Schwannoma in Cats
Schwannomas are tumors that originate in the myelin sheath. The myelin sheath is produced by the Schwann cell, a specialized cell which surrounds the peripheral nerves, providing mechanical and physical support for the nerves as well as insulating the nerves that transmit the nervous system’s electrical signals. The peripheral nervous system consists of the nerves outside of the central nervous system (brain and spine). Peripheral nerve sheath tumor is the term that has been proposed to include schwannomas, neurofibromas (nerve fiber tumors), neurofibrosarcomas (malignant nerve fiber tumors), and hemangiopericytoma (tumor of blood vessels and soft tissue), since they are all believed to arise from the same cell type. Schwannomas are more common with dogs than with cats.
Symptoms and Types
- Chronic, progressive forelimb lameness and muscle atrophy
- Lameness in the hind limbs
- Peripheral nerve disorder (from self-mutilation)
- Palpable mass (mass can be felt by touch examination)
- Horner's syndrome, a disease of the sympathetic nervous system: automatic nerve reaction, affects parts of the body not under direct control
- If the Schwannoma is in the neck, only one side of the face will be affected:
- Droopy eyelid
- One sided facial paralysis
- Decreased pupil size
- Slight elevation of the lower eyelid
- Idiopathic (unknown)
Your veterinarian will perform a complete physical exam on your cat, including a blood chemical profile, a complete blood count, a urinalysis and an electrolyte panel. You will need to provide a thorough history of your cat's health leading up to the onset of symptoms. A computed tomography (CT) or, ideally, a magnetic resonance imaging (MRI) can provide the most information regarding the extent and location of the disease. An electromyogram (a measurement of muscle activity) will show abnormal muscle activity if there is a schwannoma present.
The treatment of choice is surgical removal (excision) of the tumor. Amputation of the affected limb is usually necessary, and local recurrence after surgery is common. A laminectomy (surgery of the spine to relieve pressure) is indicated with a schwannoma involving the nerve roots. Radiotherapy may be helpful, dependent on how far the growth has gone, and should be discussed with your veterinarian.
Living and Management
After surgical excision of schwannoma, 72 percent of all cases will have a recurrence. If this type of tumor is affecting the limb, the closer to the paw the schwannoma is the easier it will be to treat. Schwannomas only rarely spread to the regional lymph nodes or to the lungs, staying mainly in the nerve cells.
A bundle of fibers that are used in the process of sending impulses through the body
peripheral nervous system
That part of the nervous system that includes the cranial nerves and spinal nerves
An in-depth examination of the properties of urine; used to determine the presence or absence of illness
A type of covering over certain nerve cells; may be found in areas of the spinal cord or on the brain’s white matter
sympathetic nervous system
The part of the nervous system that allows the body to react to a stressful situation
Small structures that filter out the lymph and store lymphocytes
A record of the strength of contractions of the muscles that are caused by electrical stimulation
Any type of pain or tenderness or lack of soundness in the feet or legs of animals
The removal of the lamina as a method of relieving pain and pressure on the spine
The wasting away of certain tissues; a medical condition that occurs when tissues fail to grow.
Something that becomes worse or life threatening as it spreads