Sarcoma in horses refers to a group of malignant tumors that arise from connective tissues, including bone, cartilage, fat, muscle, and blood vessels. These tumors can develop in various parts of the horse's body and may differ in their behavior, growth rate, and response to treatment. Common types of sarcomas in horses include fibrosarcoma, osteosarcoma, and hemangiosarcoma. The diagnosis of sarcoma typically involves a combination of clinical examination, imaging techniques, and histopathological analysis. Treatment options may vary depending on the type and location of the tumor and can include surgical excision, chemotherapy, or radiation therapy. This page compiles peer-reviewed research studies and scholarly articles that explore the pathogenesis, diagnosis, and treatment of sarcomas in equine patients.
Sweeney CR, Gillette DM.Thirty-two horses and 3 ponies had neoplasia involving the thoracic cavity. Lymphosarcoma of the thorax was found in 19 (54.2%) of the equids. The other 16 equids had metastatic adenocarcinoma (7 horses; 20%), metastatic squamous cell carcinoma (5 equids; 14.3%), metastatic hemangiosarcoma (3 equids; 8.6%) or undifferentiated sarcoma (1 horse; 2.9%). Thoracic neoplasia was diagnosed before death in 15 equids (42.9%).
Johnson JE, Beech J, Saik JE.A 6.5-year-old horse with a history of exercise-induced pulmonary hemorrhage was admitted because of acute onset of epistaxis, dyspnea, high respiratory rate, pale mucous membranes, and dark feces. There was no clinical or laboratory evidence of a bleeding disorder, and the horse's anemia was considered to be secondary to pulmonary hemorrhage. The cause of the hemorrhage was not found on thoracic sonograms or from cytologic examination of transtracheal aspirates. Despite supportive care, the horse's health deteriorated, and it was euthanatized. Necropsy revealed blood in the thoracic and perit...
Birks EK, Hultgren BD.A primary pericardial haemangiosarcoma with metastasis to the parietal pleura and left adrenal gland is described in a 22-year-old Clydesdale x Percheron gelding. Although haemangiosarcomas have been reported in horses, the pericardium has not hitherto been described as the primary site of origin.
Kannegieter NJ, Alley MR.A 20-month-old, Standard-bred colt was presented with an acute onset of hindlimb ataxia. Clinical and radiographic examination identified a compressive lesion affecting the spinal cord at the level of the 17th to 18th thoracic vertebrae. After euthanasia, post-mortem examination revealed a tumour in the epidural space, diagnosed histologically as a lymphosarcoma. Neoplastic lymphoid cells were also present in the abdominal lymph nodes and brain. Because of the disseminated nature of lymphosarcoma in the horse, involvement of the central nervous system is likely to be more common than is presen...
Schmotzer WB, Hultgren BD, Watrous BJ, Wagner PC, Kaneps AJ.Nasomaxillary fibrosarcoma was diagnosed in 3 young horses. Clinical signs included epiphora, facial swelling, dyspnea, unilateral serosanguineous nasal discharge, or an external mass. Physical examination, radiography, and cytology were important diagnostic adjuncts. The definitive diagnosis in each case was based on biopsy. In one case, surgical removal of the tumor and extensive curettage of the affected sinus resulted in extended remission from neoplastic disease.
Harvey KA, Morris DD, Saik JE, Donawick WJ.A 13-year-old Thoroughbred mare had a 2-week history of weight loss and intermittent fever. Examination of abdominal and pleural fluid revealed peritonitis and pleuritis. Ultrasonography of the ventral abdominal midline revealed an intra-abdominal mass. Exploratory celiotomy was performed, but the mass was not surgically excisable. The mare was euthanatized and necropsied. Histologically, the mass was determined to be a fibrosarcoma of omental origin.
Clem MF, DeBowes RM, Leipold HW.A mass originating from the dorsal rectal wall of a 4-year-old mare was diagnosed as a leiomyosarcoma. General anesthesia and meticulous surgical dissection were required to effect removal. In spite of incomplete excision, as indicated by histologic sections, the mass has not recurred in the 18 months since removal.
Hacker DV, Moore PF, Buyukmihci NC.In 4 horses with ocular angiosarcomas, the common characteristics were that all horses were aged, and the neoplasms developed initially on conjunctival surfaces, grew slowly, and metastasized despite excision and radiation treatment. Histopathologically, the neoplasms were of 2 types: a capillary pattern of scant stroma and endothelial-lined vascular channels, and a solid pattern composed of sheets of pleomorphic cells with hyperchromatic nuclei and poorly defined cytoplasmic borders. Definitive diagnosis was made by use of factor VIII:RAg, which stained the tissues intensely.
