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524 Brief Communications and Case Reports Vet Pathol 41:5, 2004

Vet Pathol 41:524–526 (2004)

Oligodendroglioma in the Cervical Spinal Cord of a Dog

T. MAMOM, A. MEYER-LINDENBERG, M. HEWICKER-TRAUTWEIN, AND W. BAUMGÄRTNER

Abstract. A 7-year-old male castrated Yorkshire Terrier dog developed slowly progressive neurologic dis-
turbances consisting of difficulties in moving the neck, lack of proprioception, and tetraparesis 4 months prior
its death. Neurologic examination, computer tomography, and myelography resulted in the tentative diagnosis
of intramedullary cervicothoracic spinal cord lesion. At necropsy, an intramedullary cervical spinal cord mass
between C5 and C6 was noticed. Histologically, cells of this well-demarcated, nonencapsulated neoplasm were
arranged in sheaths or cords separated by a fine fibrovascular stroma. The polygonal to round tumor cells were
characterized by moderate pale, basophilic, and vacuolar cytoplasm and round to slightly oval, centrally located
nuclei with fine-stippled heterochromatin, a single nucleolus, and a very low mitotic activity. Tumor cells lacked
glial fibrillary acidic protein, vimentin, factor VIII–related, and cytokeratin antigen expression. Histologic and
immunohistochemical findings led to the diagnosis of a cervical spinal cord oligodendroglioma.

Key words: Dogs; immunohistochemistry; oligodendroglioma; spinal cord; tumor.

Intramedullary spinal cord tumors originating from neuro- ependymomas, and oligodendroglioma.4,5 Clinical signs are
ectodermal cells have been described only rarely.1,2,4,5,9 Spinal mostly due to the space-occupying effect of the tumor.4
cord tumors in dogs have been classified according to their This report describes the histologic, immunohistochemi-
location into three categories: extradural, intradural-extramed- cal, and clinical findings of a spinal cord mass of a 7-year-
ullary, and intramedullary tumors.1,3,6 Most canine spinal cord old male castrated Yorkshire Terrier. The animal had a 4-
tumors are found extradurally, whereas primary intradural tu- month history of increasing inability to move the neck. The
mors are less common.1,3,9 In a recent study of 33 spinal cord dog’s condition deteriorated despite supportive treatment,
tumors in dogs it was reported that five cases (15%) were clas- and the animal showed circling and paresis of the forelimbs.
sified as intramedullary tumors, such as two nephroblastomas, The dog was submitted for a diagnostic work-up to the Clin-
a glioma, an astrocytoma, and a metastasis of a carcinoma.1,2 ic for Small Animals, School of Veterinary Medicine in Han-
Intramedullary neuroectodermal tumors include astrocytomas, over, Germany. Neurologically, the animal displayed mildly

Fig. 1. Cervical spinal cord, canine oligodendroglioma. Well-demarcated intramedullary tumor (T) and compression
atrophy of the adjacent cervical spinal cord tissue between C5 and C6. Fig. 2. Spinal cord, canine oligodendroglioma.
Tumor cell proliferation and glomerular-like vascular proliferation at the periphery and reactive astrocytic response and
necrosis. N ⫽ necrosis, A ⫽ reactive astrocytic response (gemistocytes), T ⫽ tumor cells, arrow heads ⫽ characteristic
glomerular-like tufts. HE staining. Bar ⫽ 110 ␮m.

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Vet Pathol 41:5, 2004 Brief Communications and Case Reports 525

