Department of Small Animal Clinical Sciences, Virginia-Maryland Regional College of Veterinary Medicine, Blacksburg,VA 24061, USA.
J Vet Intern Med. 2012 Jan-Feb;26(1):186-91. doi: 10.1111/j.1939-1676.2011.00862.x.
In humans, central neurocytomas are rare and typically benign intracranial tumors found within the lateral ventricles, although extraventricular variants have been reported. Intracranial central neurocytomas have not been previously recognized in domestic animals.
To describe the clinicopathologic features of canine intracranial central neurocytomas.
Two dogs with spontaneous intracranial and intraventricular neoplasms.
Both dogs experienced seizures, rapid neurological deterioration, and death from tumor-associated complications within 5 days of the onset of clinical signs, and had neoplastic masses within the lateral ventricles. A brain MRI was performed in 1 dog, which revealed a T1-isointense, heterogeneously T2 and FLAIR hyperintense, and markedly and heterogeneously contrast-enhancing mass lesions within both lateral ventricles. Histologically, the neoplasms resembled oligodendrogliomas. The diagnosis of central neurocytoma was supported by documenting expression of multiple neuronal markers, including neuron-specific enolase, synaptophysin, neural-cell adhesion molecule, and neuronal nuclear antigen within the tumors, and ultrastructural evidence of neuronal differentiation of neoplastic cells.
Central neurocytoma should be a differential diagnosis for dogs with intraventricular brain masses. Morphologic differentiation of central neurocytoma from other intraventricular neoplasms, such as ependymoma or oligdendroglioma, can be difficult, and definitive diagnosis often requires immunohistochemical or ultrastructural confirmation of the neural origin of the neoplasm.
在人类中,中枢神经细胞瘤是罕见的,通常是位于侧脑室的良性颅内肿瘤,尽管也有报道过脑室外变体。在宠物动物中,颅内中枢神经细胞瘤以前尚未被认识。
描述犬颅内中枢神经细胞瘤的临床病理特征。
2 只患有自发性颅内和脑室肿瘤的狗。
这 2 只狗都出现了癫痫发作,在出现临床症状后的 5 天内,神经功能迅速恶化,并因肿瘤相关并发症而死亡,且在侧脑室内有肿瘤团块。其中 1 只狗进行了脑部 MRI 检查,结果显示 T1 等信号强度、T2 和 FLAIR 不均匀高信号强度、以及双侧侧脑室内明显且不均匀的对比增强的肿块病变。组织病理学上,这些肿瘤类似于少突胶质细胞瘤。通过证明肿瘤内存在多种神经元标志物的表达,包括神经元特异性烯醇化酶、突触素、神经细胞黏附分子和神经元核抗原,以及肿瘤细胞存在神经元分化的超微结构证据,支持中枢神经细胞瘤的诊断。
中枢神经细胞瘤应该是脑室脑内肿块犬的鉴别诊断之一。中枢神经细胞瘤与其他脑室肿瘤(如室管膜瘤或少突胶质细胞瘤)的形态学分化可能很困难,通常需要通过免疫组织化学或超微结构来确认肿瘤的神经起源,以做出明确诊断。