: 02/19/2021] [Indexed: 11/29/2022]
Abstract
OBJECTIVES To describe the clinical features, magnetic resonance imaging (MRI) findings, and outcome of dogs and cats with central nervous system (CNS) lymphoma that involved the choroid plexus. MATERIALS AND METHODS A bi-institutional retrospective study of MRI of dogs and cats with CNS lymphoma, in which the choroid plexus was affected on MRI. Signalment, clinical, MRI, clinicopathologic and histopathologic findings were recorded and evaluated. RESULTS CNS lymphoma with choroid plexus involvement on the MRI was identified in five dogs and one cat. MRI revealed diffuse enlargement and multifocal nodularity in the choroid plexus in most cases, with the fourth ventricle the most common site affected. Five of the cases had signs of extraneural involvement (including the cat), while the sixth case was not staged. Four of five CSF samples analysed provided a diagnosis of lymphoma. CLINICAL SIGNIFICANCE We report MRI findings of CNS lymphoma involving the choroid plexus. These results show the importance of recognising novel imaging patterns and the potential utility of CSF collection in diagnosing CNS lymphoma involving the choroid plexus ante mortem.
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Affiliation(s)
- R Lampe
- Department of Veterinary Clinical Medicine, College of Veterinary Medicine, Veterinary Urbana, University of Illinois, Urbana, IL, 61802, USA
| | - H A Levitin
- Department of Veterinary Clinical Medicine, College of Veterinary Medicine, Veterinary Urbana, University of Illinois, Urbana, IL, 61802, USA
| | - S Hecht
- Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Tennessee, Knoxville, TN, 37996, USA
| | - M D Vieson
- Department of Veterinary Clinical Medicine, College of Veterinary Medicine, Veterinary Urbana, University of Illinois, Urbana, IL, 61802, USA
| | - K A Selting
- Department of Veterinary Clinical Medicine, College of Veterinary Medicine, Veterinary Urbana, University of Illinois, Urbana, IL, 61802, USA
| | - D W Hague
- Department of Veterinary Clinical Medicine, College of Veterinary Medicine, Veterinary Urbana, University of Illinois, Urbana, IL, 61802, USA
| | - K D Foss
- Department of Veterinary Clinical Medicine, College of Veterinary Medicine, Veterinary Urbana, University of Illinois, Urbana, IL, 61802, USA
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5
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Mello LS, Leite-Filho RV, Panziera W, Bandinelli MB, Sonne L, Driemeier D, Pavarini SP. Feline lymphoma in the nervous system: pathological, immunohistochemical, and etiological aspects in 16 cats. PESQUISA VETERINÁRIA BRASILEIRA 2019. [DOI: 10.1590/1678-5150-pvb-6295] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
ABSTRACT: The pathological, immunohistochemical (IHC), and etiological features of lymphoma involving the nervous system (NS) in cats were analyzed through a retrospective study (2004-2017) in Rio Grande do Sul State, Brazil. The NS involvement was observed in 16 (12.2%) of 125 felines with lymphoma. Young cats were mainly affected, with a median of 24 months old. Most cases were secondary central NS lymphoma, whereas in three cats, the NS involvement was primary. IHC revealed 14 (87.5%) FeLV-positive, six FIV-positive, and one FeLV/FIV-negative cats. Distribution of feline lymphoma in the NS was 8/16 in the spinal cord, 7/16 in the brain, and 1/16 in the paravertebral nerves and ganglia (neurolymphomatosis). The lymphoma pattern in the spinal cord was exclusively extradural, often focal (6/8), and located in the lumbar (3/6), sacral (1/6), thoracic (1/6), and cervical segments (1/6). Brain neuroanatomical patterns were: leptomeningeal lymphomatosis (4/7), lymphomatous choroiditis (2/7), and intradural lymphoma (1/7). The feline with primary neurolymphomatosis presented a marked thickening of paravertebral nerves and ganglia from the sacral region. B-cell lymphoma (75%) was often diagnosed, and diffuse large B-cell lymphoma (DLBCL) (11/16) was the main subtype. T-cell lymphoma (25%) was less commonly observed and was classified as peripheral T-cell lymphoma (PTCL) (3/16) and T-cell lymphoblastic lymphoma (T-LBL) (1/16).
