spontaneous tumors of the adrenal cortex in a …...spontaneous tumors of the adrenal cortex in a...

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Spontaneous Tumors of the Adrenal Cortex in a Castrated Male Rat Jacob Heiman, M.D. (From the Department o[ Cancer Research, College o/ Physicians and Surgeons, Columbia University, New Yor k 32, N. Y.) (Received for publication March 13, 1944) Spontaneous neoplasms of the adrenal gland in rats are rare. Bullock and Curtis (1) and Curtis, Bullock, and Dunning (2) found four spontaneous tumors of the left adrenal among 31,868 autopsied animals over a number of years. Three of the growths were de- scribed as adenomas, and one as a possible cortical cell carcinoma. Ratcliffe (12) found one adrenal adenoma among 237 tumor-bearing rats in a group of over 17,000 animals. Hueper and Martin (10) re- ported a tumor of the medulla in a castrated male rat fed on a diet deficient in vitamin E. Adrenal tumors are rare in other animals also. Fox (4) men- tions among .the autopsy findings on 1860 animals (1901-1923) the occurrence of an adrenal adenocarci- noma in a polar bear and a hypernephroma in a Cali- fornia seal. Itami (11) described an adenoma of the left suprarenal in an old female mouse from which an adenocarcinoma in the left axilla had been removed. Haaland (6) reported a spontaneous hypernephroma in the region of the left kidney in a male mouse 22 months old, and Tyzzer (14) two possible hyper- nephromas in two old female mice. Woolley and his associates (3, 15, 16, 17) found hyperplasia and carci- noma of the adrenal cortex in male and female mice castrated at birth and Gardner (5), also, has reported the occurrence of adrenal tumors in ovariectomized mice. Spiegel (13) found hyperplasia and tumors of the adrenal cortex in guinea pigs castrated at an early age. The adrenal tumors herein described were ob- served during routine autopsy on a castrated male rat R342 No. 5~ 22 months old, weighing 445 -Y0-B-- gm. The animal was one of a series in which mammary fibroadenoma had been subcutaneously implanted (7), both before and after castration. Four other animals of the same series, weighing between 250 and 340 gm. each, grew large fibroadenomas and had small pale yellow adrenals. Rat 5 did not grow any subcutaneous tumors either before or after castration. At autopsy no trace of the subcutaneous implants was found. Both adrenals and the pituitary were noticeably enlarged. The left adrenal showed a large cyst, which had displaced or destroyed the medulla and was filled with a finely granular material (Fig. 1). Between cor- tex and medulla an irregular dark-staining adenoma- tous tumor surrounded and projected into the cyst. Several smaller cystic areas occurred in the substance of the tumor. The right adrenal showed a similar adenomatous structure in the juxtamedullary part of the cortex, pushing the medulla to one side (Fig. 2). The tumors, although located centrally, were not new growths of the medulla since the latter was displaced toward the periphery of the gland (Fig. 2), where it was dis- tinctly visible. The cortex showed scattered small cystic areas and evidence of compression (8). The tumors consisted of compact glands made up of large cuboidal or oval cells (Fig. 3). The cyto- plasm was finely granular and the nuclei showed all stages of active mitoses (Fig. 4). There was a close resemblance between these cells and those seen in corpora lutea, and also certain cells in the anterior pituitary gland of castrates. In addition, the pituitary of this rat showed cystic degeneration and numerous castration cells (9). DISCUSSION The male rat in which the adrenal cortical adenomas appeared spontaneously had been castrated at 18 months of age and was resistant to tumor transplan- tation before and after castration. Castrated males of the same series that grew transplanted benign subcu- taneous tumors showed normal but involuted adrenals. No conclusion can be drawn from the appearance of adrenal adenomata in a castrated male resistant to the growth of implanted mammary tumors. However, further investigations are advisable in old animals, as all other reported adrenal tumors appeared in old animals. CONCLUSION An adrenal cortical adenoma is described in an old castrated male rat resistant to subcutaneously implanted mammary fibroadenoma. 430 Research. on December 26, 2020. © 1944 American Association for Cancer cancerres.aacrjournals.org Downloaded from

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Page 1: Spontaneous Tumors of the Adrenal Cortex in a …...Spontaneous Tumors of the Adrenal Cortex in a Castrated Male Rat Jacob Heiman, M.D. (From the Department o[ Cancer Research, College

Spontaneous Tumors of the Adrenal Cortex in a Castrated Male Rat

Jacob Heiman, M.D.

