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Animals : an open access journal from MDPI2022; 12(22); doi: 10.3390/ani12223090

From Keratoma to Anaplastic Malignant Melanoma in a Horse’s Hoof.

Abstract: Melanomas in horses are most often associated with gray, older horses with an average age of over 16 years. Anaplastic malignant melanoma, however, can very rarely affect non-gray horses. Herein, we report a case of a 16-year-old Wielkopolski gelding with a chronic lameness caused by a mass in the hoof. The first resection of the lesion and histopathological examination confirmed the presence of a keratoma. The regrown mass and persistent lameness resulted in another mass resection. The second histopathological examination result suggested a neoplastic growth of melanocytic origin with a low histological malignancy. Less than 2 years after the first resection, the horse returned to the clinic with deformation of the hoof capsule and severe lameness. The result of the third histopathological examination indicated low-differentiated malignant neoplasm. The result of the immunohistochemically test indicates a tumor of melanocytic origin with high malignancy.
Publication Date: 2022-11-09 PubMed ID: 36428318PubMed Central: PMC9686975DOI: 10.3390/ani12223090Google Scholar: Lookup
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Summary

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This research study detailed the case of a 16-year-old horse suffering from chronic lameness, stemming from a mass in its hoof. Initially diagnosed as a keratoma, the study found that the horse’s condition took a significantly worse turn, developing into anaplastic malignant melanoma—a form of cancer that is very rare in horses.

Case Background

  • The horse under study was a 16-year-old Wielkopolski gelding, who had been suffering from chronic lameness.
  • The source of its pain and discomfort was found to be a mass developed in the hoof of the horse.

Initial Diagnosis

  • The medical team performed a series of tests and investigations, including mass resection and histopathological examination.
  • The initial diagnosis reported the presence of a keratoma – a benign tumor that originates in the keratin-producing epidermis layer of the skin.
  • The first resection of the lesion was successful, but the mass eventually regrew, and the horse’s lameness persisted. This led to another round of mass resection.

Subsequent Diagnosis and Developments

  • The second histopathological examination implied a neoplasm (a new and abnormal growth of tissue) of melanocytic origin—indicating the possibility of melanoma—though with low histological malignancy.
  • However, within two years of the first resection, the horse’s condition worsened further with a deformation of the hoof capsule and severe lameness.
  • Further examination suggested the growth was a low-differentiated malignant neoplasm, a rapidly growing and aggressively spreading form of cancer.
  • Results from the immunohistochemistry test confirmed the tumor was of melanocytic origin, but now with high malignancy. This implies that this was not just a case of melanoma but the more severe, and rarer, form of anaplastic malignant melanoma.

Conclusion and Significance

  • This study presents an extremely rare case of anaplastic malignant melanoma in a horse’s hoof, an illness that can cause severe lameness in the affected animal.
  • It highlights the possibility that a seemingly ‘benign’ condition like keratoma could progress to a deadly type of cancer, providing meaningful insights into equine health and diseases.

Cite This Article

APA
Stefanik E, Górski K, Turek B, Drewnowska-Szczepakowska O, Kliczkowska-Klarowicz K, Stefanik A. (2022). From Keratoma to Anaplastic Malignant Melanoma in a Horse’s Hoof. Animals (Basel), 12(22). https://doi.org/10.3390/ani12223090

Publication

ISSN: 2076-2615
NlmUniqueID: 101635614
Country: Switzerland
Language: English
Volume: 12
Issue: 22

Researcher Affiliations

Stefanik, Elżbieta
  • Department of Large Animal Diseases and Clinic, Institute of Veterinary Medicine, Warsaw University of Life Sciences, 02-787 Warsaw, Poland.
Górski, Kamil
  • Department of Large Animal Diseases and Clinic, Institute of Veterinary Medicine, Warsaw University of Life Sciences, 02-787 Warsaw, Poland.
Turek, Bernard
  • Department of Large Animal Diseases and Clinic, Institute of Veterinary Medicine, Warsaw University of Life Sciences, 02-787 Warsaw, Poland.
Drewnowska-Szczepakowska, Olga
  • Department of Large Animal Diseases and Clinic, Institute of Veterinary Medicine, Warsaw University of Life Sciences, 02-787 Warsaw, Poland.
Kliczkowska-Klarowicz, Katarzyna
  • Division of Pathology, Department of Pathology and Veterinary Diagnostis, Institute of Veterinary Medicine, Warsaw University of Life Sciences, Nowoursynowska 159c, 02-776 Warsaw, Poland.
Stefanik, Aleksandra
  • Zagłębie Oncology Centre, Szpitalna 13, 41-300 Dąbrowa Górnicza, Poland.

Conflict of Interest Statement

The authors declare no conflict of interest.

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Citations

This article has been cited 2 times.
  1. Bulnes F, Argüelles D, Buzón A, García-Álamo K, Rodríguez-Gómez IM, Hernández E, Mozos E. Concomitant melanoma and keratoma affecting the equine digit: clinical, pathological, and long-term follow-up findings. BMC Vet Res 2024 Oct 1;20(1):444.
    doi: 10.1186/s12917-024-04269-4pubmed: 39354566google scholar: lookup
  2. Pimenta J, Prada J, Cotovio M. Equine Melanocytic Tumors: A Narrative Review. Animals (Basel) 2023 Jan 10;13(2).
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