Moore PF, Hacker DV, Buyukmihci NC.Angiosarcomas arising in ocular tissues of four aging horses are described. Tumors were locally invasive and eventually metastasized via the mandibular and cervical lymph nodes. Pathologically, the tumors contained well-differentiated regions, in which vascular channels were lined by pleomorphic endothelial cells, as well as poorly-differentiated regions, in which vascular channels were either rudimentary or absent. Red blood cells were scare in vascular structures formed by the tumors. Factor VIII related antigen (VIII:RAg), a blood vascular endothelial marker, was demonstrated by immunohisto...
Valentine BA, Ross CE, Bump JL, Eng VM.Intramuscular hemangiosarcoma resulting in severe anemia and thrombocytopenia was diagnosed in a 3-year-old Thoroughbred filly. Necropsy revealed multiple tumors within skeletal muscles and multiple pulmonary metastases.
Cheevers WP, Fatemi-Nainie S, Anderson LW.A retrovirus is spontaneously released into the culture medium of the equine sarcoid-derived MC-1 cell line. The MC-1 virus did not exhibit in vitro transforming activity or replication when tested on equine fibroblasts or a variety of other mammalian cell cultures. Complementary DNA, synthesized using detergent-activated MC-1 virus RNA-dependent DNA polymerase, detected homologous sequences in the DNA of an established equine dermal cell line and in the DNA of primary equine dermal fibroblasts. Iododeoxyuridine or azacytidine induced a replication-deficient endogenous retrovirus in the normal...
Chan CW, Collins EA.An angiosarcoma involving the right frontal and maxillary sinuses in a nine-year-old Thoroughbred mare was studied post mortem by light and electron microscopy. Important diagnostic features included malignant endothelial cells lining ill-defined vascular spaces, supported by other vasoformative elements. Rhabdomyoblasts were also found. The tumour is apparently rarely seen in the nasal passages of the horse.
Bertone AL, Powers BE, Turner AS.An aged Thoroughbred stallion was examined because of progressive lameness, carpal swelling, and weight loss. Radiography revealed a destructive lesion in the caudomedial, distal portion of the radius. Chondrosarcoma was diagnosed by tumor-core biopsy. Gross and histologic evaluation of the neoplasm after necropsy revealed a locally invasive chondrosarcoma at the distal end of the radius that infiltrated the radiocarpal joint capsule and invaded the carpal bones. The malignant nature of this tumor was evident by its invasiveness and histologic features of cell pleomorphism and presence of mito...
Hargis AM, McElwain TF.Of 21 vascular tumors in equine skin, 18 were histologically benign (hemangiomas) and 3 were malignant (hemangiosarcomas). Of the 18 hemangiomas, 12 were in horses less than or equal to 1 year old, and 6 of these horses were born with the lesions. The 3 horses with hemangiosarcomas ranged from 8.5 to 13 years of age.
Barber SM, Clark EG, Fretz PB.In 2 horses with rapidly growing, locally destructive tumors of the premaxilla, there was major disruption and displacement of some incisor teeth, with radiographic evidence of disruption of the premaxilla at the base of the tumors. In horse 1, most of the tumor was removed by incising it at its base, and the tumor bed was treated cryosurgically with 3 freeze-thaw cycles, using liquid nitrogen. The area healed by 2nd intention. The tumor was found to be a benign fibroblastic tumor, possibly a fibroma. After 4 years, there has been no recurrence. Horse 2 was euthanatized on the basis of a tenta...
van den Hoven R, Franken P.This paper describes the clinical and laboratory findings in 16 horses suffering from lymphosarcoma and the autopsy results in 13 of these cases which were examined at the Large Animal Medicine Clinic, State University of Utrecht, from 1969 to 1981. The cases were classified into four groups, designated multicentric, alimentary, thymic and cutaneous forms, according to the situation of the tumours.
