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23-3234-Guo-EUM
Necropsy pathology case report for IVAC Service ID 23-3234.
LAM-AI Case ID:
STUDY_23_3234
IVAC Service ID:
23-3234
Necropsy Date:
12/14/23 & 12/15/23
Species:
Leopard Gecko
Principal Investigator:
Guo
Case Type:
necropsy pathology case
Case Focus:
veterinary diagnostic pathology
Reference Source:
IVAC pathology report
Case OverviewSEA-CDM entity:
study analysis
Final pathology diagnosis
SEA-CDM entity:
analysis
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ANL_23_3234_FINAL_DIAGNOSIS
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Reference: 23-3234
Iridophoroma in gecko A appeared to metastasize to multiple organs in gecko A, but such metastasis was not evident in gecko B. Moreover, histology confirmed that another main finding grossly, which was an ovarian mass or enlarged ovaries in both cases, was granulomatous oophoritis very likely due to preovulatory follicular stasis (POFS). POFS was not uncommon in captive reptiles. The cause of POFS is poorly understood (Kophamel-Orduna et al., 2018). Nutritional imbalance has been speculated as one of the causes for POFS in the literature. In our case, the animals were fed with a varied and appropriate diet, although hyporexia/anorexia may have played a role in developing the disease. In gecko B, the severe oophoritis extended to the coelom, causing coelomitis and the adherence with the distal portion of the liver. The focally extensive granulomatous hepatitis is thus believed to be an
...
extent of oophoritis and coelomitis. No overt evidence of infectious etiology was found in the granulomatous inflammation (Gram and acid fast stains showed no bacteria). Culture of the ovarian mass from one of the geckos yielded no growth of bacteria. Gecko B also had hepatic lipidosis, which is also another common pathology in captive reptiles. Ref: Kophamel-Orduna S, Lebens M, Gunther CP, Wohlsein P, Puff C, Fehr M, et al. Lipogranulomatous Oophoritis in a Leach's giant gecko (Rhacodactylus leachianus). Wiener Tieraerztliche Monatsschrift Veterinary Medicine Austria. 2018;105(3/4 (3)):73–80.
Case Summary
Source Case Metadata
Parsed from
study.comments
Source workbook Master 2023 Necropsy Log.xlsx Source sheet 23-3234-Guo-EUM Necropsy Date 12/14/23 & 12/15/23 IVAC Service ID 23-3234 Species Leopard Gecko Principal Investigator Guo Department N/A Case MetadataSEA-CDM entities:
experiment, group
necropsy pathology case
EXP_23_3234
|
Reference: 23-3234
|
IVAC pathology report
Case Record
Source Reference
Master 2023 Necropsy Log.xlsx::23-3234-Guo-EUM
Reference ID:
23-3234
Reference Source:
IVAC pathology report
Clinical History / Case Narrative
Both Geckos demonstrated intermittent anorexia to hyporexia with intermittent lethargy. Gecko A demonstrated multiple developing masses with ultrasonographic evidence of multi-organ involvement. FNA of submandibular mass potentially indicative of iridophoroma. Gecko A also demonstrated significant decline in body conditioning. Gecko B demonstrated similar signs to a mild degree.
Group / Cohort Summary
Group ID
GRP_23_3234_01 Group key: grp_23_3234_01
Group Type
multiple animals
Group Size
2
Age Range
7 mo
Composition
Species Leopard Gecko Sex female Age ~ 7 mo Genotype/Strain/Study Super Lemon Frost Morphology
Group Notes
Multi-animal pathology case.
SEA-CDM details
Animal / SubjectSEA-CDM entity:
subject
Tissues / SamplesSEA-CDM entity:
sample
Treatments / ProceduresSEA-CDM entities:
intervention, material
No treatment or procedure records are linked to this case.
Pathology FindingsSEA-CDM entity:
occurrence
No pathology finding records are linked to this case.
Diagnostic AssaysSEA-CDM entity:
assay
Results / ObservationsSEA-CDM entity:
results
31 result/observation record(s) are linked to this case.
Records are grouped by report/result section. Routine records with no findings are collapsed by default.
