Linnehan Barbara, Snyman Heindrich, DeLay Josepha, Mareschal Augustin, Jackson Chevonne, Dennison Sophie, Haulena Martin
National Marine Mammal Foundation, San Diego, CA 92106, USA.
British Columbia Ministry of Agriculture, Animal Health Centre, Abbotsford, BC, V3G 2M3, Canada.
J Zoo Wildl Med. 2019 Mar 1;50(1):278-281. doi: 10.1638/2018-0059.
A 19-yr-old female Linnaeus's two-toed sloth () with a history of urinary incontinence, ascites, and behavioral changes was euthanized after diagnostic imaging revealed a large bladder mass. On gross necropsy, the sloth had a severely thickened bladder mucosa, partial urinary obstruction, and nonseptic exudate in the peritoneal cavity. Histopathology showed a malignant and highly invasive transitional cell (urothelial) carcinoma with transmural and intra-abdominal invasion and diffuse carcinomatosis. Immunohistochemistry for expression of pancytokeratin (AE1/AE3), cytokeratin 7 (CK7), cytokeratin 20 (CK20), and uroplakin III was performed to confirm the diagnosis of transitional cell carcinoma. Neoplastic cells had a strong cytoplasmic immunoreactivity with the antipancytokeratin antibody clone AE1/AE3, which was consistent with a neoplasm of epithelial origin. Neoplastic cells were negative for expression of CK20. This is the first detailed report describing the antemortem diagnosis of urinary bladder transitional cell carcinoma with carcinomatosis in a two-toed sloth.
一只19岁的雌性林奈二趾树懒,有尿失禁、腹水和行为改变的病史,在诊断性影像学检查发现膀胱有一个大肿块后实施了安乐死。大体尸检时,树懒膀胱黏膜严重增厚,有部分尿路梗阻,腹腔内有非感染性渗出物。组织病理学显示为恶性且具有高度侵袭性的移行细胞(尿路上皮)癌,伴有透壁和腹腔内浸润以及弥漫性癌转移。进行了全细胞角蛋白(AE1/AE3)、细胞角蛋白7(CK7)、细胞角蛋白20(CK20)和uroplakin III表达的免疫组织化学检查,以确诊移行细胞癌。肿瘤细胞与抗全细胞角蛋白抗体克隆AE1/AE3有强烈的细胞质免疫反应,这与上皮来源的肿瘤一致。肿瘤细胞CK20表达呈阴性。这是第一份详细报告,描述了二趾树懒膀胱移行细胞癌伴癌转移的生前诊断。