Final Report
Final Diagnosis:
Euthanasia (cervical dislocation)
Neurotropic T-cell lymphoma secondary to Marek's disease, presumptive
Final Comment:
Histopathologic evaluation reveals neoplastic lymphocytes with a T-cell immunophenotype preferentially infiltrating the sciatic nerves and brain, and visceral involvement in the spleen and possibly the liver support multicentric disease. The pathologic features of neoplastic T-cell exhibiting neurotropism are most consistent with underlying Gallid alphaherpesvirus 2 infection, the causal agent of Marek's disease. Definitive diagnosis of oncogenic herpesviral-induced lymphoma via PCR for Marek's disease is pending and results will follow in a separate report when available.
The localized lesion on the pectoralis muscle noted grossly corresponds to an infarct leading to ischemia and subsequent myonecrosis. Vascular thrombosis in this bird suggests a coagulopathy that is most likely associated with a paraneoplastic process.
Histologic Findings:
Brain, sciatic nerve, and spleen: Lymphoma
Finalized Report
1 Pepper - Aves - Galliformes Chicken, Nos Female
Skeletal muscle, pectoralis: Severe, locally extensive, acute to subacute, coagulative necrosis with thrombosis (infarct)
Liver: Mild multifocal lymphocytic portal infiltrates (lymphoma vs chronic inflammation)
Histologic Description:
The following tissues are examined:
Slide 1: Brain, sciatic nerve
Slide 2: Skin, bone marrow, skeletal muscle, ventriculus, liver, spleen
Slide 3: Liver, lung, trachea, heart
Slide 4: Proventriculus, duodenum, ileum, cecum, adrenal gland, thyroid gland, crop, bursa
Slide 5: Eye, nasal cavity, trachea
Histologic changes are detected in the following tissues:
Sciatic nerves (slide 1, 3 sections): Bilaterally infiltrating the sciatic nerves and expanding and effacing the myelin sheets in coalescing, frequently perivascular areas are moderate to large numbers of monomorphic small lymphocytes. Cells contain scant eosinophilic cytoplasm and have small, dark nuclei. Anisocytosis and anisokaryosis are minimal. No mitoses are noted. In several areas, the infiltrates are associated with small pools of hemorrhage and sparse, infiltrating heterophils. Adjacent axons are intermittently swollen and dilated by glassy eosinophilic to amphophilic myelin material (spheroids).
Brain (slide 1, 2 sections): Sporadically, neuroparenchymal blood vessels are cuffed by small numbers of monomorphic lymphocytes that spill into Virchow-Robbin's space.
Skeletal muscle (slide 2, 2 sections): Regionally affecting one section of pectoral muscle is a well-demarcated zone of pallor characterized by loss of fine myofiber striations and nuclear detail (coagulative necrosis) with a peripheral margin of infiltrating lymphocytes and macrophages. Blood vessels associated with this region are occasionally occluded by aggregates of fibrillar eosinophilic fibrin (thrombi).
Spleen (slide 2, 1 section): Diffusely infiltrating the splenic parenchyma and variably obscuring the architecture is a monomorphic population of small lymphocytes blending with the resident populations of leukocytes.
Liver (slides 2 and 3, 2 sections): Expanding portal areas throughout the sections are frequent aggregates of hematopoietic precursors predominated by myeloid cells (extramedullary hematopoiesis). Portal tracts are infrequently expanded and
disrupted by dense, mononuclear infiltrates predominated by small lymphocytes associated with fragmented nuclear debris.
Immunohistochemistry Results:
The following stain is applied to the sections of the sciatic nerves and brain (slide 1):
CD3, for T-cells: The lymphocytic proliferation infiltrating both sciatic nerves exhibits strong, diffuse cytoplasmic and membranous immunoreactivity. Lymphocytic perivascular cuffs within the brain are also immunopositive. This stain highlights more extensive neoplastic involvement of the brain than that observed on routine H&E staining.
Virology
Polymerease Chain Reaction Assay
Item Result Reference Interval
1 Pepper - Aves - Galliformes Chicken, Nos Female Tissue, DETECTED
Pooled
Virus Tested: Marek's disease virus
Comments: We are currently validating a PCR to differentiate between the wild type and vaccine strains of Marek's disease. This tested positive for the wild type strain.