Ishino Hirokazu, Takekoshi Susumu, Teshima Takahiro, Uchida Kazuyuki, Sakonju Iwao, Hara Yasushi
1 Laboratory of Small Animal Surgery 1, School of Veterinary Medicine, Kitasato University, Towada, Aomori, Japan.
2 Division of Host Defense Mechanism, Department of Cell Biology, Tokai University School of Medicine, Isehara-shi, Kanagawa, Japan.
Vet Pathol. 2019 Jul;56(4):609-613. doi: 10.1177/0300985819829530. Epub 2019 Feb 17.
An 11-year-old castrated male Chihuahua dog was presented with complaints of polyuria, polydipsia, abdominal enlargement, and alopecia. Hyperadrenocorticism was diagnosed on the basis of clinical signs, blood tests, adrenocorticotropin-stimulation test results, and an elevated serum adrenocorticotropin concentration. Contrast-enhanced magnetic resonance imaging showed that the pituitary gland was enlarged, compatible with a pituitary macroadenoma. Pituitary-dependent hyperadrenocorticism was suspected, and transsphenoidal hypophysectomy was thus performed for complete resection of the tumor. After surgery, the serum adrenocorticotropin concentration normalized and the hyperadrenocorticism resolved. Histological and immunocytochemical analyses revealed a benign tumor composed of mature neuronal cells and glial cells, suggestive of a ganglioglioma with immunolabeling for adrenocorticotropin. Careful analysis of the resected tumor revealed no pituitary adenoma tissue. The clinical and histopathologic findings indicated that the ganglioglioma was directly responsible for the hyperadrenocorticism. This is the first case of hyperadrenocorticism caused by a ganglioglioma in a dog.
一只11岁去势雄性吉娃娃犬因多尿、多饮、腹部肿大和脱毛前来就诊。根据临床症状、血液检查、促肾上腺皮质激素刺激试验结果以及血清促肾上腺皮质激素浓度升高,诊断为肾上腺皮质功能亢进。增强磁共振成像显示垂体增大,符合垂体大腺瘤。怀疑为垂体依赖性肾上腺皮质功能亢进,因此进行经蝶窦垂体切除术以完全切除肿瘤。术后,血清促肾上腺皮质激素浓度恢复正常,肾上腺皮质功能亢进得到缓解。组织学和免疫细胞化学分析显示肿瘤为良性,由成熟的神经元细胞和神经胶质细胞组成,提示为促肾上腺皮质激素免疫标记的神经节胶质瘤。对切除肿瘤的仔细分析未发现垂体腺瘤组织。临床和组织病理学结果表明,神经节胶质瘤是导致肾上腺皮质功能亢进的直接原因。这是首例犬神经节胶质瘤引起肾上腺皮质功能亢进的病例。