17 March, 2021
A 9-year-old mixed breed dog was presented with chronic sneezing and epistaxis.
- A soft tissue attenuating and heterogeneously contrast enhancing mass extends through the entire left nasal cavity. Confluent hypoattenuating areas are seen multifocally on pre- and post intravenous contrast enhanced images. (Image 1)
- A focal region of osteolysis is within the rostral aspect of the nasal septum and the mass crosses midline, protruding into the right nasal cavity and meatus nasopharyngeus.(Image 1)
- The nasal and ethmoidal conchae are focally destroyed. The ipsilateral frontal sinus is nearly completely filled with mildly heterogenous hyperattenuating and non-contrast enhancing material.
- The cribriform plate shows a small defect within the left lateral aspect with regional meningeal enhancement. (Image 2)
- The regional lymph nodes are normal.
- Malignant neoplasia of the left nasal cavity with focal destruction of the cribriform plate and perpendicular nasal septum, as well as secondary obstructive ipsilateral frontal sinusitis. Given the lack of external osseous destruction a chondrosarcoma or lymphoma can be considered more likely. A nasal carcinoma or other soft tissue sarcoma can be considered less likely. A mycotic rhinitis is not excluded.
- Characteristics of malignant intranasal neoplasia include destruction of the nasal conchae and/or osteolysis of the nasal bones, invasion of the contralateral nasal cavity or frontal sinuses, heterogenous contrast enhancement and regional lymphadenomegaly.
- Infectious Rhinitis (e.g. mycotic > parasitic or bacterial), as well as an intranasal foreign body, should be ruled out as differential diagnoses. CAVE – organic foreign material is often not seen in CT.
- Adenocarcinoma, followed by undifferentiated carcinoma, transitional cell and squamous cell carcinoma, are the most common intranasal tumors in the dog. Chondrosarcomas, osteo- or fibrosarcomas are also common.
- »Tomography, radiography, and rhinoscopy in diagnosis of benign and malignant lesions affecting the nasal cavity and paranasal sinuses in dogs: comparative study«
– Top Companion Anim Med 2015; 30:39-42
- »Computed tomography as an aid in the diagnosis of chronic nasal disease in dogs.«
– J Small Anim Pract 2005; 46:280-285
- »Diagnostic value of Computed tomography in dogs with chronic nasal disease«
– Vet Radiol Ultrasound 2003; 44(4):409-413.
- »Differentiating Nasal Chondrosarcoma from Nasal Adenocarcinoma on Computet Tomography «
— Am College Vet Rad 2012:102
Images courtesy of the Anicura Tierklinik Haar, Germany.
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