Tumors of the Canine Globe. In: Proceedings of the 36th ... · uveal tumor in humans, and is the...
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Proceedings of the 36th World Small Animal Veterinary Congress
WSAVA
Oct. 14 - 17, 2011 Jeju, Korea
Next Congress:
Reprinted in IVIS with the permission of WSAVA http://www.ivis.org
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OP-B11
TUMORS OF THE CANINE GLOBE
Richard R. Dubielzig, DVM, Diplomate ACVP
Department of Pathobiological Sciences, School of Veterinary Medicine
University of Wisconsin-Madison, Madison, WI, USA
Introduction: This report is a concise summary of primary ocular tumors and their relative frequency in
dogs, which is derived from the archives of the Comparative Ocular Pathology Laboratory (COPLOW) a large
ocular pathology database.
It is important to have a regional understanding of ocular neoplasia because similar tumors may have a
different clinical course depending on location, particularly regarding melanocytic tumors. Melanocytoma
(defined as a benign melanocytic tumor) and malignant melanoma of the canine globe have the potential to be
locally aggressive, yet enucleation is usually curative for both.4 Malignant melanoma is common in the
conjunctiva and often recurs locally. In contrast, a pigmented tumor in the eyelid is more likely melanocytoma
than a malignant melanoma.¹ Hemangiosarcoma in the globe is likely to be a metastatic tumor but primary
hemangioma and hemangiosarcoma of the conjunctiva occur commonly. Although they may recur if
inadequately excised, they have very low metastatic potential.
In the COPLOW database, the population of dogs with primary ocular neoplasia was comparable to the
total database population, which included all ocular pathology submissions (inflammatory diseases, congenital
diseases, trauma, primary and metastatic neoplasia, etc.). There were 6067 cases of primary ocular neoplasia in
dogs with a definitive histopathologic diagnosis. Tumors of the globe accounted for 2851 (47.0%) cases and the
majority of these were either melanocytic (1842, 64.6%) or iridociliary epithelial tumors (836, 29.3%).
Conjunctival and eyelid tumors accounted for 1535 (25.3%) cases and 1399 (23.1%) cases, respectively. Finally,
there were 282 (4.6%) orbital tumors.
No gender-specific patterns emerged for any individual tumor type in dogs. Most tumors had a typical age
distribution with middle-aged and old dogs most frequently affected. Mean and median ages were 9.2 and 9.5
years, respectively.
A positive correlation based on breed, as determined by odds ratio, was significant for several tumors. The
most notable breed predispositions arose in spindle cell tumor of blue eyed dogs (Siberian husky and Australian
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ICC Jeju, Korea
2011 WSAVA·FASAVA World Congress
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shepherd), corneal squamous cell carcinoma (pug), conjunctival hemangiosarcoma (border collie, Australian
shepherd, English setter, Basset hound, beagle and boxer), and eyelid melanoma (vizsla and Doberman pinscher). The Siberian husky is significantly less likely to have uveal melanocytic tumors.
The malignancy of melanocytic tumors varied with anatomic location in the eye. Melanocytic tumors in the
uveal tract, limbus, and eyelid were more often benign than malignant. There were 1458 of 1842 (79.2%)
melanocytic tumors of the uveal tract that were diagnosed as melanocytoma, and the remaining 384 (20.8%)
were malignant melanoma. Limbal melanocytoma accounted for 341 of the 343 limbal melanocytic tumors
(99.4%). Of the 149 eyelid melanocytic tumors, 126 (84.6%) were melanocytoma and 23 (15.4%) were
malignant melanoma. The conjunctiva was the only location where malignant melanoma (180, 88.2%) was
more common than benign melanocytoma (24, 11.8%).
Primary Tumors of the Globe
Melanocytic Tumors of the GlobeUveal melanocytoma was approximately four times more common than malignant melanoma of the uvea.
