An 11-year-old castrated male Chihuahua dog was presented with complaints of
polyuria,
polydipsia, abdominal enlargement, and
alopecia.
Hyperadrenocorticism was diagnosed on the basis of clinical signs, blood tests,
adrenocorticotropin-stimulation test results, and an elevated serum
adrenocorticotropin concentration. Contrast-enhanced magnetic resonance imaging showed that the pituitary gland was enlarged, compatible with a pituitary macroadenoma. Pituitary-dependent
hyperadrenocorticism was suspected, and transsphenoidal
hypophysectomy was thus performed for complete resection of the
tumor. After surgery, the serum
adrenocorticotropin concentration normalized and the
hyperadrenocorticism resolved. Histological and immunocytochemical analyses revealed a benign
tumor composed of mature neuronal cells and glial cells, suggestive of a
ganglioglioma with immunolabeling for
adrenocorticotropin. Careful analysis of the resected
tumor revealed no
pituitary adenoma tissue. The clinical and histopathologic findings indicated that the
ganglioglioma was directly responsible for the
hyperadrenocorticism. This is the first case of
hyperadrenocorticism caused by a
ganglioglioma in a dog.