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Authors: Richard Jakowski, DVM,PhD,DACVP, Gretchen Kaufman, DVM
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1. Learning Objectives

  • Be familiar with the common neoplastic diseases discussed in this section

2. Viral induced neoplasia

Since they were first discovered almost 100 years ago, viral-induced tumors of chickens have been intensively studied in the laboratory. As a result, much of what is now known about mammalian retrovirus including those that infect cats, cattle, mice and humans was pioneered by avian retrovirus researchers. Most of the research data on the retroviruses of poultry is extremely esoteric and of little practical value to the pet bird practitioner. Still, it is important to remember that a spectrum of neoplasms can be caused by a single virus and that the pattern of lymphoid/hematopoietic and sarcomatous neoplasms observed in chickens infected with these agents is strikingly similar, although of much lower incidence, to a group of similar neoplasms observed in several pet bird species.

For more see theViral chapter for Marek's disease and Avian leukosis virus

3. Non-viral neoplasia

Non-viral tumors in poultry Non-viral tumors in pet birds
Ovarian adenocarcinoma

Pancreatic adenocarcinoma

Oviductal leiomyoma

Testicular teratoma

Hepatoma

Astrocytoma

Squamous cell carcinoma

Squamous cell carcinoma

Fibroma and fibrosarcoma

Papilloma (skin, GI tract, and cloaca)

Lipoma (skin, abdominal cavity)

Adenocarcinoma (proventriculus)

Renal cell carcinoma

Nephroblastoma

Testicular teratoma

Ovarian carcinoma

Lymphosarcoma

Erythroblastosis/Myeloblastosis

The literature abounds with single-case reports of numerous benign and malignant tumors in pet and wild birds. In many instances the true clinical significance of the disease is speculative since most of these reports were written by pathologists more interested in the morphologic pattern of the tumor rather than the clinical signs and post-operative survival seen in the patient.

3.1. Subcutaneous and intracoelomic lipoma

This is one of the most frequently observed neoplasms in pet birds. Some studies suggest that this tumor has a 40% incidence in parakeets. Whether this observation is the result of genetic influence or just the popularity of pet parakeets is unclear. Other species commonly associated with this tumor are cockatoos and Amazon parrots. Obesity and advancing age probably play some role in this tumor as is the case in dogs and horses. Based on information gleaned from mammals, it is probably wise to not surgically remove a lipoma unless it has grown to a size to be uncomfortable to the bird.

Lipoma

3.2. Papillomatosis

This is common on the skin of the eyelids and junction of the beak and face. Parakeets, Amazon and African gray parrots are some of the species commonly affected. Canaries are affected to a lesser degree. Internal papillomatosis has a predilection for the cloaca and intestinal tract in some pet birds species (cloacal papilloma). As in mammals, these tumors are suspected to be caused by viruses, although none have been isolated. Recent evidence suggests that a herpes virus may be responsible for internal papillomas in pet birds.

Papilloma
Esophageal papillomas in a macaw
Papilloma
Cloacal papilloma in an Amazon

3.3. Cutaneous fibrosarcoma

This is one of the more common malignant neoplasms diagnosed in pet birds. The subcutis of the wing, leg, junction of the beak and face, neck and sternum are regions commonly affected. Species most often involved are: parakeets, cockatoos, parrots and macaws.

Fibrosarcoma
Fibrosarcoma at the commissure of the beak in a budgie

3.4. Squamous cell carcinoma

This is seen on the skin of the head in birds but is also seen in other locations. It is sometimes seen in a setting of chronic feather pulling (self trauma). The role of ultraviolet rays and carcinogenic agents is probably the same in birds and mammals.

SSC
Squamous cell carcinoma on the neck of an Amazon

3.5. Renal cell carcinoma

This is the most common kidney tumor in pet birds. In this instance also the budgerigar seems to be over-represented. The peculiar anatomic relationship of the kidney, lumbosacral plexus and spinal cord often result in a bird with this tumor clinically presenting with unilateral paresis or paralysis. Additionally, the prognosis for this tumor is poor because of the difficulty in performing surgery in this region.

3.6. Nephroblastoma

This is seen less frequently than renal cell carcinoma but seems to be more commonly associated with wild bird. In chickens this tumor is known to result from infection with certain strains of the avian oncornavirus.

3.7. Testicular teratomas

This is the most common testicular neoplasm seen in wild birds and poultry. In poultry it is most commonly observed in roosters over 3 years of age. Sertoli cell tumors and seminomas are commonly seen in parakeets.

3.8. Ovarian carcinoma

This is a common tumor in hens over the age of 4 years. The incidence of this tumor increases in proportion with age but is probably less common in pet birds because of the relatively low level of ovarian activity when compared with the hen. Ovarian tumors in birds spread by transcoelomic implantation or carcinomatosis rather than metastasis via blood or lymphatic vessels.

3.9. Hemolymphatic neoplasms

Although solid tumors are the chief, clinical manifestation of this form of neoplasia, when it occurs in the body cavity it may go clinically unrecognized for most of the disease course only becoming apparent in the final stages when the bird shows onset of lethargy and anorexia just before death. In this setting, the tumor can sometimes be diagnosed by the examination of peripheral blood smears when an agonal leukemia occurs.

3.10. Lymphosarcoma

This has been diagnosed in a number of pet and wild bird species with the tumors occurring in many different locations. The liver and spleen are the two common locations in the abdominal cavity but lymphomas have also been seen in the periorbital region. Although retroviruses are a likely etiologic candidate for this tumor, relatively little is known about the etiology of this tumor in comparison to the wealth of information on this form of neoplasia in chickens.

Lymphoma
Cutaneous lymphoma

3.11. Erythrocytic and myelocytic neoplasia

Similar to that seen in chickens infected with the avian oncornavirus, this has been seen in pet bird species. The liver, spleen and bone marrow are the organs principally involved. Psittacine erythroblastosis is an apparently new disease that has be seen in wild New Zealand parakeets. The most distinctive clinical feature is progressive lethargy, sleeping posture, ruffled feathers and dyspnea. Some birds show a change in eye color with the iris becoming a light yellow instead of the usual orange red. These birds also have severe anemia. On autopsy there is prominent hepatosplenomegaly. Microscopically the bone marrow, hepatic sinusoids and splenic red pulp are packed with erythroblasts. No viral agent has been identified. The prognosis for this type of neoplasia in birds is uniformly grave.

4. Ancillary Material

4.1. Readings

4.1.1. Texts and Articles

Altman, Robert B., et al. Avian Medicine and Surgery. Philadelphia. W.B. Saunders Co., 1997. Chapter 34.

Psittacine Erythroblastosis - A New Disease of Antipodes Island and New Zealand Parakeets. Surveillance 18:17-19 (1990).

Ritchie, Branson W., et al. Avian Medicine: Principles and Application. Lake Worth, Fla., c1994: Chapter 25

Schmidt, Robert E. Neoplasia. Serminars in Avian and Exotic Pet Medicine, Vol. 1, no. 2, October 1992. Philadelphia: W.B. Saunders Co.

Tomaszewski, et al. Synchronicity, papillomas, and herpes disease. Proceedings of the Annual Conference of the Association of Avian Veterinarians, New Orleans, LA, 1999: 219-221.

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