Fibropapilloma Surgeries
Collaboration, Dr. Norton, Research, Sea Turtle, cold stun, fibropapillomatosis, gumbo limbo, laser surgery, surgery No Comments »This past winter was very busy at the Georgia Sea Turtle Center. One of the coldest winters in history followed by mass amount of cold stunned (hypothermic) sea turtles to strand throughout the southeastern United States. Back in January, GSTC sent four staff members Dr. Terry Norton, DVM, Dipl. AZVM, Steven Nelson, CVT, Ashley Raybould and Simon Dilts, to the Gumbo Limbo Nature Center in Boca Raton to assist in laser and electrocautery surgeries being conducted to remove fibropapilloma tumors from 30 (thirty) green sea turtles (Chelonia mydas). The sea turtles were all affected by the mass cold stunning event in southeastern Florida where approximately 4,000-5000 animals were affected by the cold weather and low temperatures. Although not all of the cold stunned turtles presented with tumors when stranded, hundreds did and a majority of the stable patients underwent surgery.
Fibropapilloma is thought to be caused by a herpes virus and possibly involves some other environmental factor(s) such as pollution and climate change that appear to be causing the turtle’s immune system to be compromised. It affects almost all of the sea turtle species but is considered to be an epidemic in many green sea turtle populations. The problem is rarely seen north of Cape Canaveral, Florida and only a few cases have been documented in coastal Georgia. The affected turtles develop tumor like masses that can eventually cover the entire body if not excisedremoved. Even the eyes are subject to tumors; these tumors are the most concerning because they compromise the turtle’s vision and they eventually die of starvation. The most severe cases develop tumors in internal organs-these cases have a very guarded prognosis and usually require humane euthanasia. Techniques have been developed to use laser surgery to remove the tumors. Laser surgery minimizes bleeding during and after surgery. Tumors can be removed from the eyelids and portions of the eye to improve vision. Tumor removal seems to stimulate the immune system and in many cases the tumors do not return. Recent studies have documented natural tumor regression in some turtles.
The goal for all of these turtles was to removed the largest most compromising tumors under anesthesia, recover them, and rehabilitate them to the point where they are likely to do well in the wild. The turtles will be released near where they were found so there are not concerns about transmitting the virus to unexposed turtles. Four surgery tables were set up in a basement facility at Gumbo Limbo Nature Center in Boca Raton, FL. Four lasers and anesthesia machines were borrowed for the procedures. Several surgeons and ophthalmologists including Dr. Norton performed the 30 surgeries that day. Steven Nelson was one of the many certified veterinary technicians that performed general anesthesia on the turtles. Two of our AmeriCorps husbandry members, Ashley and Simon, monitored and successfully recovered all of the turtles. The team left for Florida on a Monday evening after work for the 6 hour drive, stayed in a hotel that night, worked for 8 hours on the turtles and then drove all the way back to the GSTC and arrived at 2 am. All participants were back to work at 8 am the next day taking care of the 35+ patients that are currently housed at the GSTC. This was a collaborative effort with numerous organizations including Disney’s Animal Kingdom, Gumbo Limbo Nature Center, the Loggerhead Marinelife Center, Shedd Aquarium, Pittsburg Zoo and Aquarium, local veterinarians and ophthalmologists, veterinary technicians, biologists, rehabilitators and volunteers. It was truly an amazing effort and great to be a part of the team. In the future, the Georgia Sea Turtle Center hopes to expand their veterinary care facilities to include isolation and quarantine areas for fibropapilloma cases as well as to purchase or gain a donation of a laser unit to remove such tumors. There are currently only three rehabilitation centers that have the appropriate facilities and equipment to treat this condition in sea turtles.
-Steven Nelson, Hospital Technician
















