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Summary In this report we describe the clinical and pathologic findings of a nasal cavity fibrosarcoma extending through the cribriform plate into the brain of a 9-year old Persian male intact cat. The report documents a rare occurrence. Nasal cavity neoplasms have been infrequently reported in cats. To the best of our knowledge this is the first case in the cat of a nasal cavity fibrosarcoma invading the brain. |
Tumors involving the nasal cavity are rare in
dogs and cats (1-3). The prevalence of tumors of the nasal and paranasal sinuses
in the cat has been reported to vary between 1 to 4% of all tumors diagnosed in
cats (1, 4). Squamous cell carcinomas are the most frequent tumor of the nasal
passages and paranasal sinuses of cats (5). About 91% of tumors in this region
have been found to be malignant in the cat (5). The extension of a fibrosarcoma
from the nasal cavity into the brain is a rare event, and to the best of our
knowledge this has not been reported previously. In this report we describe the
clinical and pathologic findings in a cat with a unilateral fibrosarcoma
extending through the cribriform plate into the brain.
Case report
A 9-year-old male white Persian breed cat was referred to a veterinary clinic
with signs of ocular discharge. Six months later it presented with signs of
depression and generalized weakness. After a few weeks it appeared to the owners
that the cat was confused and unable to recognize them. Shortly thereafter the
cat became weaker and began showing signs of lack of coordination. At the
request of the owners, due to the central nervous involvement, the cat was
euthanized.
Necropsy findings
At necropsy, a soft whitish-gray mass of 2 x 5 cm was present in the left nasal
cavity. The tumor mass had destroyed the turbinate bones and eroded through the
lamina cribosa of the ethmoid bone and penetrated the brain in the region of the
frontal and the left olfactory lobes. No lesions were detected in the regional
lymph nodes. No other pathological findings were present in any other internal
organ.
Histopathological findings
The normal architecture of the nasal cavity was completely replaced by
compact neoplastic tissue. The tumor mass was poorly delineated, highly cellular
and composed of interlacing streams and whorls of spindle shaped cells. The
neoplastic cells had indistinct boarders with a moderate amount of eosinophilic
fibrillar cytoplasm. The nuclei were round to oval with lightly stippled
chromatin, prominent nuclear borders, and a single, usually centrally located
nucleolus. Mitoses averaged about 1-2 per high power field.
Multifocally within the mass there were areas of necrosis, hemorrhage and
infiltrates of lymphocytes. Within the nasal cavity the neoplastic cells had
replaced bone matrix of the turbinates (Fig. 1). In the brain, the tumor
extended into the neuropil of the frontal lobe in a number of foci (Fig. 2).
Adjacent to the invasive tumor there were hemorrhages with vacuolation and
necrosis of the neuropil. A number of multinucleated giant cells was evident,
along with Gitter cells, some containing hemosiderin.
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Figure 1. |
Figure 2. |
Discussion
A specific diagnosis was not made based on clinical signs. Classical
clinical signs include sneezing, nasal or ocular discharge, which may be bloody
and dyspnea (4). With the exception of an ocular discharge, there was no
indication of nasal cavity neoplasia. Neurological signs of neoplasia were
apparent at a late stage of the disease, but were not specific for nasal cavity
neoplasia with extension to the brain.
The signalment for a cat with nasal or paranasal cavity neoplasia includes male
castrated cats older than 6 years of age (4). In this regard it is interesting
to note that the cat is the only species in which a sex difference in the
occurrence of nasal neoplasms has been found, with males nearly twice as likely
to have nasal neoplasms than females (5). Furthermore data indicates that
castrated male cats are at greatest risk (4). The cat presented in this case was
a 9-year old intact male. There is inadequate information in the literature
regarding the incidence of the tumors in different breeds of cats, although a
number of cases have been reported in the Persian breed (4).
In a review of 35 cases of naturally occurring microscopically confirmed tumors
of the nasal cavity and paranasal sinuses of cats, only one was reported as a
fibrosarcoma (5). In another survey, 16 cases with nasal/paranasal tumors were
presented and only one case was diagnosed as a fibrosarcoma which did not invade
the brain of a 9-year-old male castrated cat (4). Overall, of the 16 cases
reported two were carcinomas, both of which invaded the brain.
From the literature it appears that besides the scarcity of this tumor in the
nasal cavity of cats, its invasion into the brain is even more uncommon although
the majority of nasal tumors are located near the cribriform plate (1). At
necropsy, the tumor was found to be located unilaterally. Although no data are
available for cats, approximately half of tumors in the dog invade the
contralateral nasal cavity at the time of diagnosis (6).
In summary, this report documents a rare occurrence of a fibrosarcoma of
the nasal cavity of a cat with extension into the brain. Nasal cavity neoplasms
have been infrequently reported in cats with only two instances of fibrosarcomas
documented in the literature. To the best of our knowledge this is the first
case in the cat of a nasal cavity fibrosarcoma invading the brain.
LINKS TO OTHER ARTICLES IN THIS ISSUE
References
1. Ogilvie, G.R. and LaRue, S.M. Canine and
feline nasal and paranasal tumors. Vet. Clinics of North America. Small Animal
Pract. 22:1133-1143, 1992.
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cavity of dogs — five case reports. Isr. J. Vet. Med. 37:145-150, 1980.
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cat. JAVMA. 167:481-483, 1975.
4. Cox, N.R., Brawner, W.R., Powers, R.D. and Wright, J.C. Tumors of the nose
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6. Patnaik, A.K.(1989) Canine sinonasal neoplasms: Clinicopathological study of
285 cases. JAAHA. 25: 103-114, 1989.
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