With respect to location within the uveal tract, anterior uveal (iris and/or ciliary body) melanocytic tumors are at
least ten times more common than those in the choroid. Melanocytoma frequently invades the sclera and may
extend into the episclera in advanced cases. Malignant uveal melanoma exhibits pleomorphism and may be
locally invasive, although metastasis is uncommon. Malignant melanoma is more frequently amelanotic than
melanocytoma. Enucleation with complete excision is generally curative for both melanocytoma and malignant
melanoma of the uvea.4
Iridociliary epithelial tumorsIridociliary epithelial tumors (IET) are the second most common intra-ocular tumor of dogs. Canine
iridociliary epithelial tumors vary considerably with respect to pigmentation, invasiveness and morphology
(solid vs. papillary). The definition of adenoma versus adenocarcinoma is based on histologic evidence of
scleral invasion in the latter. We did not differentiate between adenoma and the scleroinvasive adenocarcinoma
in this review, although previous studies suggest that IET adenoma is approximately 6-8 times more frequent
than adenocarcinoma.5,6 Deposition of a thick, often arborizing, periodic acid Schiff (PAS)-positive basement membrane is often helpful in diagnosing poorly-differentiated or extensively necrotic IETs in dogs. Like native
iridociliary epithelium, canine iridociliary epithelial tumors are generally positive for vimentin and negative for
cytokeratin immunohistochemical stains. However, there is some tendency for the more invasive iridociliary
adenocarcinomas to coexpress cytokeratin and vimentin.6,7
Iridociliary epithelial tumors, including the invasive adenocarcinoma, are clinically benign and generally
well-differentiated. However, a previous study identified 16 cases of “pleomorphic” iridociliary
adenocarcinomas.5 The term pleomorphic iridociliary adenocarcinoma applies to a similar malignant primary
uveal tumor in humans, and is the only ocular tumor in humans associated with prior trauma.8 In dogs, the
diagnosis applies to iridociliary tumors with pronounced cellular and nuclear features of malignancy and
infiltrative behavior. They often arise in globes with long-standing intraocular disease, including previous
intracameral gentamicin injection.5 Pulmonary metastasis was previously reported in one of the cases of
pleomorphic iridociliary adenocarcinoma reported here.9
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Spindle cell tumor of blue-eyed dogsSpindle cell tumor of blue-eyed dogs (SCTBED) is the third most common intra-ocular tumor in dogs. In
dogs that have at least a partially blue iris, these tumors arise diffusely in the iris, may extend to the ciliary body,
and rarely involve the choroid. SCTBED are frequently not recognized clinically as neoplastic disease and may cause secondary glaucoma without an obvious mass lesion. Immunohistochemistry staining characteristics
(GFAP positive and Melan A negative) is consistent with Schwann cells of non-myelinating nerves, furthermore,
the tumors are morphologically consistent with a schwannoma.10 SCTBED must be distinguished from other
intra-ocular spindle cell tumors of dogs, namely, melanocytic tumors and metastatic sarcomas. There are definite
breed predispositions for SCTBED, generally any breed in which blue eye color occurs regularly. Siberian
husky dogs and Australian shepherds are over-represented with respect to SCTBED in the COPLOW collection.
Corneal Squamous Cell CarcinomaThe cornea may be the primary site of squamous cell carcinoma (SCC), particularly in dogs with long-
standing keratitis.11-14 Corneal SCC may occur in situ or as an extension of conjunctival SCC. There is some
evidence that dogs treated with topical medications for keratoconjunctivitis sicca at increased risk.15
Brachycephalic breeds are reported to be predisposed to corneal squamous cell carcinoma,12,14-15 and we found
a statistically significant association in pugs.
Primitive Neuroectodermal TumorIntra-ocular primitive neuroectodermal tumors (PNET) are poorly differentiated embryonal tumors of
neural tissue origin and include medulloepithelioma and retinoblastoma. Of the 27 cases of ocular canine PNET
reported here, most (11) have a pattern characteristic of medulloepithelioma. Medulloepithelioma is rare in
domestic animals, reported most frequently in dogs and horses.3 Medulloepithelioma may be fairly well-
differentiated, resembling an iridociliary epithelial tumor. Like ciliary body epithelium, cells are negative for
cytokeratin.7
True retinoblastoma is almost exclusively a human disease, and is often associated with mutation of the
retinoblastoma (rb) tumor suppressor gene. Of the 27 PNET tumors included here, two were diagnosed as
retinoblastoma. They must be distinguished from medulloepithelioma based on strict morphologic criteria.16
GliomaGliomas associated with the eye are rare in both the dog and cat. Ocular gliomas may be associated with
either the retina or the optic nerve and may extend up the optic nerve tract toward the optic chiasm. They are
generally astrocytomas with positive immunolabeling with glial fibrillary acidic protein (GFAP), and rarely
oligodendroglioma.17
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TUMORS OF THE CANINE GLOBE
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References:1. Dubielzig RR, Ketring, KL, McLellan, GJ et al. Veterinary Ocular Pathology: A Comparative Review.
