Peppy's autopsy pictures

Exploratory preparation

Exploratory preparation

Exploratory preparation

Congested pancreas

Obstruction duodenum

Bile duct (blue/ green) by left index finger

Mass between hands, pyloris, duodenum

Gall bladder by left hand (I guess it is greatly enlarged)

Intestine/ mass/ bile & pancreatic ducts

Intestine/ mass/ bile & pancreatic ducts

I don't know much about the internal anatomy where intestines and ducts are concerned. I didn't fully grasp the situation while my vet was doing the operation/ post mortem despite asking 3 times. I'm just not good at it. Today, 08 May 2013, I have spoken to my vet again, I showed her the pictures and the histopathology report again so I could at least write comments above the pictures. If any of the information is incorrect, it is less likely that my vet told me the wrong thing and more likely that my brain is just not good at processing information it does not understand. Part of the problem is that I have never really looked at what healthy bile and pancreatic ducts ought to look like and don't know what this muddled up mass would look like if it was healthy... I don't know what part of it is ducts, what part is intestine, what part is tumour. I guess the only way to express it is that it is a mess.

Peppy's histopathlogy report

Diagnosis Intestinal adenocarcinoma
Prognosis Poor

Histopathology Result

DESCRIPTION: Biopsies from mass between the liver and spleen x 3. Three pieces of tissue were examined. One comprises small intestinal with adjacent pancreatic tissue featuring focal mixed mononuclear infiltrates and some fibrosis. Extending from the mucosa through the submucosa, muscularis, mesentery and on the serosa of the small intestine are disorganised groups of hyperchromatic epithelial cells sometimes surrounding mucin lakes. The cells are pleomorphic with enlarged nucleoli and a high N:C ratio. Mitoses are frequent. There is a scirrhous reaction.

Adrenal gland - no significant histological abnormalities were detected.

Liver - there is mild biliary proliferation with portal fibrosis and mixed mononuclear and haematopoietic infiltrates. There is poor fication of some areas with autolytic change present.

The appearance is consistent with an intestinal adenocarcinoma. Intestinal carcinomas often metastasise before clinical diagnosis. Metastases are found in lymph nodes, on the peritoneum and in liver and lung in the dog and a similar behaviour may be expected in the skunk. The prognosis is likely to be poor. The changes in the remaining tissues samples are mild and likely inconsequential here.