Table 2.
General features of paragangliomas of the tongue in the Chow Chow dog and human cases.
Features | Chow Chow dog | Human cases (14–18) |
---|---|---|
Anatomical location | Right side of the lingual body extending to the base of the tongue | Base of the tongue (14, 16), lateral of the middle third of the tongue (15), lingual posterior aspect (17), back of the tongue squeezing the pharyngeal cavity (18). |
Clinical signs | Sialorrhea, oral bleeding during eating, halitosis, and dysphagia | Paresthesia, oral bleeding during eating (14), biting on the lesion, swelling, and pain (15), chronic throat irritation (16), asymptomatic (17), impairment of pronunciation, and sleep snoring (18). |
Gross findings | Ulcerated nodule | Mass connected to the epiglottis and almost obliterating the entire oropharynx (14), swelling of the tongue (15), small granulating mass (16), single lingual nodule (17, 18). |
Cytology | Round to polygonal cells, occasional acinar-like structures and naked nuclei, moderate anisocytosis and anisokaryosis, stippled nuclear chromatin, and some binucleated cells | Not accomplished (14–18) |
Histology | Densely cellular rounded nests (“Zellballen” appearance), thin fibrovascular trabeculae, round to polygonal cells rounded nuclei, heterogeneous chromatin, moderate anisocytosis, and anisokaryosis, eosinophilic and granular cytoplasm PAS-negative stained. | Polygonal cells grouped in nests and surrounded by a net of thin fibrovascular septae (15–18), “Zellballen” appearance (16, 17), round nuclei within fine-grained chromatin (16–18), granular eosinophilic cytoplasm (16) PAS-negative stained (15), uniform cells without atypia, mitosis, or necrosis (16, 17). |
Immunohistochemistry | CrA, SYN, VIM and GFAP positivity. S100 positivity of sustentacular cells. Melan-A, WS CK and EMA negativity. | CrA and NSE (16, 17), SYN and VIM (18) positivity. S100 positivity of sustentacular cells (16–18). CK (16–18) and melanoma marker (HMB45) (18) negativity. |