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Title
Surgical Resection of an Interrenal Cell Adenocarcinoma in a Woma Python (Aspidites Ramsayi) With 18-Month Follow-Up
Author(s)
Kaye, Sarrah W.;Daverio, Heather;Eddy, Rebecca;Ossiboff, Robert;Peters-Kennedy, Jeanine;Morrisey, James K.
Published
2016
Publisher
Journal of Herpetological Medicine and Surgery
Published Version DOI
https://doi.org/10.5818/15-11-065.1
Abstract
An eight-year old intact male woma python (Aspidites ramsayi) presented for a caudal coelomic mass effect of three weeks duration. Ultrasound and fine needle aspiration cytology failed to identify the source of the mass. Exploratory surgery found a 10-cm diameter, lobulated, cystic mass closely associated with the left kidney. Tumor resection with left adrenalectomy and left nephrectomy was performed. Histopathologic examination identified an adrenal interrenal cell (cortical) adenocarcinoma with adjacent renal fibrosis. The snake recovered from surgery uneventfully and was clinically healthy over an 18-month follow up period. At 11 months, a contrast-enhanced coelomic computed tomography scan was performed to evaluate for metastatic disease or local recurrence. No metastases were identified, but local recurrence was not definitively ruled out and continued monitoring of the surgery site was recommended. At 18 months, ultrasound examination revealed significant tumor regrowth and no further treatment was pursued.
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PUB22787