(From the Department o[ Cancer Research, College o/ Physicians and Surgeons, Columbia University, New Yor k 32, N. Y.)

(Received for publication March 13, 1944)

Spontaneous neoplasms of the adrenal gland in rats are rare. Bullock and Curtis (1) and Curtis, Bullock, and Dunning (2) found four spontaneous tumors of the left adrenal among 31,868 autopsied animals over a number of years. Three of the growths were de- scribed as adenomas, and one as a possible cortical cell carcinoma. Ratcliffe (12) found one adrenal adenoma among 237 tumor-bearing rats in a group of over 17,000 animals. Hueper and Martin (10) re- ported a tumor of the medulla in a castrated male rat fed on a diet deficient in vitamin E. Adrenal tumors are rare in other animals also. Fox (4) men- tions among .the autopsy findings on 1860 animals (1901-1923) the occurrence of an adrenal adenocarci- noma in a polar bear and a hypernephroma in a Cali- fornia seal. Itami (11) described an adenoma of the left suprarenal in an old female mouse from which an adenocarcinoma in the left axilla had been removed. Haaland (6) reported a spontaneous hypernephroma in the region of the left kidney in a male mouse 22 months old, and Tyzzer (14) two possible hyper- nephromas in two old female mice. Woolley and his associates (3, 15, 16, 17) found hyperplasia and carci- noma of the adrenal cortex in male and female mice castrated at birth and Gardner (5), also, has reported the occurrence of adrenal tumors in ovariectomized mice. Spiegel (13) found hyperplasia and tumors of the adrenal cortex in guinea pigs castrated at an early age.

The adrenal tumors herein described were ob- served during routine autopsy on a castrated male rat

R342 No. 5~ 22 months old, weighing 445 -Y0-B-- gm.

The animal was one of a series in which mammary fibroadenoma had been subcutaneously implanted (7), both before and after castration. Four other animals of the same series, weighing between 250 and 340 gm. each, grew large fibroadenomas and had small pale yellow adrenals. Rat 5 did not grow any subcutaneous tumors either before or after castration. At autopsy no trace of the subcutaneous implants was found.

Both adrenals and the pituitary were noticeably enlarged. The left adrenal showed a large cyst, which

had displaced or destroyed the medulla and was filled with a finely granular material (Fig. 1). Between cor- tex and medulla an irregular dark-staining adenoma- tous tumor surrounded and projected into the cyst. Several smaller cystic areas occurred in the substance of the tumor.

The right adrenal showed a similar adenomatous structure in the juxtamedullary part of the cortex, pushing the medulla to one side (Fig. 2). The tumors, although located centrally, were not new growths of the medulla since the latter was displaced toward the periphery of the gland (Fig. 2), where it was dis- tinctly visible. The cortex showed scattered small cystic areas and evidence of compression (8).

The tumors consisted of compact glands made up of large cuboidal o r oval cells (Fig. 3). The cyto- plasm was finely granular and the nuclei showed all stages of active mitoses (Fig. 4). There was a close resemblance between these cells and those seen in corpora lutea, and also certain cells in the anterior pituitary gland of castrates. In addition, the pituitary of this rat showed cystic degeneration and numerous castration cells (9).

DISCUSSION

The male rat in which the adrenal cortical adenomas appeared spontaneously had been castrated at 18 months of age and was resistant to tumor transplan- tation before and after castration. Castrated males of the same series that grew transplanted benign subcu- taneous tumors showed normal but involuted adrenals.

No conclusion can be drawn from the appearance of adrenal adenomata in a castrated male resistant to the growth of implanted mammary tumors. However, further investigations are advisable in old animals, as all other reported adrenal tumors appeared in old animals.

CONCLUSION

An adrenal cortical adenoma is described in an old castrated male rat resistant to subcutaneously implanted mammary fibroadenoma.

