B-Cell Lymphoma of the Middle Ear Treated with Multidrug Chemotherapy in a Cat

Primary lymphoma of the middle ear is rare in cats, and little information has been accumulated on the treatment and course. An 11-year-old spayed female mixed-breed cat was brought to our hospital with facial nerve paralysis, which had been stable using prednisolone for 3 months. She was diagnosed...

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Main Authors: Tomoko Takahashi, Hiroyuki Nagata, Hirotaka Kondo
Format: Article
Language:English
Published: MDPI AG 2023-09-01
Series:Veterinary Sciences
Subjects:
Online Access:https://www.mdpi.com/2306-7381/10/9/585
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author Tomoko Takahashi
Hiroyuki Nagata
Hirotaka Kondo
author_facet Tomoko Takahashi
Hiroyuki Nagata
Hirotaka Kondo
author_sort Tomoko Takahashi
collection DOAJ
description Primary lymphoma of the middle ear is rare in cats, and little information has been accumulated on the treatment and course. An 11-year-old spayed female mixed-breed cat was brought to our hospital with facial nerve paralysis, which had been stable using prednisolone for 3 months. She was diagnosed with B-cell lymphoma of the right middle ear after otoscopic sampling, which showed evidence of the filling of bilateral tympanic bullae on computed tomography. Hepatic involvement was suspected, and she was treated with multidrug chemotherapy, resulting in clinical remission. On day 176, magnetic resonance imaging and computed tomography were performed at checkup, revealing tumor invasion into the nasopharyngeal region and the recurrence of hepatic lesions without any brain abnormality. Nasal congestion then worsened, and the patient died on day 228 after presenting with generalized seizures. Clinicians should be mindful of middle ear lymphoma as a differential diagnosis in cats who present with a sign of otitis media, especially whose condition does respond to corticosteroid treatment. The prognosis for feline middle ear lymphoma might not be as poor as previous reports, and multidrug chemotherapy might result in remission of the disease.
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spelling doaj.art-9dad07560d824a02a3d6e2755f26255c2023-11-19T13:21:11ZengMDPI AGVeterinary Sciences2306-73812023-09-0110958510.3390/vetsci10090585B-Cell Lymphoma of the Middle Ear Treated with Multidrug Chemotherapy in a CatTomoko Takahashi0Hiroyuki Nagata1Hirotaka Kondo2Department of Veterinary Medicine, College of Bioresource Sciences, Nihon University, 1866 Kameino, Fujisawa 2520880, Kanagawa, JapanNoppo Animal Hospital, 2-12-2 Okamoto, Kamakura 2470072, Kanagawa, JapanDepartment of Veterinary Medicine, College of Bioresource Sciences, Nihon University, 1866 Kameino, Fujisawa 2520880, Kanagawa, JapanPrimary lymphoma of the middle ear is rare in cats, and little information has been accumulated on the treatment and course. An 11-year-old spayed female mixed-breed cat was brought to our hospital with facial nerve paralysis, which had been stable using prednisolone for 3 months. She was diagnosed with B-cell lymphoma of the right middle ear after otoscopic sampling, which showed evidence of the filling of bilateral tympanic bullae on computed tomography. Hepatic involvement was suspected, and she was treated with multidrug chemotherapy, resulting in clinical remission. On day 176, magnetic resonance imaging and computed tomography were performed at checkup, revealing tumor invasion into the nasopharyngeal region and the recurrence of hepatic lesions without any brain abnormality. Nasal congestion then worsened, and the patient died on day 228 after presenting with generalized seizures. Clinicians should be mindful of middle ear lymphoma as a differential diagnosis in cats who present with a sign of otitis media, especially whose condition does respond to corticosteroid treatment. The prognosis for feline middle ear lymphoma might not be as poor as previous reports, and multidrug chemotherapy might result in remission of the disease.https://www.mdpi.com/2306-7381/10/9/585facial nervehypoglossal nervelymphomanasopharyngeal polypotitis mediaprednisolone
spellingShingle Tomoko Takahashi
Hiroyuki Nagata
Hirotaka Kondo
B-Cell Lymphoma of the Middle Ear Treated with Multidrug Chemotherapy in a Cat
Veterinary Sciences
facial nerve
hypoglossal nerve
lymphoma
nasopharyngeal polyp
otitis media
prednisolone
title B-Cell Lymphoma of the Middle Ear Treated with Multidrug Chemotherapy in a Cat
title_full B-Cell Lymphoma of the Middle Ear Treated with Multidrug Chemotherapy in a Cat
title_fullStr B-Cell Lymphoma of the Middle Ear Treated with Multidrug Chemotherapy in a Cat
title_full_unstemmed B-Cell Lymphoma of the Middle Ear Treated with Multidrug Chemotherapy in a Cat
title_short B-Cell Lymphoma of the Middle Ear Treated with Multidrug Chemotherapy in a Cat
title_sort b cell lymphoma of the middle ear treated with multidrug chemotherapy in a cat
topic facial nerve
hypoglossal nerve
lymphoma
nasopharyngeal polyp
otitis media
prednisolone
url https://www.mdpi.com/2306-7381/10/9/585
work_keys_str_mv AT tomokotakahashi bcelllymphomaofthemiddleeartreatedwithmultidrugchemotherapyinacat
AT hiroyukinagata bcelllymphomaofthemiddleeartreatedwithmultidrugchemotherapyinacat
AT hirotakakondo bcelllymphomaofthemiddleeartreatedwithmultidrugchemotherapyinacat