Final Diagnoses (3)
Gecko B: Hepatic lipidosis
Final Diagnoses
pathology diagnosis
Process: Nutritional
Organ/System: Hepatic; Process: Nutritional; Diagnosis: Gecko B: Hepatic lipidosis; granulomatous hepatitis secondary to oophoritis
Assay: ASSAY_23_3234_MICRO
Analysis: ANL_23_3234_FINAL_DIAGNOSIS
SEA-CDM details
Iridophoroma (both gecko A and B), with metastasis (only in gecko A) in liver, lung, and ovary
Final Diagnoses
pathology diagnosis
Process: Neoplastic
Organ/System: Integument; Process: Neoplastic; Diagnosis: Iridophoroma (both gecko A and B), with metastasis (only in gecko A) in liver, lung, and ovary
Assay: ASSAY_23_3234_MICRO
Analysis: ANL_23_3234_FINAL_DIAGNOSIS
SEA-CDM details
Ovarian cyst, oophoritis, egg yolk stasis, ovary (gecko A and B), and coelomitis (gecko B)
Final Diagnoses
pathology diagnosis
Process: Nutritional
Organ/System: Reproductive; Process: Nutritional; Diagnosis: Ovarian cyst, oophoritis, egg yolk stasis, ovary (gecko A and B), and coelomitis (gecko B)
Assay: ASSAY_23_3234_MICRO
Analysis: ANL_23_3234_FINAL_DIAGNOSIS
SEA-CDM details
Microscopic Morphologic Diagnoses (3)
Hepatitis, granulomatous, focally extensive, chronic, with moderate to severe hepatic lipidosis (gecko B)
Microscopic Morphologic Diagnoses
pathology diagnosis
Process: Nutritional
Organ/System: Liver; Process: Nutritional; Morphologic Diagnosis: Hepatitis, granulomatous, focally extensive, chronic, with moderate to severe hepatic lipidosis (gecko B)
Sample: SAMP_23_3234_LIVER
Assay: ASSAY_23_3234_MICRO
Analysis: ANL_23_3234_FINAL_DIAGNOSIS
SEA-CDM details
Ovarian cyst, and oophoritis, severe, focally extensive, chronic, lipogranulomatous, with egg yolk stasis (gecko A and B)
Microscopic Morphologic Diagnoses
pathology diagnosis
Process: Nutritional
Organ/System: Ovary; Process: Nutritional; Morphologic Diagnosis: Ovarian cyst, and oophoritis, severe, focally extensive, chronic, lipogranulomatous, with egg yolk stasis (gecko A and B); coelomitis, severe, multifocal to coalescing, chronic, granulomatous (gecko B) (histology was consistent with preovulatory follicular stasis)
Sample: SAMP_23_3234_OVARY
Assay: ASSAY_23_3234_MICRO
Analysis: ANL_23_3234_FINAL_DIAGNOSIS
SEA-CDM details
Iridophoroma, malignant, multicentric (gecko A and B), with metastasis in liver, lung, and ovary (only in gecko A)
Microscopic Morphologic Diagnoses
pathology diagnosis
Process: Neoplastic
Organ/System: Skin, multiple area; Process: Neoplastic; Morphologic Diagnosis: Iridophoroma, malignant, multicentric (gecko A and B), with metastasis in liver, lung, and ovary (only in gecko A)
Sample: SAMP_23_3234_SKIN_MULTIPLE_AREA
Assay: ASSAY_23_3234_MICRO
Analysis: ANL_23_3234_FINAL_DIAGNOSIS
SEA-CDM details
Microscopic Findings (10)
histopathology observation
Microscopic Findings
histopathology observation
Findings: Y
Organ/Slide: Liver; Findings: Y; Description: Gecko A: Multiple foci of brown, birefringent, neoplastic clusters in the parenchyma. These cells are pleomorphic, round to elongated, and has birefringent intracytoplasmic granules. Gecko B: >90% of parenchyma has vacuolated hepatocytes (fatty change and glycogen accumulation). The distal part of the liver that is partially adhered with the ovary has a demarcated, encapsulated nodule showing severe loss of hepatocytes with degeneration, fatty change, infiltration of numerous multinucleated giant cells (with intracytoplasmic lipofuscin-like material), macrophages, and very few lymphocytic inflammatory cells. Gram and acid fast blue stains showed no bacteria.
