Abstract
Canine Malignant Peripheral Nerve Sheath Tumors (MPNSTs) are uncommonly reported in the ulnar, since they are underestimated relative to the more common spindle cell tumours of soft tissue. In dogs, MPNST accounts for 27% of nervous system tumours. In man, MPNST represents 5-10% of all soft tissue sarcomas and is often associated with neurofibromatosis type 1 (NF-1).An 8-year-old, 9 kg, female mixed-breed dog with a subcutaneous mass on the upper right side of the ulnar region was presented to the small animal research and teaching hospital of Tehran University. The dog was anorexic with general weakness. The mass (7 × 4 cm) was removed surgically and processed routinely. Microscopically, the mass was composed of highly cellular areas with a homogeneous population of round or spindle cells, high cellular pleomorphism, high mitotic index and various morphologic patterns. Furthermore, spindle cells arranged in densely or loosely sweeping fascicles, interlacing whorls, or storiform patterns together with wavy cytoplasm, nuclear palisades, and round cells were arranged in sheets or cords with a meshwork of intratumoral nerve fibers. In addition, in this case the presence of neoplastic cells within the blood vessels was observed. Immunohistochemically, tumor was positive for vimentin and S-100 protein. The histopathologic features coupled with the S-100 and vimentin immunoreactivity led to a diagnosis of malignant neurofibroma.To the best of our knowledge, primary ulnar MPNST has not been reported in animals. This is the first documentation of an ulnar malignant peripheral nerve sheath tumour in a dog.Virtual slidesThe virtual slide(s) for this article can be found here: http://www.diagnosticpathology.diagnomx.eu/vs/1310907815984587
Highlights
To the best of our knowledge, primary ulnar Malignant Peripheral Nerve Sheath Tumors (MPNSTs) has not been reported in animals
E necrotic areas and cellular pleomorphism [34,35,36]. All of these characteristics were observed in this case; Rthe presence of neoplastic cells within the blood vessels protein is the primary marker in the diagnosis of MPNST and may be used as a single diagnostic tool [38,39] or in combination with other markers such as vimentin [40,41]
The S100 neuroectodermal tumour described as the small roundcell type in human MPNST [46] or one of the malignant schwannomas [47], suggesting that the presence of round cells implies a differentiation toward immature neural cells
Summary
The mass was composed of highly cellular areas with a homogeneous population of round or spindle cells, high cellular pleomorphism, high mitotic index and various morphologic This is the first documentation of an ulnar malignant peripheral nerve sheath tumour in a dog.
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