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6
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Tanaka T, Akiyoshi H, Shimazaki H, Kawakami R, Mie K, Yamada Y, Ohashi F. Apparent diffusion coefficient value for a B-cell central nervous system lymphoma in a cat. JFMS Open Rep 2018; 4:2055116917750762. [PMID: 29383265 PMCID: PMC5784466 DOI: 10.1177/2055116917750762] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022] Open
Abstract
Case summary This report involves a 10-year-old male mixed-breed cat with a B-cell central nervous system (CNS) lymphoma. The cat presented with ataxia progressing to left hemiparesis. While haematological findings were normal, serum biochemistry showed a high creatine phosphokinase concentration. MRI revealed a homogeneously enhancing well-demarcated extra-axial lesion involving the region of the left lateral aperture with oedema in left flocculus and left medulla oblongata. On diffusion-weighted imaging, the lesion margins showed marked hyperintensity relative to the right cerebellar hemisphere. On an apparent diffusion coefficient map, the lesion appeared hypointense, with an apparent diffusion coefficient value of 0.57 ± 0.01 × 10−3 mm2/s. Cerebrospinal fluid (CSF) analysis and cytology, and genetic analysis of CSF lymphoblasts confirmed a diagnosis of B-cell lymphoma. The owner opted for palliative treatment with prednisolone (1 mg/kg q12h); however, the cat died of dyspnoea 10 days after presentation. Relevance and novel information CNS lymphomas, which are the second most common intracranial tumours in cats, are highly infiltrative lesions and radical surgical excision is not recommended. Therefore, accurate diagnosis is crucial. However, contrast-enhanced MRI cannot always differentiate these lesions from other conditions, including other CNS tumours and strokes. To the best of our knowledge, this is the first report to document the diffusion-weighted imaging features and apparent diffusion coefficient value for a feline CNS lymphoma. These findings are expected to improve the diagnostic accuracy of these lesions in cats.
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Affiliation(s)
- Toshiyuki Tanaka
- Kinki Animal Medical Training Institute, Osaka, Japan.,Department of Advanced Clinical Medicine, Graduate School of Life and Environmental Sciences, Osaka Prefecture University, Osaka, Japan
| | - Hideo Akiyoshi
- Department of Advanced Clinical Medicine, Graduate School of Life and Environmental Sciences, Osaka Prefecture University, Osaka, Japan
| | - Hitoshi Shimazaki
- Kinki Animal Medical Training Institute, Osaka, Japan.,Veterinary Teaching Hospital, Graduate School of Life and Environmental Sciences, Osaka Prefecture University, Osaka, Japan
| | | | - Keiichiro Mie
- Department of Advanced Clinical Medicine, Graduate School of Life and Environmental Sciences, Osaka Prefecture University, Osaka, Japan
| | - Yuki Yamada
- Department of Advanced Clinical Medicine, Graduate School of Life and Environmental Sciences, Osaka Prefecture University, Osaka, Japan
| | - Fumihito Ohashi
- Department of Advanced Clinical Medicine, Graduate School of Life and Environmental Sciences, Osaka Prefecture University, Osaka, Japan
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7
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Yoshino Y, Chambers JK, Nakamori T, Goto-Koshino Y, Nishigaki K, Tsujimoto H, Matsuki N, Nakayama H, Uchida K. Primary cerebellar lymphoma with Hodgkin lymphoma-like morphology in a cat. J Vet Diagn Invest 2017; 29:707-710. [PMID: 28382853 DOI: 10.1177/1040638717704239] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
A 4-y-old cat exhibited neurologic signs such as wobbling, right head tilt, and intention tremor, and MRI revealed a mass in the cerebellum. The cat died 5 mo after initial presentation, and no neoplastic lesions, other than the cerebellar mass, were observed at autopsy. Histologically, large atypical cells resembling Hodgkin cells, with single large inclusion-like nucleoli, and those resembling Reed-Sternberg cells, with symmetrically arranged nuclei, had infiltrated the left side of the cerebellum and were admixed with small lymphocytes. These atypical cells were positive for feline leukemia virus (FeLV), CD20, BLA36, vimentin, p16, p53, and Pax5, and negative for CD3, CD79a, and Iba1 by immunohistochemistry. Multiplex PCR for immunoglobulin heavy-chain gene rearrangement revealed monoclonal proliferation of B-lymphocytes. We describe this feline primary cerebellar B-cell lymphoma that displayed Hodgkin lymphoma-like tumor cells with FeLV protein expression.
