Intestinal Adenocarcinoma with Cloacal Prolapse and Reduction in a Northern Leopard Frog (Lithobates pipiens)
Over a 3-month period, a 6-yr-old, wild-caught, northern leopard frog (Lithobates pipiens) presented for reoccurring cloacal prolapse, despite surgical correction. Two contrast radiographic series performed approximately 6 wk apart showed intestinal obstruction and gastrointestinal dysmotility, while exploratory coeliotomy revealed a minor intestinal intussusception. Approximately 6 months after the fourth and final prolapse had resolved, the animal died of natural causes. Necropsy examination exposed a large, ill-defined thickening of the distal intestinal wall, with proximal intestinal dilation. Histopathology revealed a mass composed of polygonal cells, with occasional intracytoplasmic mucin arranged in sheets, and poorly formed acini, consistent with an intestinal adenocarcinoma. A presumptive metastatic lesion was identified in the kidney (microscopically). Herpesvirus-specific consensus polymerase chain reaction (PCR) and nested PCR assays performed on the formalin-fixed, paraffin-embedded intestinal and kidney masses for ranid herpesvirus 1 were negative. Few reports of intestinal adenocarcinoma in amphibians exist in the literature. To the authors' knowledge, this represents the first report of spontaneous intestinal adenocarcinoma in a northern leopard frog.Abstract

Cloacal prolapse in a captive northern leopard frog secondary to intestinal adenocarcinoma.

Intestinal adenocarcinoma, northern leopard frog. (A) The mass is composed of mucin producing acini (arrowheads) and sheets of cells. H&E; bar = 100 µm. (B) Invasion of the intestinal wall incites a moderate scirrhous response (arrowheads). H&E; bar = 100 µm. (C) The secretory product is diastase resistant, consistent with mucin. Note the intracytoplasmic production of mucinous secretory product (arrowheads). Periodic acid-Schiff with diastase; bar = 50 µm. (D) The cytoplasm of neoplastic cells is diffusely and strongly immunolabelled with pan-cytokeratin immunohistochemistry. Cytokeratin AE1/AE3 IHC; bar = 100 µm.

Renal metastasis of intestinal adenocarcinoma, northern leopard frog. (A) The neoplastic cells (arrowheads) are markedly pleomorphic with no intestinal differentiation or mucin production. H&E; bar = 100 µm. (B) Cytoplasm of the metastatic cells is diffusely and strongly immunopositive with pan-cytokeratin IHC. Cytokeratin AE1/AE3 IHC; bar = 20 µm.