Metastatic pulmonary adenocarcinoma in a llama (Lama glama)

An adult female llama with a comminuted fracture of the left femoral head was necropsied. A firm multinodular mass infiltrated skeletal muscle adjacent to the fracture. Multiple, firm, white nodules were in the pulmonary parenchyma and pleura. A single nodule was in the liver. Microscopically, transition from nonneoplastic bronchiolar epithelium to neoplastic epithelium that formed acinar structures was evident at bronchioloalveolar junctions. A diagnosis of pulmonary adenocarcinoma was made. Similar neoplastic tissue was in the liver and in the perifemoral mass. Immunohistochemically, neoplastic cells were positive for pan-cytokeratin, cytokeratin 7, and cytokeratin 5/6 antibodies and negative for vimentin and cytokeratins 8/18 and 20.