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Affiliation(s)
- Yuka Yoshino
- Laboratory of Veterinary Pathology (Yoshino, Chambers, Nakamori, Nakayama, Uchida).,Molecular Diagnostic Laboratory, Veterinary Medical Center (Goto-Koshino).,Laboratory of Veterinary Internal Medicine (Tsujimoto).,Laboratory of Veterinary Clinical Pathobiology (Matsuki).,Graduate School of Agricultural and Life Sciences, The University of Tokyo, Tokyo, Japan; and Laboratory of Molecular Immunology and Infectious Disease, Joint Faculty of Veterinary Medicine, Yamaguchi University, Yamaguchi, Japan (Nishigaki)
| | - James K Chambers
- Laboratory of Veterinary Pathology (Yoshino, Chambers, Nakamori, Nakayama, Uchida).,Molecular Diagnostic Laboratory, Veterinary Medical Center (Goto-Koshino).,Laboratory of Veterinary Internal Medicine (Tsujimoto).,Laboratory of Veterinary Clinical Pathobiology (Matsuki).,Graduate School of Agricultural and Life Sciences, The University of Tokyo, Tokyo, Japan; and Laboratory of Molecular Immunology and Infectious Disease, Joint Faculty of Veterinary Medicine, Yamaguchi University, Yamaguchi, Japan (Nishigaki)
| | - Taichi Nakamori
- Laboratory of Veterinary Pathology (Yoshino, Chambers, Nakamori, Nakayama, Uchida).,Molecular Diagnostic Laboratory, Veterinary Medical Center (Goto-Koshino).,Laboratory of Veterinary Internal Medicine (Tsujimoto).,Laboratory of Veterinary Clinical Pathobiology (Matsuki).,Graduate School of Agricultural and Life Sciences, The University of Tokyo, Tokyo, Japan; and Laboratory of Molecular Immunology and Infectious Disease, Joint Faculty of Veterinary Medicine, Yamaguchi University, Yamaguchi, Japan (Nishigaki)
| | - Yuko Goto-Koshino
- Laboratory of Veterinary Pathology (Yoshino, Chambers, Nakamori, Nakayama, Uchida).,Molecular Diagnostic Laboratory, Veterinary Medical Center (Goto-Koshino).,Laboratory of Veterinary Internal Medicine (Tsujimoto).,Laboratory of Veterinary Clinical Pathobiology (Matsuki).,Graduate School of Agricultural and Life Sciences, The University of Tokyo, Tokyo, Japan; and Laboratory of Molecular Immunology and Infectious Disease, Joint Faculty of Veterinary Medicine, Yamaguchi University, Yamaguchi, Japan (Nishigaki)
| | - Kazuo Nishigaki
- Laboratory of Veterinary Pathology (Yoshino, Chambers, Nakamori, Nakayama, Uchida).,Molecular Diagnostic Laboratory, Veterinary Medical Center (Goto-Koshino).,Laboratory of Veterinary Internal Medicine (Tsujimoto).,Laboratory of Veterinary Clinical Pathobiology (Matsuki).,Graduate School of Agricultural and Life Sciences, The University of Tokyo, Tokyo, Japan; and Laboratory of Molecular Immunology and Infectious Disease, Joint Faculty of Veterinary Medicine, Yamaguchi University, Yamaguchi, Japan (Nishigaki)
| | - Hajime Tsujimoto
- Laboratory of Veterinary Pathology (Yoshino, Chambers, Nakamori, Nakayama, Uchida).,Molecular Diagnostic Laboratory, Veterinary Medical Center (Goto-Koshino).,Laboratory of Veterinary Internal Medicine (Tsujimoto).,Laboratory of Veterinary Clinical Pathobiology (Matsuki).,Graduate School of Agricultural and Life Sciences, The University of Tokyo, Tokyo, Japan; and Laboratory of Molecular Immunology and Infectious Disease, Joint Faculty of Veterinary Medicine, Yamaguchi University, Yamaguchi, Japan (Nishigaki)
| | - Naoaki Matsuki
- Laboratory of Veterinary Pathology (Yoshino, Chambers, Nakamori, Nakayama, Uchida).,Molecular Diagnostic Laboratory, Veterinary Medical Center (Goto-Koshino).,Laboratory of Veterinary Internal Medicine (Tsujimoto).,Laboratory of Veterinary Clinical Pathobiology (Matsuki).,Graduate School of Agricultural and Life Sciences, The University of Tokyo, Tokyo, Japan; and Laboratory of Molecular Immunology and Infectious Disease, Joint Faculty of Veterinary Medicine, Yamaguchi University, Yamaguchi, Japan (Nishigaki)
| | - Hiroyuki Nakayama
- Laboratory of Veterinary Pathology (Yoshino, Chambers, Nakamori, Nakayama, Uchida).,Molecular Diagnostic Laboratory, Veterinary Medical Center (Goto-Koshino).,Laboratory of Veterinary Internal Medicine (Tsujimoto).,Laboratory of Veterinary Clinical Pathobiology (Matsuki).,Graduate School of Agricultural and Life Sciences, The University of Tokyo, Tokyo, Japan; and Laboratory of Molecular Immunology and Infectious Disease, Joint Faculty of Veterinary Medicine, Yamaguchi University, Yamaguchi, Japan (Nishigaki)
| | - Kazuyuki Uchida
