Subcutaneous haemangiosarcoma in a cockatiel (Nymphicus hollandicus)

Electrochemotherapy for the treatment of an incompletely excised subcutaneous low-grade epithelioid hemangioendothelioma in a budgerigar parakeet (Melopsittacus undulatus)

Background

Cutaneous tumors are rarely described in avian and are frequently of viral origin. Solid tumors of vascular origin are seldom reported and usually result in difficult management by surgery alone. We describe the outcome of a subcutaneous low-grade epithelioid hemangioendothelioma (EHE) treated with the combination of surgery and electrochemotherapy.

Case Description

A 10-year-old male budgerigar parakeet (Melopsittacus undulatus) was referred for evaluation of a 2-month non-healing exophytic mass on the left wing. The bird was bright, alert, and responsive, with a 2 × 1 cm proliferative lesion on the wing. Signs of discomfort were elicited by the clinical manipulation of the wing; no other abnormalities were detected during physical evaluation. Following hematological and imaging analysis, the parakeet was anesthetized and the mass was surgically removed. The histopathology report came back with a diagnosis of incompletely excised subcutaneous low-grade EHE. A surgical revision was not feasible due to the anatomical location and tumor extension. Adjuvant electrochemotherapy was chosen to increase the chance of tumor control. Two sessions of electrochemotherapy were performed with a 2-week interval between treatments using intralesional bleomycin followed by trains of permeabilizing electric pulses. Side effects were not observed and the parakeet was disease-free for 12 months when he died of acute renal failure.

Conclusion

In lieu of the incomplete surgical excision of the tumor, electrochemotherapy resulted in good local control and cosmetic appearance and should be added to the standard oncological therapies for avian.

Cutaneous Hemangiosarcoma in a Pacific Parrotlet (Forpus coelestis)

A 2-month-old Pacific parrotlet (Forpus coelestis) was presented for assessment following a traumatic injury to the right wing that resulted in persistent swelling and inflammation. Six weeks postinjury the bird underwent surgical resection of a large hemorrhagic cavitated mass that had formed at the site of the original injury and a second, smaller mass on the body in direct contact with the wing mass. Histopathology of the wing mass confirmed a diagnosis of hemangiosarcoma. While commonly diagnosed in domestic species, hemangiosarcoma is uncommonly reported in avian species. To the authors' knowledge, this is the first report of hemangiosarcoma in a Pacific parrotlet and describes the development of hemangiosarcoma in a psittacine bird following trauma-induced inflammation.

Cloacal fibrosarcoma in a canary (Serinus canaria)

A 1-year-old, male canary (Serinus canaria) with a history of an enlarged abdomen of several days duration died acutely and was submitted for necropsy. Results revealed a yellow to tan hard mass, 2 cm in diameter, adherent to the cloacal wall. Histologically, the mass was composed of interlacing bundles of pleomorphic spindle cells with numerous and bizarre mitotic figures. Neoplastic cells were positive for vimentin and negative for desmin and actin and showed ultrastructural features (dilated stacks of rough endoplasmic reticulum, intermediate filaments, rare collagen secretion granules, lack of external lamina) typical of fibroblasts. Based on these results, the diagnosis was cloacal fibrosarcoma, previously not reported in canaries.