Diseases of flounder Platichthys flesus in Dutchcoastal and estuarine waters, with particular reference to environmental stress factors. were diagnosed as hepatocellular carcinoma. Most of the remaining nodules were diagnosed as foci of cellular alteration, whlch are considered to be preneoplastic lesions. Routine histopathological examination of livers showing no gross pathology resulted in the identification of a range of lesions including hepatocellular adenoma, foci of cellular alteration, hydropic vacuolization of biliary epithelial cells and hepatocytes, inflammatory lesions, focal necrosis, regenerative foci, and fibrillar hepatocytes of unknown significance. In addition, indices were used to quantify the presence of storage vacuoles (glycogen and lipid) and the relative density of melanomacrophage centres. The results indicate that a small proportion of neoplasms would be missed if only livers with grossly detectable nodules were subjected to histological examination. The prevalence of foci of cellular alteration at the different sampling sites showed a good correspondence with that of neoplasms, providing support for the hypothesis that these conditions represent stages of the same process. Of the other lesions and quantitative ~ndices, only hydropic vacuolization of billary epithelia] cells had a spatial distribution similar to that of neoplasms. 11 is concluded that liver neoplasms and especially their precursor lesions in flounder are promising tools for monitoring exposure to potential carcinogens, provided that migration patterns are explicitly taken into account. Furthermore, experimental studies are needed to investigate the chemical agents responsible for the onset of these early lesions and their progression into neoplasms, and also to evaluate the contribution of other environmental and host-related factors.
Liver histopathology