Peer-reviewed veterinary case report
Dog with painful eye bulge and blindness from orbital tumor
By Fischer, Maria-Christine et al.·Published in Tierarztliche Praxis. Ausgabe K, Kleintiere/Heimtiere·2018·View original on PubMed →
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Original publication title: Orbital paraganglioma in a dog.
- Species:
- dog
Plain-English summary
A 10-year-old Rottweiler was brought in because of a painful bulging eye, blindness, and swelling around the optic nerve. Imaging showed a mass behind the eye, which was later identified as a paraganglioma, a type of neuroendocrine tumor. The vet performed surgery to remove the affected eye and surrounding tissue. Although they couldn't confirm complete removal of the tumor, the owners reported that the dog had no signs of tumor regrowth 25 months later.
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Abstract
A 10-year-old Rottweiler presented with right-sided moderately painful exophthalmia, blindness, absence of dazzle and pupillary light reflexes, a swollen optic nerve head and ventrolateral indentation of the globe. On magnetic resonance imaging, a 3 x 2 x 2 cm mass with a fluid filled center and contrast-enhancing periphery was noted posteriolateral of the globe. Orbital ultrasound was used for a guided fine needle aspirate of the mass. Cytology revealed moderate numbers of polygonal cells with lightly basophilic cytoplasm. Several cells showed nuclear pseudoinclusions. Histopathology following exenteration of the orbit revealed an infiltrative, extradural neoplasm surrounding the optic nerve. Cells were arranged in packets. Neoplastic cells were immunopositive for neuron specific enolase, synaptophysin and chromogranin A and immunonegative for cytokeratin. Findings were consistent with an extra-adrenal paraganglioma (neuroendocrine tumour). Although complete excision could not be confirmed on histopathology, the owners reported no apparent tumour recurrence 25 months after surgery. In conclusion a paraganglioma should be considered as a differential diagnosis of an orbital mass.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/30658369/