430

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Heiman--Spontaneous Tumors of Adrenal Cortex 431

Fro. 1.--Left adrenal gland in an old castrated male rat. Adenoma with cystic degeneration, in juxtamedullary zone. X 48.

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Fro. 2.--Right adrenal in same rat. Adenoma replacing juxta- medullary zone. Medulla pushed aside, bctween tumor and cortex. X 48.

Fro. 3.--Adenoma of rat adrenal. Large cells with granular cytoplasm, dark-staining nuclei. X 300.

FIG. 4.--Higher magnification. Nuclei show active mitoses. X 600.

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432 Cancer Research

REFERENCES

1. BULLOCK, F. D., and CURTIS, M. R. Spontaneous Tumors of the Rat. J. Cancer Research, 14:1-115. 1930.

2. CURTIS, M. R., BULLOCK, F. D., and DtJNNINC, W. F. A Statistical Study of the Occurrence of Spontaneous Tumors in a Large Colony of Rats. Am. I. Cancer, 15: 67-121. 1931.

3. FEKETE, ELIZABETH, WOOLLEY, G., and LITTLE, C. C. Histological Changes Following Ovariectomy in Mice. I. dba High Tumor Strain. J. Exper. Med., 74:1-7. 1941.

4. Fox, H. Diseases in Captive Wild Animals and Birds. 1923. 5. GARI)NER, W. U. Estrogenic Effects of Adrenal Tumors of

Ovariectomized Mice. Cancer Research, 1:632-637. 1941. 6. HAAI.AND, M. Spontaneous Tumours in Mice. Fourth Sci-

entific Report on the Investigations of the Imperial Cancer Research Fund, London. 1911, pp. 1-113.

7. HEIMAN, I- The Study of Benign Neoplasms of the Rat's Breast. Am. J. Cancer, 22:497-524. 1934.

8. HEIMAN, J. A Comparative Study of the Ovaries and Other Endocrine Glands in Rats with Benign Transplanted Breast Tumors and in Normal Rats Injected with Sex Hormones. Am. J. Cancer, 34:586-588. 1938.

9. HEIMAN, J. The Anterior Pituitary Gland in Tumor- Bearing Rats. Am. J. Cancer, 33 :423-442. 1938.

10. HUEPER, W. C., and MARTIN, G. J. Tumor of Adrenal Medulla in Castrated Male Rat. Cancer Research, 2: 294-295. 1942.

11. ITAMI, S. A Suprarenal Adenoma in the Mouse. Proc. New York Path. Soc., 16:45-46. 1916.

12. RATCLIFFE, H. L. Spontaneous Tumors in Two Colonies of Rats of the Wistar Institute of Anatomy and Biology. Am. J. Path., 16:237-254. 1940.

13. SVIE~EL, A. {3ber das Auftreten yon Geschw/ilsten der Nebennierenrinde mit verm~innlichender Wirkung bei frfihkastrierten Meerschweinchenm/innchen. Virchows Arch. f. path. Anat., 305:366-393. 1940.

14. TYZZER, E. E. A Series of Spontaneous Tumors in Mice with Observations on the Influence of Heredity ~ on the Frequency of Their Occurrence. J. Med. Res., 16:479- 518. 1909.

15. WOOLLEV, G., F~KETE, ELIZABETH, and LXTTLE, C. C. Differenccs Between High and Low Breast Tumor Strains of Mice When Ovariectomized at Birth. Proc. Soc. Exper. Biol. & Med., 45:796-798. 1940.

16. WOOLLEV, G., FEKETE, E., and LITTLE, C. C. Mammary Tumor Development in Mice Ovariectomized at Birth. Proc. Nat. Acad. Sc., 25:27,7-279. 1939.

17. WOOLLEV, G., FrKETE, E., ~and. LITTLE, C. C. Effect of Castration in the Dilute Brown Strain of Mice. Endo- crinology, 28:341-343. 1941.

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1944;4:430-432. Cancer Res   Jacob Heiman  Male RatSpontaneous Tumors of the Adrenal Cortex in a Castrated

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