Fig. 3. Spinal cord, canine oligodendroglioma. Characteristic ‘‘honeycomb’’ cell pattern of an oligodendroglioma. HE
stain, Bar ⫽ 30 ␮m. Fig. 4. Spinal cord, canine oligodendroglioma. Area of gemistocytic astroglial differentiation and
necrosis. A ⫽ reactive astrocytic response (gemistocytes), N ⫽ necrotic area. HE stain. Bar ⫽ 30 ␮m. Fig. 5. Spinal cord,
canine oligodendroglioma. Lack of GFAP immunoreactivity of tumor cells. Note few GFAP-positive cells within the tumor
interpreted as reactive astrocytes (arrows). GFAP-specific polyclonal antibody, ABC method, slightly counterstained with
hematoxylin. Bar ⫽ 30 ␮m. Fig. 6. Spinal cord, canine oligodendroglioma. Factor VIII–related antigen expression of
glomerular-like tufts (arrows). Note lack of immunoreactivity of tumor cells. T ⫽ tumor cells. Factor VII–related antigen
specific antibody, ABC method, slightly counterstained with hematoxylin. Bar ⫽ 30 ␮m.

to moderately reduced posture reactions, neurologic deficits were without significant changes. Myelography showed a
of both forelimbs and hindlimbs, and hyperesthesia between blockage before C5. Because of rapid progression of the
C1 and C7. Computer tomography revealed dilatation of the clinical signs and the poor prognosis, the animal was eu-
lateral ventricles. The disks and bones of the spinal column thanatized and submitted for necropsy.
were without significant changes. The cerebrospinal fluid Gross pathology revealed mild dilatation of the lateral
was clear, and the total leukocyte and red blood cell numbers ventricles and a mild swelling of the cervical spinal cord

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526 Brief Communications and Case Reports Vet Pathol 41:5, 2004

