van den Top J G B, de Heer N, Klein W R, Ensink J M
Department of Equine Sciences, Utrecht University, Yalelaan 114, 3584 CM, Utrecht, The Netherlands.
Equine Vet J. 2008 Sep;40(6):528-32. doi: 10.2746/042516408X281180.
Preputial and penile tumours are more common in horses than in other domestic animals, but no large surveys of male horses with tumours of the external genitalia are available.
To present a retrospective analysis of male horses with neoplasms of the external genitalia.
The penile and preputial tumours of 114 horses were evaluated. Data recorded included age, gelding or stallion and breed; type and site of lesion; involvement of regional lymph nodes; histopathology (including grading of squamous cell carcinoma); and results of radiographic examination of the thorax.
Mean age of horses was 19.5 years with no apparent breed predilection. Common presenting clinical signs were irregularities (e.g. the presence of a mass and/or ulceration) on the integument of the penis and prepuce, and purulent or sanguineous discharge from preputial orifice. Squamous cell carcinoma (SCC) was the most prevalent neoplasm followed by papillomas and melanomas. A basal cell carcinoma, neurofibrosarcoma, adenocarcinoma or fibrosarcoma were each found on single horses. Squamous cell carcinomas with poor differentiation had a higher tendency to metastasise than did more differentiated tumours.
Squamous cell carcinoma is the most common urogenital tumour of the male horse and occurs primarily in old horses. Horses with poorly differentiated SCCs tend to have a higher incidence of regional metastases. Pathology of lymph nodes, even when not palpably enlarged, is a valuable diagnostic exercise. Radiology of the thorax to detect lung metastases is of little value.
包皮和阴茎肿瘤在马中比在其他家畜中更常见,但目前尚无对患有外生殖器肿瘤的雄马进行的大规模调查。
对外生殖器患有肿瘤的雄马进行回顾性分析。
对114匹马的阴茎和包皮肿瘤进行评估。记录的数据包括年龄、去势或未去势及品种;病变类型和部位;区域淋巴结受累情况;组织病理学(包括鳞状细胞癌分级);以及胸部X线检查结果。
马的平均年龄为19.5岁,无明显品种易感性。常见的临床症状为阴茎和包皮皮肤出现异常(如肿块和/或溃疡),以及包皮口有脓性或血性分泌物。鳞状细胞癌(SCC)是最常见的肿瘤,其次是乳头状瘤和黑色素瘤。仅在单匹马中分别发现了基底细胞癌、神经纤维肉瘤、腺癌或纤维肉瘤。分化差的鳞状细胞癌比分化较好的肿瘤更容易发生转移。
鳞状细胞癌是雄马最常见的泌尿生殖系统肿瘤,主要发生于老龄马。分化差的鳞状细胞癌患马区域转移的发生率往往更高。即使淋巴结未触及肿大,对其进行病理学检查也是一项有价值的诊断操作。胸部X线检查对检测肺转移几乎没有价值。