Miller RI, Campbell RS.A survey of granulomatous and neoplastic diseases of the skin of horses of tropical north Queensland was carried out during the period 1970-1980. Of 338 horses affected, 46.4% suffered from equine fibrosarcoma (sarcoid), 30.2% from phycomycosis, 7.4% from squamous cell carcinoma, 6.8% from other tumours, 4.7% from cutaneous habronemiasis and 4.4% from exuberant granulation tissue. Most specimens were submitted during the first half of the year after the wet monsoonal season and significantly more diseases originated during the first quarter. There was minor variations with breed, age and sex s...
Van Pelt RW, Langham RF, Gill HE.A 2-year-old Standardbred colt with a history of intermittent lameness of the left hindlimb had hemangiosarcomatous involvement of the tarsal synovial sheath. Tibiotarsal and proximal intertarsal synovial sacs were visibly distended and there was pronounced distension of the tarsal synovial sheath. A large, firm mass was palpable in the sheath at about the level of the tuber calcis. Three circumscribed sessile growths were surgically excised from the sheath. The growths were lobulated, moderately vascular, and of fibrotic consistency. Microscopically, the pattern of the hemangiosarcomas appear...
Newton-Clarke MJ, Guffoy MR, Dykes NL, Divers TJ.A haemangiosarcoma in a horse resulted in ataxia affecting all four legs, a low head carriage and a reluctance to flex the neck. Ancillary diagnostic procedures included the analysis of cerebrospinal fluid, standing lateral cervical radiographs and a myelogram. Post mortem a tumour was found which involved the body of the second cervical vertebra and the associated hypaxial muscles, with secondary intravertebral extradural infiltration and focal compressive myelopathy. A histological examination showed that the tumour was a haemangiosarcoma.
Schmotzer WB, Hultgren BD, Watrous BJ, Wagner PC, Kaneps AJ.Nasomaxillary fibrosarcoma was diagnosed in 3 young horses. Clinical signs included epiphora, facial swelling, dyspnea, unilateral serosanguineous nasal discharge, or an external mass. Physical examination, radiography, and cytology were important diagnostic adjuncts. The definitive diagnosis in each case was based on biopsy. In one case, surgical removal of the tumor and extensive curettage of the affected sinus resulted in extended remission from neoplastic disease.
Moore PF, Hacker DV, Buyukmihci NC.Angiosarcomas arising in ocular tissues of four aging horses are described. Tumors were locally invasive and eventually metastasized via the mandibular and cervical lymph nodes. Pathologically, the tumors contained well-differentiated regions, in which vascular channels were lined by pleomorphic endothelial cells, as well as poorly-differentiated regions, in which vascular channels were either rudimentary or absent. Red blood cells were scare in vascular structures formed by the tumors. Factor VIII related antigen (VIII:RAg), a blood vascular endothelial marker, was demonstrated by immunohisto...
Govaere J, Maes S, Saey V, Blancke W, Hoogewijs M, Deschauwer C, Smits K, Roels K, Vercauteren G, de Kruif A.This paper describes a case of uterine fibrosarcoma in an 18-year-old Warmblood mare. The mare had exhibited bloody fluid accumulation inside the uterus and vaginal haemorrhagic discharge since the previous foaling. The mare was euthanized, and on pathological examination, in addition to the uterine neoplasia, multiple metastases were found in the lungs, liver and spleen. The histological and immunohistochemical examination determined that the tumour was a fibrosarcoma. To our knowledge, this is the first paper to describe a uterine fibrosarcoma in a mare.
Abu-Seida AM, Wafy MN, Hassan EA, Ahmed KA.Ocular neoplasms represent 10% of all equine neoplasms and ocular squamous cell carcinoma (OSCC) is the most common one. This report describes the clinical presentation, laboratory, ultrasonography, postmortem, histopathology and immunohistochemistry findings of a mixed ocular neoplasm in a 10-year-old draft mare. The mare had a one-year history of left ocular mass. Complete destruction of the left eye with loss of vision was observed. A large ulcerated mass oozing blood replaced the left eye. Left parotid lymph node was swollen and had a sinus tract discharging pus. Ultrasonography revealed a...
Findley JA, Singer ER, Milner PI, Leeming GH.Soft tissue sarcomas of the equine distal limb associated with joints, sheaths, or bursae have rarely been reported. Accurate diagnosis of these tumors is challenging in both human beings and veterinary species. Immunohistochemical staining and transmission electron microscopy have been used in human beings to reduce misdiagnosis. The current report describes 2 mature horses presenting with lameness and swelling associated with the dorsal aspect of the metacarpo(tarso)phalangeal joint. In both cases, surgical excision was performed with subsequent histological analysis of the masses to determi...
