Spontaneous mixed type trichoblastoma in a pet lop rabbit: immunohistochemical application of CK7, CK20 and CD10 in animal trichoblastoma

Document Type : Case report

Authors

1 Associate Professor, Department of Pathology, Faculty of Veterinary Medicine, Urmia Branch, Islamic Azad University, Urmia, Iran

2 DVSc Student of Veterinary Surgery, Department of Clinical Sciences, Faculty of Veterinary Medicine, Urmia Branch, Islamic Azad University, Urmia, Iran

Abstract

    Trichoblastomas are the most common benign cutaneous tumors in rabbits. Since, these neoplasms have various sub-types; therefore they may be confused with other similar tumors having basaloid epithelial cells constituents. A male five-year-old mixed lop-eared rabbit had a palpable two-lobulated firm and motile oval mass located under the right ear between the mandible and neck measuring 3×1.5×1 cm without ulceration. The general condition of the rabbit was good and there was no fever or abnormality in the leukogram. A grayish-white mass was fixed in 10% buffered formalin after surgical excision. Pathologic observations of Hematoxylin and Eosin, Periodic Acid Schiff and Masson’s trichrome stained sections from the mass confirmed a tumor consisting of typical basaloid epithelial cells in both ribbon and trabecular (mixed) features with stromal connective tissue. Moreover, immunolabeling of the tumor was performed by CK AE1/AE3, CK7, CK20, CD10, Vimentin, S100 and Ki67. Based on pathology and immunohistochemistry, a diagnosis of mixed type trichoblastoma was made for the mass.  Immunohistochemically, there was a strong CK AE1/AE3 expression (>50% of basaloid tumor cells), strong immunolabelling (>50%) of tumor-associated stromal trabecular connective tissue against vimentin and weak positive immunoreaction (1-10% of tumor stromal cells) against S100. Also, the tumor was confirmed as a weak proliferative by Ki67. On the other hand, the expression of CK7, CK20 and CD10 was 30-40% (moderate), 20-30% (moderate) and <10% (weak) in tumor cells respectively. Accordingly, using CK7, CK20, and CD10 with other markers can be useful in differentiating animal trichoblastoma from similar tumors such as basal cell carcinoma, trichoepithelioma or other tumors that originate from basaloid epithelial cells of hair follicles.

Keywords


Ashrafihelan, J., Mosallanezhad, B., Tavakoli, A., Naghshineh, R., Mousavi, S.., 2005. Trichoblastoma (basal cell tumor) in a rabbit. J. Fac. Vet. Med. Univ. Tehran 60, 301–302.
Córdoba, A., Guerrero, D., Larrinaga, B., Iglesias, M.E., Arrechea, M.A., Yanguas, J.I., 2009. Bcl-2 and CD10 expression in the differential diagnosis of trichoblastoma, basal cell carcinoma, and basal cell carcinoma with follicular differentiation. Int. J. Dermatol. 48, 713–717. https://doi.org/10.1111/j.1365-4632.2009.04076.x
Freitas, T.F. de, Jorge, S. da F., Silva, M.E.M., Mendes, F.L.F., Lemos, T.D., 2019. Trabecular trichoblastoma in a domestic cat (Felis catus domesticus, linnaeus 1758): Case report. Brazilian J. Vet. Res. Anim. Sci. 56, e150213. https://doi.org/10.11606/issn.1678-4456.bjvras.2019.150213
Hammer, M., Weigner, F., Klopfleisch, R., 2011. Cutaneous melanomas in rabbits: rare but often fatal. Vet. Sci. Dev. 1, 9. https://doi.org/10.4081/vsd.2011.e9
Jenkins, J.R., 2001. Skin disorders of the rabbit. Vet. Clin. North Am. - Exot. Anim. Pract. 4, 543–563. https://doi.org/10.1016/S1094-9194(17)30042-7
Kanfer, S., Reavill, D.R., 2013. Cutaneous Neoplasia in Ferrets, Rabbits, and Guinea Pigs. Vet. Clin. North Am. - Exot. Anim. Pract. 16, 579–598. https://doi.org/10.1016/j.cvex.2013.05.006
Kim, M.S., Jeong, S.M., Park, J.H., Nam, T.C., Seo, K.M., 2004. Reversal of medetomidine-ketamine combination anesthesia in rabbits by atipamezole. Exp. Anim. 53, 423–428. https://doi.org/10.1538/expanim.53.423
Kneitz, H., Fetzer, S., Goebeler, M., Bröcker, E.B., 2018. Differential diagnostic significance of epithelial and stromal CD10 expression in tumors of trichogenic origin. JDDG - J. Ger. Soc. Dermatology 16, 719–729. https://doi.org/10.1111/ddg.13547
Kok, M.K., Chambers, J.K., Ushio, N., Watamori, A., Miwa, Y., Nakayama, H., Uchida, K., 2017. Histopathological and Immunohistochemical Study of Trichoblastoma in the Rabbit. J. Comp. Pathol. 157, 126–135. https://doi.org/10.1016/j.jcpa.2017.06.005
Martino, P.E., Gimeno, E.J., Píscopo, M.A., Netri, C.M., Unzaga, M.F., Origlia, J.A., 2017. Spontaneous skin tumor in a companion dwarf rabbit. Acta Sci. Vet. 45, 1–4. https://doi.org/10.22456/1679-9216.85441
Mineshige, T., Yasuno, K., Sugahara, G., Tomishita, Y., Shimokawa, N., Kamiie, J., Nishifuji, K., Shirota, K., 2014. Trichoblastoma with abundant plump stromal cells in a dog. J. Vet. Med. Sci. 76, 735–739. https://doi.org/10.1292/jvms.13-0516
Polinas, M., Burrai, G.P., Vitiello, V., Falchi, L., Zedda, M.T., Masala, G., Marras, V., Satta, G., Alberti, A., Antuofermo, E., 2020. Histological and immunohistochemical features of trichoblastoma in a sarda breed sheep. Animals 10, 1–8. https://doi.org/10.3390/ani10112039
Tacha, D., 2003. Immunohistochemistry of the Skin. Lab. Med. 34, 311–316. https://doi.org/10.1309/pdpm26e5tlfqlung
Von Bomhard, W., Goldschmidt, M.H., Shofer, F.S., Perl, L., Rosenthal, K.L., Mauldin, E.A., 2007. Cutaneous neoplasms in pet rabbits: A retrospective study. Vet. Pathol. 44, 579–588. https://doi.org/10.1354/vp.44-5-579
Wang, Q., Ghimire, D., Wang, J., Luo, S., Li, Z., Wang, H., Geng, S., Xiao, S., Zheng, Y., 2015. Desmoplastic trichoepithelioma: A clinicopathological study of three cases and a review of the literature. Oncol. Lett. 10, 2468–2476. https://doi.org/10.3892/ol.2015.3517.