Sample: SAMP_23_3234_LIVER
Assay: ASSAY_23_3234_MICRO
SEA-CDM details
histopathology observation
Microscopic Findings
histopathology observation
Findings: Y
Organ/Slide: Lungs; Findings: Y; Description: Gecko A: Brown tumor emboli in the septum. Gecko B: Serosa has multiple plump vacuolated cells and some hypereosinophilic droplets (egg yolk material).
Sample: SAMP_23_3234_LUNGS
Assay: ASSAY_23_3234_MICRO
SEA-CDM details
histopathology observation
Microscopic Findings
histopathology observation
Findings: Y
Organ/Slide: Ovaries; Findings: Y; Description: Gecko A: The ovary mass is a single extremely large ovarian follicle filled with degenerative egg yolk material and necrotic debris, surrounded by disorganized thecal cells with vacuolated change mixed with infiltration of macrophages and fibrosis. Multifocally, the capsule of the ovary and serosa are invaded by clusters of spindoloid cells with faded brown pigments (metastatic tumor). Gecko B: Both sides of the ovary have one extremely large ovarian follicle filled with degenerative egg yolk material and necrotic debris, surrounded by disorganized thecal cells mixed with infiltration of multinucleated giant cells, macrophages, and fibrosis. Serosa and coelomic tissue have lots of cells showing vacuolated degeneration, with infiltration of macrophages, hemorrhage, admixed with abundant hypereosinophilic hyaline droplets (egg yolk material).
Sample: SAMP_23_3234_OVARIES
Assay: ASSAY_23_3234_MICRO
SEA-CDM details
histopathology observation
Microscopic Findings
histopathology observation
Findings: Y
Organ/Slide: Skin mass, multiple; Findings: Y; Description: Gecko A and B: The dermis and subcutis are expended by multifocal to coalescing, well demarcated, nonencapsulated, light brown masses. These masses have spindoloid neoplastic cells characterized by abundant cytoplasm with light brown, birefringent pigments, small oval nucleus, and indistinct nucleolus. Anisokaryosis and anisocytosis are marked. Mitotic figures are frequent at high power field.
Sample: SAMP_23_3234_SKIN_MASS_MULTIPLE
Assay: ASSAY_23_3234_MICRO
SEA-CDM details
histopathology observation
Microscopic Findings
histopathology observation
Findings: Y
Organ/Slide: Skull; Findings: Y; Description: Metastatic tumor found at the skin of the skull, as well as at the oral cavity.
Sample: SAMP_23_3234_SKULL
Assay: ASSAY_23_3234_MICRO
SEA-CDM details
Evaluated with no findings / routine observations (5)
histopathology observation
Microscopic Findings
histopathology observation
Findings: N
Organ/Slide: Brain; Findings: N; No microscopic findings reported.
Sample: SAMP_23_3234_BRAIN
Assay: ASSAY_23_3234_MICRO
SEA-CDM details
histopathology observation
Microscopic Findings
histopathology observation
Findings: N
Organ/Slide: Heart; Findings: N; No microscopic findings reported.
Sample: SAMP_23_3234_HEART
Assay: ASSAY_23_3234_MICRO
SEA-CDM details
histopathology observation
Microscopic Findings
histopathology observation
Findings: N
Organ/Slide: Kidneys; Findings: N; No microscopic findings reported.
Sample: SAMP_23_3234_KIDNEYS
Assay: ASSAY_23_3234_MICRO
SEA-CDM details
histopathology observation
Microscopic Findings
histopathology observation
Findings: N
Organ/Slide: Spleen; Findings: N; No microscopic findings reported.
Sample: SAMP_23_3234_SPLEEN
Assay: ASSAY_23_3234_MICRO
SEA-CDM details
histopathology observation
Microscopic Findings
histopathology observation
Findings: N
Organ/Slide: Stomach and colon; Findings: N; No microscopic findings reported.