- Laboratory of Veterinary Pathology (Yoshino, Chambers, Nakamori, Nakayama, Uchida).,Molecular Diagnostic Laboratory, Veterinary Medical Center (Goto-Koshino).,Laboratory of Veterinary Internal Medicine (Tsujimoto).,Laboratory of Veterinary Clinical Pathobiology (Matsuki).,Graduate School of Agricultural and Life Sciences, The University of Tokyo, Tokyo, Japan; and Laboratory of Molecular Immunology and Infectious Disease, Joint Faculty of Veterinary Medicine, Yamaguchi University, Yamaguchi, Japan (Nishigaki)
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8
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Mandara MT, Motta L, Calò P. Distribution of feline lymphoma in the central and peripheral nervous systems. Vet J 2016; 216:109-16. [PMID: 27687936 DOI: 10.1016/j.tvjl.2016.07.013] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2015] [Revised: 07/22/2016] [Accepted: 07/23/2016] [Indexed: 12/16/2022]
Abstract
In cats, lymphoma (lymphosarcoma) is the most common neoplasm affecting the spinal cord and the second most common intracranial tumour. Although lymphoma commonly develops in the spinal cord as a part of a multicentric process, a primary form may occur. Lymphoma can exhibit a wide range of morphological patterns, including intraparenchymal brain mass, lymphomatosis cerebri, intravascular lymphoma, lymphomatous choroiditis and meningitis, extradural, intradural-extramedullary or intramedullary lymphoma in the spinal cord, or neurolymphomatosis in the peripheral nerves. Lymphoma may occur as a paraneoplastic disorder associated with peripheral neuropathies. Magnetic resonance imaging (MRI) and computed tomography (CT) are the techniques of choice for morphological assessment of nervous system lesions in vivo. However, biopsy should be performed to achieve a definitive diagnosis. Knowledge of the different morphological patterns expressed by lymphoma in the nervous system of cats allows veterinary clinicians to suspect lymphoma and to arrange appropriate diagnostic procedures, including immunophenotype and clonality studies, along with therapeutic protocols and prognostic evaluations.
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Affiliation(s)
- Maria Teresa Mandara
- Department of Veterinary Medicine, Neuropathology Laboratory, University of Perugia, Via S. Costanzo 4, Perugia 06126, Italy.
| | - Luca Motta
- ChesterGates Veterinary Specialists, Gates Lane, Telford Court, Unit E/F, Chester CH1 6LT, United Kingdom
| | - Pietro Calò
- Europa Veterinary Clinic, Via Kassel 18, Firenze 50126, Italy
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9
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Johnson GC, Coates JR, Wininger F. Diagnostic immunohistochemistry of canine and feline intracalvarial tumors in the age of brain biopsies. Vet Pathol 2013; 51:146-60. [PMID: 24280940 DOI: 10.1177/0300985813509387] [Citation(s) in RCA: 48] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
The focus of immunohistochemistry as applied to nervous system tumors is in identifying the neoplasm present and evaluating margins between normal and neoplastic tissue. Although not always utilized by specialists in neuropathology, immunohistochemistry remains useful to resolve concerns about the differentiation and rate of tumor growth. The aims of this review are to discuss the utility of immunohistochemical reagents currently used in diagnosis of canine and feline intracalvarial tumors, to indicate the applicability of some tests currently used in human nervous system tumors for domestic species, and to evaluate a few less commonly used reagents. A panel of biomarkers is usually needed to confirm a diagnosis, with groups of reagents for leptomeningeal, intraparenchymal, and ventricular neoplasms. In the future, signature genetic alterations found among feline and canine brain tumors--as correlated prospectively with diagnosis, rate of enlargement, or response to treatment--may result in new immunohistochemical reagents to simplify the task of diagnosis. Prospective studies determining the type and proportion of stem cell marker expression on patient longevity are likely to be fruitful and suggest new therapies. Due to increased frequency of biopsy or partial resection of tumors from the living patient, biomarkers are needed to serve as accurate prognostic indicators and assist in determining the efficacy of developing therapeutic options in nervous system tumors of dogs and cats.
