Canine adrenocorticotropic hormone-producing sinusoidal neuroendocrine tumor associated with Cushing's disease

J Vet Med Sci. 2019 Dec 26;81(12):1863-1867. doi: 10.1292/jvms.19-0386. Epub 2019 Oct 28.

Abstract

An 18-year-old male Yorkshire Terrier was admitted with a history of neurological signs including dullness and progressive tetraparesis. Physical examination revealed bilaterally symmetrical alopecia and pot-bellied abdomen. Computed tomography and necropsy examination showed a mass across the frontal sinus and cerebral frontal lobe, bilateral adrenocortical hyperplasia, and hepatomegaly. Histopathologically, the tumor lesions consisted of sheets, nests, or cords of small- to medium-sized round-to-polyhedral cells. Adrenal cortex showed bilateral diffuse cellular proliferation, and some hepatocytes showed intracytoplasmic glycogen accumulation. Immunohistochemically, the tumor cells were positive for pancytokeratin, chromogranin-A, neuron-specific enolase, S100, synaptophysin, and thyroid transcription factor-1 but negative for microtubule-associated proein-2 and neurofilament, leading to the diagnosis of neuroendocrine tumor. These tumor cells were also positive for adrenocorticotropic hormone.

Keywords: Cushing’s disease; adrenocorticotropic hormone; canine; neuroendocrine tumor.

Publication types

  • Case Reports

MeSH terms

  • Adrenal Gland Neoplasms / diagnostic imaging
  • Adrenal Gland Neoplasms / metabolism
  • Adrenal Gland Neoplasms / veterinary
  • Adrenocorticotropic Hormone / metabolism*
  • Animals
  • Dog Diseases / pathology*
  • Dogs
  • Hepatomegaly / veterinary
  • Male
  • Neuroendocrine Tumors / diagnostic imaging
  • Neuroendocrine Tumors / metabolism
  • Neuroendocrine Tumors / veterinary*
  • Paresis / veterinary
  • Pituitary ACTH Hypersecretion / veterinary*
  • Tomography, X-Ray Computed

Substances

  • Adrenocorticotropic Hormone