Sample: SAMP_23_3234_STOMACH_AND_COLON
Assay: ASSAY_23_3234_MICRO
SEA-CDM details
Gross Lesions (13)
Cardiovascular
Gross Lesions
gross pathology observation
Findings: Y
Evaluated: Y
Organ/System: Cardiovascular
Gecko A: Thoracic portion of caudal vena cava distended.
Assay: ASSAY_23_3234_GROSS
SEA-CDM details
Gastrointestinal
Gross Lesions
gross pathology observation
Findings: Y
Evaluated: Y
Organ/System: Gastrointestinal
Gecko A: caudal left sided coelomic distension noted grossly on dorsum. Ventrum demonstrated visible mass in caudal left abdomen. Stomach did not contain ingesta, and gastrointestinal tract lacked fecal material. Abdomen was distended with clear fluid. Gecko B: food contents in stomach with appropriate digesta present in gastrointestinal tract.
Assay: ASSAY_23_3234_GROSS
SEA-CDM details
Hepatic
Gross Lesions
gross pathology observation
Findings: Y
Evaluated: Y
Organ/System: Hepatic
Gecko A: multifocal disseminated raised, well demarcated white masses, bulge on cut section, throughout all liver lobes. Gallbladder appears enlarged. Gecko B: diffuse pale discoloration with white raised lesions in caudal left lobe. Hepatomegaly with rough surface, covered by some friable membranous material (fibrin or necrotic debris). The distal part of the liver was firmly adhered with one side of the ovary. Gallbladder size was unremarkable.
Assay: ASSAY_23_3234_GROSS
SEA-CDM details
Integument
Gross Lesions
gross pathology observation
Findings: Y
Evaluated: Y
Organ/System: Integument
Geck A: right-sided subcutaneous mass at the mandible, freely-movable, marked, unilateral. Gecko B: right-sided subcutaneous mass, freely-movable, mild, unilateral. Focal depression on caudal right flank, with white plaque between skin and underlying muscle.
Assay: ASSAY_23_3234_GROSS
SEA-CDM details
Multisystemic
Gross Lesions
gross pathology observation
Findings: Y
Evaluated: Y
Organ/System: Multisystemic
Gecko A: white plaques, multifocal to coalescing, noted throughout the body cavities , the oral cavity, within the mediastinum, and on the majority of serosal surfaces.
Assay: ASSAY_23_3234_GROSS
SEA-CDM details
Oral Cavity
Gross Lesions
gross pathology observation
Findings: Y
Evaluated: Y
Organ/System: Oral Cavity
Gecko A: bilateral white plaques noted on surface of the caudal oral cavity, appearing to originate near the angle of the mandible
Assay: ASSAY_23_3234_GROSS
SEA-CDM details
Reproductive
Gross Lesions
gross pathology observation
Findings: Y
Evaluated: Y
Organ/System: Reproductive
Gecko A: large, well-vascularized mass appeared to originate from the left ovary filling entire length of abdomen (approx 3.5 inches in length), white to tan heterogenous coloration with firm cranial pole and fluid-filled caudal pole. The enlarged left ovary contained a large amount of yellow to white friable material (necrotic debris). Both ovaries demonstrated active follicles. Gecko B: bilateral enlarged ovaries, tan to hemorrhagic with foci of necrosis, potentially associated with reproductive tract with adhesive multifocal white plaque on mucosal surface. Both ovaries are soft and contained copious mucinous yellow to white friable material. Ovaries appear to have been ovulating.
Assay: ASSAY_23_3234_GROSS
SEA-CDM details
Evaluated with no findings / routine observations (6)
Endocrine
Gross Lesions
gross pathology observation
Findings: N
Evaluated: Y
Organ/System: Endocrine
No gross findings reported.
Assay: ASSAY_23_3234_GROSS
SEA-CDM details
Hematolymphoid
Gross Lesions
gross pathology observation
Findings: N
Evaluated: Y
Organ/System: Hematolymphoid
No gross findings reported.
Assay: ASSAY_23_3234_GROSS
SEA-CDM details
Musculoskeletal
Gross Lesions
gross pathology observation
Findings: N
Evaluated: Y
Organ/System: Musculoskeletal
No gross findings reported.
