Abstract

A spontaneous reactive mesothelial hyperplasia occurred in a female, 15.7-year-old African green monkey (grivet; Chlorocebus aethiops). At necropsy, massive effusions were found in the abdomen, the thorax, and the pericardium. Additionally, multiple small, beige-gray nodules were detected on the serosal surfaces of the abdominal organs. Histopathologically, the mesothelial cells resembled the epithelioid subtype of a mesothelioma, but no infiltrative or invasive growth could be demonstrated. The mesothelial cells on the thoracis, liver, and intestinal serosa were accompanied by chronic serositis. Mesothelial cells expressed cytokeratin, vimentin, calretinin, desmin, Wilms Tumor 1 (WT-1) protein, and epithelial membrane antigen (EMA). Cells were negative for carcinoembryonic antigen (CEA), cluster of differentiation 15 (CD15), and podoplanin. Ultrastructurally, cells revealed a moderate amount of microvilli of medium length, perinuclear tonofilament bundles, and long desmosomes. In fluorescence in situ hybridization (FISH) for the detection of characteristic gene loss (p16; CDKN2A), NF2, and MTAP, no deletions were detected. No asbestos fibers and no presence of Simian virus 40 antigen (SV40) could be demonstrated.

Highlights

  • Introduction and literature overview1.1 Mesothelial hyperplasiaMesothelial hyperplasia is a benign, reactive condition with no neoplastic potential that is associated with a variety of chronic and acute injuries to the mesothelial surface (Watkins et al, 2018)

  • Mesothelial hyperplasia is a benign, reactive condition with no neoplastic potential that is associated with a variety of chronic and acute injuries to the mesothelial surface (Watkins et al, 2018)

  • For the fluorescence in situ hybridization (FISH), formalinfixed and paraffin-embedded material was sectioned at 2 μm, deparaffinized, and digested with pepsin for 15 min prior to another fixation

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Summary

Mesothelial hyperplasia

Mesothelial hyperplasia is a benign, reactive condition with no neoplastic potential that is associated with a variety of chronic and acute injuries to the mesothelial surface (Watkins et al, 2018). Mesothelial cells might undergo hyperplasia as a response to serositis (Barth et al, 1997). It may manifest as small white nodules (Watkins et al, 2018). Reactive mesothelial proliferations may mimic mesothelioma because they may show high cellularity, numerous mitotic figures, cytologic atypia, necrosis, papillary growth, and entrapment of mesothelial cells within fibrosis mimicking invasion (Husain et al, 2018)

Mesothelioma
Discrimination between benign and malignant mesothelial alterations
Animal origin
Animal housing
Necropsy and histology
Further investigations
Immunohistochemistry
Transmission electron microscopy
Search for gene deletions
Necropsy
Histopathology
Discussion
Conclusion
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