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Affiliation(s)
- G C Johnson
- Department of Veterinary Pathobiology, Veterinary Medical Diagnostic Laboratory, University of Missouri, 1600 East Rollins Street, Columbia MO 65211, USA.
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10
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Giordano C, Giudice C, Bellino C, Borrelli A, D'Angelo A, Gianella P. A case of oculo-cerebral B-cell lymphoma in a cat. Vet Ophthalmol 2012; 16:77-81. [PMID: 22520020 DOI: 10.1111/j.1463-5224.2012.01025.x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
PURPOSE To describe a case of a cat with primary B-cell lymphoma affecting the eye and brain and which shared features similar to oculo-cerebral lymphoma in humans. METHODS A 13-year-old castrated male Persian cat presented with clinical signs of anterior uveitis and increased intraocular pressure (IOP) in the left eye (OS). A complete diagnostic work-up was declined, and left-eye enucleation was performed. The globe was submitted for histopathology. One week after surgery, the cat became inappetent, hypothermic, and aggressive. Euthanasia was requested by the owner, and a necropsy was permitted. RESULTS Histopathology of the enucleated globe revealed an extensive neoplastic infiltration consistent with large-cell lymphoma, affecting the anterior uvea, neuroretina and optic nerve. At necropsy, all organs were unremarkable except for the brain, where there was a neoplastic cell population consistent with that described in the left eye, infiltrated and expanded meninges, and perivascular spaces. Immunohistochemically, the neoplastic cells were positive for B-cell marker (CD20) and negative for T-cell marker (CD3). Histology and immunophenotyping suggested a diagnosis of primary central nervous system and ocular large B-cell lymphoma. DISCUSSION The lymphoma in this cat resembled oculo-cerebral lymphoma in humans, sharing similar clinical features and histopathological findings, including the perivascular pattern of neoplastic cell infiltration. To the best of the authors' knowledge, this is the first description of a primary oculo-cerebral B-cell lymphoma in a cat.
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Affiliation(s)
- Cristina Giordano
- Ophthalmology Veterinary Practice, Turin, Italy Department of Veterinary Pathology, Hygiene, and Public Health, University of Milan, Milan, Italy
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11
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Loderstedt S, Walmsley GL, Summers BA, Cappello R, Volk HA. Neurological, imaging and pathological features of a meningeal inflammatory pseudotumour in a Maltese terrier. J Small Anim Pract 2010; 51:387-92. [PMID: 20536688 DOI: 10.1111/j.1748-5827.2010.00931.x] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
A five-year eight-month-old Maltese terrier was presented with a 3-week history of progressive paraparesis and pelvic limb ataxia. Neurological examination was consistent with a lesion involving the T3-L3 spinal cord segments. Myelogram and magnetic resonance imaging revealed a spherical, intradural-extramedullary mass lesion at T13/L1. A dorsal laminectomy, durotomy and debulking of the mass were performed. Histopathologic examination revealed a highly cellular tissue, most likely of mesenchymal origin, infiltrated by many lymphocytes, macrophages and neutrophils. The pathological diagnosis of an inflammatory pseudotumour was made. Postsurgical analgesia was achieved with opioids and 2 mg/kg carprofen twice daily for 5 days. When the histopathological diagnosis was made, a tapering course of 1 mg/kg prednisolone twice daily was prescribed, with dose reduction by approximately 50% every 4 to 6 weeks over a 4-month period. Magnetic resonance imaging was repeated at 22, 32 and 85 weeks postsurgery; no signs of regrowth could be detected and the patient recovered with residual mild paraparesis. Inflammatory pseudotumour has not been documented previously at this site in dogs and, although rare, should be considered in the differential diagnosis of a focal mass lesion affecting the spinal cord. Surgical debulking and immunomodulatory therapy can be curative.
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Affiliation(s)
- S Loderstedt
- Department of Veterinary Clinical Sciences, Royal Veterinary College, London, UK
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