Choroidal neuroendocrine neoplasia in a dog

Vet Ophthalmol. 2021 May;24(3):301-307. doi: 10.1111/vop.12875. Epub 2021 Feb 22.

Abstract

Objective: To report onset and progression of clinical signs of a neuroendocrine neoplasm (NEN) presumed metastatic to the choroid in a dog.

Animals studied: A 7.5-year-old female spayed German shepherd dog mix referred for advanced imaging and evaluation of a subretinal mass in the right eye.

Procedures: Procedures performed included general physical and ophthalmic examinations; ocular, orbital, and abdominal ultrasonography; thoracic radiographs; cranial magnetic resonance imaging; serologic testing for infectious agents; analysis of hematologic as well as serum and urine biochemical parameters; echocardiography; electrocardiography; cytologic assessment of lymph nodes; and histopathology and immunohistochemistry of the enucleated globe.

Results: Examination and imaging identified a pigmented mass within and expanding the superior choroid. Following enucleation, a choroidal NEN with tumor emboli in scleral blood vessels was diagnosed by histopathologic assessment and confirmed by immunohistochemical labelling. Despite extensive and repeated diagnostic testing over many months, a putative primary site was not identified until 19 months after the initial ocular signs were noted. At that time, a heart-base mass and congestive heart failure were highly suggestive of a chemodectoma.

Conclusion: This comprehensive report of a NEN presumed metastatic to the choroid in a dog suggests that ocular disease can be a very early and solitary sign of NEN in the dog.

Keywords: carcinoid; chemodectoma; congestive heart failure; immunohistochemistry; metastasis; retinal detachment.

Publication types

  • Case Reports

MeSH terms

  • Animals
  • Choroid Neoplasms / diagnosis
  • Choroid Neoplasms / secondary
  • Choroid Neoplasms / veterinary*
  • Diagnosis, Differential
  • Dog Diseases / diagnosis*
  • Dogs
  • Eye Enucleation
  • Female
  • Heart Neoplasms / diagnosis
  • Heart Neoplasms / pathology
  • Heart Neoplasms / veterinary*
  • Paraganglioma, Extra-Adrenal / diagnosis
  • Paraganglioma, Extra-Adrenal / secondary
  • Paraganglioma, Extra-Adrenal / veterinary*
  • Pedigree