Editorial Type:
Article Category: Case Report
 | 
Online Publication Date: 02 Feb 2021

Intestinal Adenocarcinoma with Cloacal Prolapse and Reduction in a Northern Leopard Frog (Lithobates pipiens)

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Page Range: 237 – 241
DOI: 10.5818/19-05-199.1
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Abstract

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.

Figure 1.
Figure 1.

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


Figure 2.
Figure 2.

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.


Figure 3.
Figure 3.

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.


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