Inflammatory myofibroblastic tumour in the nasal cavity of a dog

J Small Anim Pract. 2014 Feb;55(2):121-4. doi: 10.1111/jsap.12140. Epub 2013 Oct 9.

Abstract

A 4·5-year-old, female neutered Leonberger was presented with a 2-month history of sneezing, nasal discharge and epistaxis. A presumptive diagnosis of nasal aspergillosis was made based on a suspected (fungal) granuloma on rhinoscopic examination and fungal hyphae on cytological examination. A poor response to targeted therapy was observed and computed tomography 16 months after initial presentation revealed a progressive, locally invasive mass lesion. Histopathological and immunohistochemical analysis of deep surgical biopsies revealed a spindle cell population and a plasma cell rich inflammatory infiltrate, with diffuse expression of vimentin, supporting a diagnosis of inflammatory myofibroblastic tumour. Complete resolution of the nasal discharge and reduced sneezing frequency was reported 9 months post-surgical debridement via rhinotomy. To the authors' knowledge, this is the first report of IMT in the nasal cavity of a dog. IMT should be considered when presented with a nasal mass lesion, particularly if histopathological features and clinical course are inconsistent.

Publication types

  • Case Reports

MeSH terms

  • Animals
  • Diagnosis, Differential
  • Dog Diseases / diagnosis*
  • Dog Diseases / pathology
  • Dog Diseases / surgery
  • Dogs
  • Female
  • Granuloma, Plasma Cell / diagnosis
  • Granuloma, Plasma Cell / pathology
  • Granuloma, Plasma Cell / surgery
  • Granuloma, Plasma Cell / veterinary*
  • Nasal Cavity / pathology
  • Nose Diseases / diagnosis
  • Nose Diseases / pathology
  • Nose Diseases / surgery
  • Nose Diseases / veterinary*
  • Tomography, X-Ray Computed / veterinary