Barthold SW, Olson C.Cultured cells from bovine papilloma virus (BPV)-induced fibroblastic tumors and normal dermis of cattle, horses, and hamsters were examined for cell membrane or internal neoantigens, using the indirect immunofluorescence technique. Sera from cattle and horses bearing BPV-induced fibromas cross reacted with cell membranes of tumor, but not with normal dermal cells of both species. The reaction could be blocked with homologous, but not heterologous, serum of these 2 species. Immunofluorescence was not detected with sera from hamsters bearing BPV-induced sarcomas if incubated with bovine, equine...
Snook ER, Wakamatsu N.A 17-year-old, Thoroughbred mare was presented for necropsy with a large, invasive oral mass determined via immunohistochemistry to be a soft tissue sarcoma of neural origin. Oral sarcomas are rare in veterinary medicine, and to the authors' knowledge, this is the first oral sarcoma of neural tissue origin reported in a horse.
Barber SM, Clark EG, Fretz PB.In 2 horses with rapidly growing, locally destructive tumors of the premaxilla, there was major disruption and displacement of some incisor teeth, with radiographic evidence of disruption of the premaxilla at the base of the tumors. In horse 1, most of the tumor was removed by incising it at its base, and the tumor bed was treated cryosurgically with 3 freeze-thaw cycles, using liquid nitrogen. The area healed by 2nd intention. The tumor was found to be a benign fibroblastic tumor, possibly a fibroma. After 4 years, there has been no recurrence. Horse 2 was euthanatized on the basis of a tenta...
Samuelson JP, Echeverria KO, Foreman JH, Fredrickson RL, Sauberli D, Whiteley HE.A 22-y-old Quarter Horse gelding was presented to the University of Illinois Veterinary Teaching Hospital for evaluation of increased heart rate and mild colic signs. Rectal examination revealed a large left perirenal mass. Abdominal ultrasonography further confirmed this finding. Thoracic ultrasonography indicated multifocal irregularities on the pleural surface suggestive of consolidation and possibly masses in the lungs. The animal was euthanized. Autopsy findings included a large, firm, expansile, gelatinous retroperitoneal mass that surrounded both kidneys, as well as nodules with similar...
Mason BJ.A case of spindle cell sarcoma of the equine para-nasal sinuses is described and discussd in relation to similar tumours recorded in the literature.
Hargis AM, McElwain TF.Of 21 vascular tumors in equine skin, 18 were histologically benign (hemangiomas) and 3 were malignant (hemangiosarcomas). Of the 18 hemangiomas, 12 were in horses less than or equal to 1 year old, and 6 of these horses were born with the lesions. The 3 horses with hemangiosarcomas ranged from 8.5 to 13 years of age.
Birks EK, Hultgren BD.A primary pericardial haemangiosarcoma with metastasis to the parietal pleura and left adrenal gland is described in a 22-year-old Clydesdale x Percheron gelding. Although haemangiosarcomas have been reported in horses, the pericardium has not hitherto been described as the primary site of origin.
Bertone AL, Powers BE, Turner AS.An aged Thoroughbred stallion was examined because of progressive lameness, carpal swelling, and weight loss. Radiography revealed a destructive lesion in the caudomedial, distal portion of the radius. Chondrosarcoma was diagnosed by tumor-core biopsy. Gross and histologic evaluation of the neoplasm after necropsy revealed a locally invasive chondrosarcoma at the distal end of the radius that infiltrated the radiocarpal joint capsule and invaded the carpal bones. The malignant nature of this tumor was evident by its invasiveness and histologic features of cell pleomorphism and presence of mito...
Clem MF, DeBowes RM, Leipold HW.A mass originating from the dorsal rectal wall of a 4-year-old mare was diagnosed as a leiomyosarcoma. General anesthesia and meticulous surgical dissection were required to effect removal. In spite of incomplete excision, as indicated by histologic sections, the mass has not recurred in the 18 months since removal.
Chan CW, Collins EA.An angiosarcoma involving the right frontal and maxillary sinuses in a nine-year-old Thoroughbred mare was studied post mortem by light and electron microscopy. Important diagnostic features included malignant endothelial cells lining ill-defined vascular spaces, supported by other vasoformative elements. Rhabdomyoblasts were also found. The tumour is apparently rarely seen in the nasal passages of the horse.
