Difference between revisions of "Central Nervous System Neoplasia"

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==Neoplasia==
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* Particularly affects older animals.
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* Signs may occur acutely, or be progressive and reflect
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** The primary parenchymal damage by the tumour
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** Sequelae such as haemorrhage or oedema.
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==Primary==
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<br>
 
 
===Meningioma===
 
[[Image:meningiomaleftfrontallobe.jpg|thumb|right|150px|Meningioma - left frontal lobe. Image couretsy of BioMed Archive]]
 
[[Image:meningiomabrain.jpg|thumb|right|150px|Meningioma. Image couretsy of BioMed Archive]]
 
* Meningioma is most frequently seen in cats and dogs, and is the most common primary brain tumour in these species.
 
** Dolicocephalic dog breeds are predisposed. [[Image:meningiomahisto.jpg|thumb|right|150px|Meningioma, histological view. Image couretsy of BioMed Archive]]
 
* Tumours arise from arachnoid cap cells ion the arachnoid layer of meninges.
 
* Meningiomas are usually benign, and therefore seldom invade. [[Image:meningiomainfiltrating.jpg|thumb|right|150px|Infiltrating meningioma, histological view. Image couretsy of BioMed Archive]]
 
** Spread to the lung has, however, been reported.
 
* The main effects of the tumour is due to its action as a compressive, space-occupying lesion.
 
* Meningiomas may become mineralised. <br><br>
 
<center>
 
{| border="1" cellpadding="7"
 
!'''Feature'''
 
!'''Dog'''
 
!'''Cat'''
 
|-
 
| '''Lesion Number'''
 
| Solitary
 
| Multiple
 
|-
 
| '''Infiltration to Cortical Parenchyma'''
 
| More infiltrative
 
| Less infiltrative
 
|-
 
| '''Encapsulation'''
 
| Poorly encapsulated
 
| Well encapsulated
 
|-
 
| '''Metastatic Potential'''
 
| Low
 
| Low
 
|}
 
</center>
 
[http://w3.vet.cornell.edu/nst/nst.asp?Fun=F_KSsrch&kw=MENINGIOMA View images courtesy of Cornell Veterinary Medicine]
 
====Treatment====
 
 
 
* Chemotherapy
 
* Radiation therapy
 
* Surigcal resection.
 
** Better results in cats (as encapsulated and clearly distinguished from normal brain).
 
*** Survival is 22-27 months following resection.
 
 
 
===Glioma===
 
 
 
* Due to their origin, gliomas are found within the intraaxial neuroxis.
 
* Brachycephalic breeds are predisposed.
 
* Glial tumours rise from cells of the brain parenchyma.
 
** Astrocytes - '''Astrocytoma'''
 
** Oligodendrocytes - '''Oligodendroglioma'''
 
** Ependymal cells - '''Ependymoma'''
 
** Choroid plexus cells - '''Choroid plexus tumours'''
 
 
 
====Astrocytoma====
 
[[Image:astrocytomagross.jpg|thumb|right|150px|Astrocytoma. Image courtesy of BioMed Archive]]
 
* The most common of the glial tumors
 
* Brachycephalic breeds are predisposed.
 
** E.g. boxer, bulldog.
 
[[Image:astrocytomahisto.jpg|thumb|right|150px|Astrocytoma: histological view. Image courtesy of BioMed Archive]]
 
=====Gross=====
 
 
 
* Astrocytomas are firm, solid tumours.
 
* Colour tends to be grey-white.
 
** This may sometimes be mottled with red due to areas of necrosis and haemorrhage.
 
[http://w3.vet.cornell.edu/nst/nst.asp?Fun=F_KSsrch&kw=ASTROCYTOMA View images courtesy of Cornell Veterinary Medicine]
 
 
 
====Oligodendroglioma====
 
 
 
* Oligodendroglioma is most commonly found in dogs.
 
* As for astrocytomas, there is a predilection for brachycephalic breeds.
 
 
 
=====Gross=====
 
 
 
* Oligodendrogliomas are soft in texture, and often gelatinous.
 
* Colour ranges from grey to pink/red.
 
 
 
[http://w3.vet.cornell.edu/nst/nst.asp?Fun=F_KSsrch&kw=OLIGODENDROGLIOMA View images courtesy of Cornell Veterinary Medicine]
 
 
 
====Ependymoma====
 
 
 
* Ependymomas are found in dogs, cats, [[Alimentary System  - Horse Anatomy|horses]] and cattle.
 
* They occur mainly in the ventricles.
 
** The lateral ventricle is most often affected.
 
* The tumours may spread within the ventricular system via the cerebrospinal fluid.
 
* Growth is generally expansile, but it can be invasive and destructive.
 
 
 
[http://w3.vet.cornell.edu/nst/nst.asp?Fun=F_KSsrch&kw=EPENDYMOMA View images courstesy of Cornell Veterinary Medicine]
 
 
 
====Choroid Plexus Tumours====
 
 
 
* Choroid plexus tumours are rare.
 
* They are mainly found in dogs.
 
* Choroid plexus tumours are found in areas where the choroid plexus is concentrated, i.e.:
 
** Lateral ventricle
 
** Third ventricle
 
** Fourth ventricle
 
** There is a particular predilection for the fourth ventricle.
 
* This association with the ventricular system makes hydrocephalus a common sequelae.
 
* The tumours may metastasis via the CSF and ventricular system.
 
* Chroid plexus tumourc contain an increased concentration of blood vessels.
 
** Contrast administration may therefore aid in their identification.
 
 
 
====Treatment of Gliomas====
 
 
 
* The usual modes of anti-cancer therapy may be used to tackle gliomas:
 
** Radiation therapy
 
** Chemotherapy
 
** Surgery
 
* However, surgery is less ideal as the tumours are located within the parenchyma.
 
 
 
==PNETs==
 
 
 
* PNETs stands for Primitive NeuroEctodermal Tumors.
 
* These are tumors of primitive germ cell origin.
 
* They are rare.
 
 
 
==Secondary==
 
 
 
* May arise from:
 
** '''Metastasis'''
 
*** Numerous tumours of older animals may metastasise to the brain:
 
**** Haemangiosarcoma
 
**** Lymphoma
 
**** Mammary gland carcinomas
 
**** Other carcinomas
 
*** Tumours which metastasise to the lungs may be more likely to metastasise to the brain.
 
*** Incidence is underestimated, as the brain is not routinely examined at necropsy.
 
*** The white-grey matter junction is the most frequently affected area.
 
*** Brainstem and spinal cord metastasis are less common than forebrain metastasis.
 
*** Choroid plexus tumours and ependymomas may metastasise via the CSF.
 
** Extenstion from extraneural sites, e.g.
 
*** Skull
 
*** Nasal cavity
 
**** Signs of extenstion may preced signs of nasal disease.
 
*** Frontal sinuses
 
 
 
 
 
[[Category:Central Nervous System - Pathology]]
 
[[Category:Neoplasia]]
 

Revision as of 10:48, 18 August 2008