between C3 and C6. No significant macroscopic findings well demarcated, commonly extended into ventricular spaces
were observed in other organs. Tissue samples were fixed in and occur in dogs older than 5 years and are more often
10% buffered formalin, routinely processed, and embedded found in males than in females.4,7 Similarly, in this case a
in paraffin. Four-micron-thick paraffin sections of various subependymal origin of the tumor can be assumed, and the
organs including the spinal cord were cut and stained with tumor also extended into or obliterated the spinal canal.
hematoxylin and eosin and selected slides for luxol fast blue A benign and malignant (anaplastic) oligodendroglioma can
to detect myelin sheaths. For immunohistochemistry anti- be distinguished in domestic animals according to the new
bodies specific for glial fibrillary acidic protein (GFAP: 1 : World Health Organization classification of tumors of the ner-
800), vimentin (1 : 15), cytokeratin (1 : 100), factor VIII–re- vous system.5 In this case, tumor cells were well differentiated,
lated antigen (1 : 200), and the avidin–biotin–peroxidase and the tumor was classified as a benign oligodendroglioma.
complex method with 3,3-diaminobenzidine-tetra-hydro- Dystrophic calcifications, hemorrhages, and necrosis have
chloride-dihydrate were used.1 been reported for most canine oligodendrogliomas.4 Micro-
After formalin fixation a round to oval, 0.3- to 0.8-cm- vascular proliferation is an other characteristic feature of this
diameter, intramedullary mass, which compressed the central tumor. Similarly, prominent neovascularization has been de-
canal was noticed on cross sections of the cervical spinal scribed for high-grade astrocytomas.5,7 Renin and platelet-de-
cord between C5 and C6 (Fig. 1). This well-circumscribed rived growth factor produced by neoplastic astrocytes and
mass was surrounded by compressed spinal cord tissue and vascular endothelium have been implicated as mediators that
exhibited focal areas of hemorrhages. might trigger vasculogenesis.7 Multifocal microcystic areas
Histologically, this cell-rich, well-demarcated, nonencap- and accumulation of mucinous-like material as observed in
sulated tumor occupied about two thirds of the spinal cord this case are also frequent findings in oligodendrogliomas.4,7,8
and compressed the central canal. The tumor consisted of a To summarize, neurologic disturbances and severe ataxia
homogeneous cell population arranged in sheaths or cords correlated well with the anatomic location of this rare spinal
with a fine vascular stroma, areas of multifocal necrosis, cord oligodendroglioma.
hemorrhages, and glomerular-like tufts (Fig. 2). The round
tumor cells were characterized by a moderate amount of a
Acknowledgements
pale basophilic cytoplasm, a round to slightly oval nucleus We would like to thank Mrs. B. Behrens, P. Grünig, and
with fine-stippled heterochromatin, and an inconspicuous K. Rohn for excellent technical and photographic support.
single nucleolus (Fig. 3). No mitotic figures were observed. References
Gitter cells and multifocal dystrophic calcifications were fre-
quently observed within areas of necrosis and hemorrhages. 1 Baumgärtner W, Peixoto PV: Immunohistochemical
Randomly distributed gemistocytes within the tumor and at demonstration of keratin in canine neuroepithelioma. Vet
the periphery of the areas of necrosis were found frequently Pathol 24:500–503, 1987
(Fig. 4). Microcystic areas with accumulation of a pale ba- 2 Forterre F, Kaiser S, Matiasek K, Schmahl W, Brunnberg
sophilic mucinous-like material were seen within the neo- L: Spinal cord canal tumor in dogs: 33 cases (retrospec-
plasm. At the periphery of the tumor, narrow bands of com- tive study). Kleintierpraxis 47:357–364, 2002
pressed gray and white matter were observed. Spinal cord 3 Glimore DR: Intraspinal tumors in the dog. Comp Cont
segments cranial from the neoplasm displayed mild periven- Edu 5:55–64, 1983
tricular malacia, congestion, multifocal hemorrhages, and 4 Koestner A, Higgins RJ: Primary tumors of the central ner-
distortion of the ventral median fissure. No significant his- vous system. In: Tumors in Domestic Animals, ed. Meuten
tologic findings were detected in the remaining spinal cord, DJ, 4th ed., pp. 699–707. Iowa State Press, IA, 2002
brain parenchyma, and other organs. 5 Koestner A, Bilzer T, Fatzer R, Schulman FY, Summers
BA, Van Winkle TJ: Histological classification of tumors
Tumor cells were negative for GFAP, vimentin, cytoker-
of the nervous system of domestic animals. In: WHO
atin, and factor VIII–related antigen. GFAP- and factor VIII–
International Histological Classification of Tumors of
related antigen immunoreactions were found in reactive as-
Domestic Animals, ed. Schulman FY, pp. 13–38. Armed
trocytes, including gemistocytes and endothelial cells of the
Forces Institute of Pathology, Washington, DC, 1999.
glomerular-like tufts, respectively (Figs. 5, 6). The few
6 Prata RG: Diagnosis of spinal cord tumor in the dog. Vet
GFAP-positive cells within the tumor mass with the mor-
Clin North Am 7:165–185, 1977
phology of gemistocytes were interpreted as secondary as-
7 Summers BA, Cummings JF, de Lahunta A. Veterinary
trocytic responses due to tumor-induced tissue damage.
Neuropathology, pp. 363–373. Mosby-Year Book, Inc,
Based on the histologic and immunohistochemical findings
St. Louis, MO, 1995
the neoplasm was diagnosed as an oligodendroglioma.
8 Wilson RB, Beckman SL: Mucinous oligodendroglioma
Common sites of canine oligodendrogliomas in dogs are
of the spinal cord in a dog. J Am Anim Hosp Assoc 31:
the white and gray matter of the cerebral hemispheres and
26–28, 1995
rarely brain stem and spinal cord.4 This neuroectodermal tu-
9 Wright JA: The pathological features associated with spi-
mor has been frequently reported in brachycephalic breeds
nal tumors in 29 dogs. J Comp Pathol 95:549–557, 1985
such as Boxers, Bulldogs, and Boston Terriers.4,7 According
to our literature search, a spinal cord oligodendroglioma has Request reprints from Prof. Wolfgang Baumgärtner, Institut
been reported so far only in a 5-year-old Dachshund dog. In für Pathologie, School of Veterinary Medicine Hannover,
the latter, histology revealed a mucinous variant of this type Bünteweg 17, D-30559 Hannover (Germany). E-mail:
of tumor in the spinal cord.8 Oligodendrogliomas, usually wolfgang.baumgaertner@tiho-hannover.de.

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