Edinburgh: Saunders Elsevier, 2010.
2. Willis AM, Wilkie DA. Ocular oncology. Clinical Techniques in Small Animal Practice 2001; 16(1): 77-85.
3. Dubielzig RR. Tumors of the eye. In: Tumors in Domestic Animals, 4th edition (ed: Meuten DJ), Iowa State Press: Ames, 2002; 739-54.
4. Giuliano EA, Chappel R, Fischer B, et al. A matched observational study of canine survival with primary
intraocular melanocytic neoplasia. Vet Ophthalmol 1999; 2: 185-190.
5. Bell CM, Dubielzig RR. Canine Iridociliary Epithelial Tumors: A Morphologic Case Series of 702 Cases, in proceedings. 60th Annual Conference of the American College of Veterinary Pathologists 2009; abstract
#172.
6. Dubielzig RR, Steinberg H, Garvin H, et al. Iridociliary epithelial tumors in 100 dogs and 17 cats: a morphological study. Vet Ophthalmol 1998; 1: 223-231.
7. Klosterman E, Colitz CM, Chandler HL, et al. Immunohistochemical properties of ocular adenomas, adenocarcinomas and medulloepitheliomas. Vet Ophthalmol 2006; 9(6): 387-94.
8. Laver NM, Hidayat AA, Croxatto JO. Pleomorphic adenocarcinomas of the ciliary epithelium:
Immunohistochemical and ultrastructural features of 12 cases. Ophthalmology 1999; 106(1): 103-110.
9. Zarfoss MK, Dubielzig RR. Metastatic iridociliary adenocarcinoma in a Labrador Retriever. Vet Pathol 2007; 44: 672-676.
10. Zarfoss MK, Klauss G, Newkirk K, et al . Uveal spindle cell tumor of blue-eyed dogs: an
immunohistochemical study. Vet Pathol 2007; 44: 276-284.
11. Busse C, Sansom J, Dubielzig RR, et al. Corneal squamous cell carcinoma in a Border Collie. Vet Ophthalmol 2008; 11: 55-58.
12. Montiani-Ferreira F, Kiupel M, Muzolon P, et al. Corneal squamous cell carcinoma in a dog: a case report. Vet Ophthalmol 2008; 11(4): 269-72.
13. Latimer KS, Kaswan RL, Sundberg JP. Corneal squamous cell carcinoma in a dog. J Am Vet Med Assoc
1987; 190: 1430–1432.
14. Bernays ME, Flemming D, Peiffer RL. Primary corneal papilloma and squamous cell carcinoma associated
with pigmentary keratitis in four dogs. J Am Vet Med Assoc 1999; 214: 215–217.
15. Dubielzig RR, Schobert CS, Dreyfus JM. Corneal squamous cell carcinoma in dogs with a history of chronic keratitis, in proceedings. Annual Meeting of the American College of Veterinary Ophthalmologists 2008;
abstract #101.
16. Peiffer RL, Simons KB. Ocular Tumors in Animals and Humans. Ames: Iowa State Press, 2002.
17. Naranjo C, Schobert C, Dubielzig RR. Canine ocular gliomas: a retrospective study. Vet Ophthalmol 2008; 11(6): 356-362.
784 2011 WSAVA·FASAVA World Congress Proceedings
14(Fri) ~ 17(Mon) October 2011
ICC Jeju, Korea
2011 WSAVA·FASAVA World Congress
www.wsava2011.org
Reprinted in IVIS with the permission of WSAVA Close this window to return to IVIS
36th World Small Animal Veterinary Congress 2011 - Jeju, Korea