Assay: ASSAY_23_3234_GROSS
SEA-CDM details
Nervous
Gross Lesions
gross pathology observation
Findings: N
Evaluated: Y
Organ/System: Nervous
No gross findings reported.
Assay: ASSAY_23_3234_GROSS
SEA-CDM details
Respiratory
Gross Lesions
gross pathology observation
Findings: N
Evaluated: Y
Organ/System: Respiratory
No gross findings reported.
Assay: ASSAY_23_3234_GROSS
SEA-CDM details
Urinary
Gross Lesions
gross pathology observation
Findings: N
Evaluated: Y
Organ/System: Urinary
No gross findings reported.
Assay: ASSAY_23_3234_GROSS
SEA-CDM details
Additional Procedures (2)
Culture, ovary mass swab
Additional Procedures
culture result
No bacterial growth
Sample: SAMP_23_3234_OVARY_MASS_SWAB
Assay: ASSAY_23_3234_CULTURE
SEA-CDM details
Cytology
Additional Procedures
sample handling procedure
Direct smear of ovarian mass and liver, Diff Quick: Numerous melanomacrophages and macrophage-like round cells with foamy cytoplasm and birefringent granules. The cytology of the ovarian mass also showed abundant fatty droplets or adipocytes in the background. No apparent infectious agents were found.
SEA-CDM details
Analysis / Final DiagnosisSEA-CDM entity:
analysis
Final pathology diagnosis
ANL_23_3234_FINAL_DIAGNOSIS
| IVAC pathology report
| Reference: 23-3234
Input Data
clinical history
gross findings
microscopic findings
culture results
Interpretation / Final Diagnosis
Iridophoroma in gecko A appeared to metastasize to multiple organs in gecko A, but such metastasis was not evident in gecko B. Moreover, histology confirmed that another main finding grossly, which was an ovarian mass or enlarged ovaries in both cases, was granulomatous oophoritis very likely due to preovulatory follicular stasis (POFS). POFS was not uncommon in captive reptiles. The cause of POFS is poorly understood (Kophamel-Orduna et al., 2018). Nutritional imbalance has been speculated as one of the causes for POFS in the literature. In our case, the animals were fed with a varied and appropriate diet, although hyporexia/anorexia may have played a role in developing the disease. In gecko B, the severe oophoritis extended to the coelom, causing coelomitis and the adherence with the distal portion of the liver. The focally extensive granulomatous hepatitis is thus believed to be an extent of oophoritis and coelomitis. No overt evidence of infectious etiology was found in the granulomatous inflammation (Gram and acid fast stains showed no bacteria). Culture of the ovarian mass from one of the geckos yielded no growth of bacteria. Gecko B also had hepatic lipidosis, which is also another common pathology in captive reptiles. Ref: Kophamel-Orduna S, Lebens M, Gunther CP, Wohlsein P, Puff C, Fehr M, et al. Lipogranulomatous Oophoritis in a Leach's giant gecko (Rhacodactylus leachianus). Wiener Tieraerztliche Monatsschrift Veterinary Medicine Austria. 2018;105(3/4 (3)):73–80.
Source
Master 2023 Necropsy Log.xlsx::23-3234-Guo-EUM
Linked SEA-CDM Records
Group:
GRP_23_3234_01
Document:
DOC_23_3234
SEA-CDM details
Source DocumentsSEA-CDM entity:
documentation
1
source document record(s) are linked to this case.
Document types: necropsy pathology report (1)
IVAC pathology report 23-3234
necropsy pathology report
DOC_23_3234
Source Reference
Master 2023 Necropsy Log.xlsx::23-3234-Guo-EUM
Source file reference only; direct public download is not available in VaxSEA.
IVAC pathology report:
23-3234
Source Study Key:
STUDY_23_3234
Creator / Role
Yao Lee, DVM, MS, PhD, DACVP
ID type: name
Role: Final Review Pathologist
Case Report MetadataCase Complete: Yes
Completion Date: 2024-01-04
Clinician: Keller
Prosector: Boulanger
Gross Necropsy Pathologist: Lee
SEA-CDM details
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