Faculty of Health Sciences, Equine Unit, School of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Faculty of Health Sciences, Laboratory of Pathology, School of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Vet Med Sci. 2021 Mar;7(2):297-302. doi: 10.1002/vms3.366. Epub 2020 Sep 29.
A 20-year-old grey Warmblood gelding that had history of dermal melanomatosis.
To report surgical treatment of a 6-cm large malignant metastatic melanoma located in the cutaneous trunci muscle of the left lateral thorax of a horse.
A 20-year-old grey Warmblood gelding was referred for evaluation of a large, rapidly growing, thoracic mass. Clinical examination revealed an ovoid, firm, non-painful, movable mass, approximately 6 cm in diameter, located in the cutaneous trunci muscle of the left lateral thorax. Multiple melanocytic nodules were also found at the perianal region and ventral tail. Rectal examination, ultrasonography and endoscopy of the respiratory tract revealed no melanomas internally. Haematological and biochemical values were within normal limits. Surgical excision of both the thoracic mass and perianal nodules was the treatment of choice. Histopathology of the distant thoracic mass confirmed the diagnosis of malignant metastatic melanoma secondary to the perineal lesions that were confirmed as dermal melanomatosis.
The horse recovered uneventfully. Up until 3 years post surgery there was no tumour regrowth at the excision sites.
Surgical excision of the metastatic melanoma was performed and considered successful, with no gross evidence of tumour reoccurrence. Despite the fact that surgical excision is considered a treatment option regarding equine dermal melanomatosis, there is no previously published study proposing surgical removal of distant malignant metastatic melanocytic masses. This is the first report of a successful surgical excision of a large (6 cm) metastatic melanocytic tumour from the skeletal muscle of the lateral thorax of a horse.
一匹 20 岁的灰色温血骟马,患有皮肤黑色素瘤病史。
报告一例位于左侧胸外侧皮肤胸肌的 6 厘米大恶性转移性黑色素瘤的手术治疗。
一匹 20 岁的灰色温血骟马因左胸外侧皮肤胸肌的一个大而快速生长的肿块而被转诊。临床检查发现一个卵形、坚硬、无痛、可移动的肿块,直径约 6 厘米,位于左侧胸外侧皮肤胸肌。还在肛周和尾腹侧发现多个黑色素细胞小结节。直肠检查、超声检查和呼吸道内窥镜检查均未发现内部有黑色素瘤。血液学和生化值均在正常范围内。手术切除胸部肿块和肛周结节是首选治疗方法。远处胸部肿块的组织病理学检查证实了继发于肛周病变的恶性转移性黑色素瘤的诊断,而肛周病变被确认为皮肤黑色素瘤。
马恢复顺利。手术后 3 年,切除部位无肿瘤复发。
对转移性黑色素瘤进行了手术切除,被认为是成功的,没有明显的肿瘤复发迹象。尽管手术切除被认为是治疗马皮肤黑色素瘤的一种选择,但目前尚无关于切除远处恶性转移性黑色素瘤的研究。这是首例报告成功切除马侧胸大(6 厘米)转移性黑色素瘤的病例。