|
|
(7 intermediate revisions by 4 users not shown) |
Line 1: |
Line 1: |
− | ==Neoplasia==
| + | {{toplink |
− | | + | |backcolour = E0EEEE |
− | * Particularly affects older animals.
| + | |linkpage = Nervous System - Pathology |
− | * Signs may occur acutely, or be progressive and reflect
| + | |linktext =Nervous System |
− | ** The primary parenchymal damage by the tumour
| + | |maplink = Nervous System (Content Map) - Pathology |
− | ** Sequelae such as haemorrhage or oedema.
| + | |pagetype =Pathology |
− | | + | }} |
− | ==Primary==
| + | <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]]
| |