Editorial Type:
Article Category: Research Article
 | 
Online Publication Date: 01 Sept 2012

Adenoid Hepatocellular Carcinoma Accompanied by Uncharacterized Eosinophilic Intracytoplasmic Inclusions in a Green Iguana (Iguana iguana)

DVM, DECZM (Herpetology),
DVM, PhD, DECZM (Herpetology),
DVM,
DVM,
BVSc, MRCVS, and
DVM, BVSc, MSc, CBIOL, FIBiol, FRSM
Page Range: 70 – 75
DOI: 10.5818/1529-9651-22.3.70
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Abstract

An adult, 2.9 kg, 4-year-old female green iguana, Iguana iguana, was examined for anorexia, weight loss, and lethargy. Physical examination revealed a dull integument, minimal pelvic and tailbase adipose deposits, and a distended coelom. Bilateral renal enlargement was identified on intracloacal digital palpation. Complete blood count and serum biochemistry results indicated hepatic and renal disease. Radiographs and ultrasound revealed severe liver enlargement and ascites. Exploratory coeliotomy revealed a massive and diffusely enlarged liver with rounded margins and a smooth capsular surface, indicative of an infiltrative process. Due to poor prognosis, the owner requested that the animal be euthanized. A diagnosis of acinar hepatocellular carcinoma was made on histopathological evaluation of liver tissue collected after euthanasia. Eosinophilic intracytoplasmic inclusion bodies, surrounded by clear halos, were seen in a few neoplastic cells. Several malignant hepatic tumors have been previously reported in reptiles; however, this case report documents the first reptilian adenoid hepatocellular carcinoma associated with intracytoplasmic eosinophilic inclusions in neoplastic hepatocytes.

Copyright: © 2012 Journal of Herpetological Medicine and Surgery 2012
Figure 1.
Figure 1.

(A) Ventrodorsal radiographic image. Coelomic fluid opacity (ascites) around lungs restricts visualization of viscera: A = ascites, RL = right lung, LL = left lung, C = cecum (enlarged). (B) Lateral radiographic image showing soft tissue opacity (white arrows) and fluid density (A) in the coelomic cavity. A = ascites, L = lungs, C = cecum (enlarged).


Figure 2.
Figure 2.

(A) Ultrasound image of the liver (short axis section). Hepatomegaly with areas of increased and decreased (white arrows) echogenicity. L = liver. (B) Ultrasound image of the liver (long axis section). Hepatomegaly with increased echogenicity and surrounding ascites. L = liver, A = ascites.


Figure 3.
Figure 3.

Coeliotomy. Note the large size, rounded margins and severe pallor of the externalized liver.


Figure 4.
Figure 4.

Photomicrograph of the hepatic tumor. Note the closely packed neoplastic hepatocytes that form branching cords and tubular structures. Hematoxylin and eosin stain, × 640 original magnification, bar = 20 μm.


Figure 5.
Figure 5.

Photomicrograph of the adenoid hepatocellular carcinoma. Few malignant cells contain eosinophilic intracytoplasmic inclusions (white arrows) reminiscent of viral inclusions. Hematoxylin and eosin stain, × 640 original magnification, bar = 5 μm.


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