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A clear cell hepatocellular carcinoma in an obese dog with hyperlipidemia: a case report

  • Jung, Jae-Ha (Department of Veterinary Clinical Pathology, Laboratory of Clinical Pathology, College of Veterinary Medicine, Seoul National University) ;
  • Lee, MaRo (Department of Veterinary Surgery, College of Veterinary Medicine, Seoul National University) ;
  • Yang, Yeseul (Department of Veterinary Clinical Pathology, Laboratory of Clinical Pathology, College of Veterinary Medicine, Seoul National University) ;
  • Seo, Dansong (Department of Veterinary Clinical Pathology, Laboratory of Clinical Pathology, College of Veterinary Medicine, Seoul National University) ;
  • Hwang, Sung-Hyun (Department of Veterinary Clinical Pathology, Laboratory of Clinical Pathology, College of Veterinary Medicine, Seoul National University) ;
  • Kim, Wan Hee (Department of Veterinary Surgery, College of Veterinary Medicine, Seoul National University) ;
  • Kim, Yongbaek (Department of Veterinary Clinical Pathology, Laboratory of Clinical Pathology, College of Veterinary Medicine, Seoul National University)
  • Received : 2021.08.04
  • Accepted : 2021.10.02
  • Published : 2021.12.31

Abstract

An 11-year-old obese dog was referred for a liver mass. Cytologic examination revealed vacuolated hepatocytes with mild pleomorphism. A partial liver lobectomy was performed. On histopathologic examination, the mass was diagnosed as hepatocellular carcinoma composed of hepatocytes with clear vacuoles. These findings were consistent with clear cell hepatocellular carcinoma (CCHCC). The CCHCC is a rare subtype of hepatocellular carcinoma in dogs, and clinical features are poorly defined. This is the first report on the cytological, histological and clinical aspects of CCHCC, suggesting that obesity and hyperlipidemia are potential risk factors for CCHCC in dogs.

Keywords

Acknowledgement

This study was supported by the Research Institute for Veterinary Science, Seoul National University.

References

  1. Patnaik AK, Hurvitz AI, Lieberman PH, Johnson GF. Canine hepatocellular carcinoma. Vet Pathol 1981;18:427-438. https://doi.org/10.1177/030098588101800402
  2. Baba AI, Catoi C. Tumors of the Liver and Gallbladder. Comparative Oncology. The Publishing House of the Romanian Academy, Bucharest, 2007.
  3. Cullen JM. Tumors of the Liver and Gallbladder. In: Donald JM, Tumors in Domestic Animals. 5th ed. pp. 602-631, John Wiley & Sons, Ames, 2016.
  4. Li T, Fan J, Qin LX, Zhou J, Sun HC, Qiu SJ, Ye QH, Wang L, Tang ZY. Risk factors, prognosis, and management of early and late intrahepatic recurrence after resection of primary clear cell carcinoma of the liver. Ann Surg Oncol 2011;18:1955-1963. https://doi.org/10.1245/s10434-010-1540-z
  5. Liu Z, Ma W, Li H, Li Q. Clinicopathological and prognostic features of primary clear cell carcinoma of the liver. Hepatol Res 2008;38:291-299. https://doi.org/10.1111/j.1872-034X.2007.00264.x
  6. Zimmermann A. Tumors of the Hepatocyte Lineage and Its Precursors. Tumors and Tumor-Like Lesions of the Hepatobiliary Tract. pp. 215-227, Springer International Publishing, 2017.
  7. Siegel A, Wiseman MD. The Liver. In: Valenciano AC, Cowell RL, Cowell and Tyler's Diagnostic Cytology and Hematology of the Dog and Cat-E-Book. 5th ed. pp. 332-334, Elsevier Saunders, St. Louis, 2019.
  8. Newman SJ, Smith JR, Stenske KA, Newman LB, Dunlap JR, Imerman PM, Kirk CA. Aflatoxicosis in nine dogs after exposure to contaminated commercial dog food. J Vet Diagn Invest 2007;19:168-175. https://doi.org/10.1177/104063870701900205
  9. Sepesy LM, Center SA, Randolph JF, Warner KL, Erb HN. Vacuolar hepatopathy in dogs: 336 cases (1993-2005). J Am Vet Med Assoc 2006;229:246-252. https://doi.org/10.2460/javma.229.2.246
  10. Xenoulis PG, Steiner JM. Lipid metabolism and hyperlipidemia in dogs. Vet J 2010;183:12-21. https://doi.org/10.1016/j.tvjl.2008.10.011
  11. Ko JZ, Chen Y, Nepute J, Goodwill V, Garrett R, Befeler A, Lai JP. A giant primary clear cell hepatocellular carcinoma in a young woman without cirrhosis. J Clin Exp Pathol 2015;5:224.
  12. Orikasa H, Ohyama R, Tsuka N, Eyden BP, Yamazaki K. Lipid-rich clear-cell hepatocellular carcinoma arising in non-alcoholic steatohepatitis in a patient with diabetes mellitus. J Submicrosc Cytol Pathol 2001;33:195-200.
  13. Bannasch P, Ribback S, Su Q, Mayer D. Clear cell hepatocellular carcinoma: origin, metabolic traits and fate of glycogenotic clear and ground glass cells. Hepatobiliary Pancreat Dis Int 2017;16:570-594. https://doi.org/10.1016/S1499-3872(17)60071-7
  14. Masserdotti C, Drigo M. Retrospective study of cytologic features of well-differentiated hepatocellular carcinoma in dogs. Vet Clin Pathol 2012;41:382-390. https://doi.org/10.1111/j.1939-165X.2012.00436.x
  15. Stockhaus C, Van Den Ingh T, Rothuizen J, Teske E. A multistep approach in the cytologic evaluation of liver biopsy samples of dogs with hepatic diseases. Vet Pathol 2004;41:461-470. https://doi.org/10.1354/vp.41-5-461