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Metacarpal fracture associated with lymphosarcoma-induced osteolysis in a horse.

Abstract: A 19-year-old Appaloosa gelding was reluctant to move. Radiography revealed diffuse, permeative lysis of the cortex and subchondral bone of the phalanges, third metacarpal bones, proximal sesamoid bones, radius, carpal bones, tibia, mandible, and nasal bones of the skull. A comminuted fracture of the distal aspect of the left third metacarpal bone was identified on a lateral to medial radiographic view of the left metacarpophalangeal joint. Histologic examination of the first phalanx, third metacarpal bone, and sternum revealed multifocal infiltrates of nodular lymphosarcoma in cortical and subchondral bone. Osteoclastic cavities were apparent in bone trabeculae contiguous with nodular foci of lymphosarcoma. Osteoclastic osteolysis was not evident at bone surfaces that were not directly adjacent to neoplastic cells. Although lymphosarcoma is the most frequent malignant neoplasia encountered in horses, diffuse neoplastic infiltration of cortical and subchondral bone of the appendicular and axial skeleton represents an unusual presentation of lymphosarcoma.
Publication Date: 1995-07-15 PubMed ID: 7601717
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Summary

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The research article explores a case of a 19-year-old horse suffering from lymphosarcoma that led to bone damage and fractures, which is a rare presentation of this type of cancer in horses.

Case Description

  • The focus of the research is an Appaloosa gelding horse that was 19 years old. This horse showed a reluctance to move, an indication of discomfort or pain.
  • Performing radiography on the horse revealed certain issues with various bones in its body. Specifically, there was permeative lysis (breaking down) of the cortex and the subchondral bone, or bone that lies just underneath the cartilage, in several regions of the horse’s skeleton.
  • A particularly severe injury, a comminuted fracture, was identified in the left third metacarpal bone, a key bone in the lower forelimb, viewed via a radiographic image.

Results of Histologic Examination

  • A histologic examination was carried out on some of the bones in the horse’s body. This is a microscopic examination of the biological tissues in the horse’s body.
  • The examination revealed that multifocal infiltrates of nodular lymphosarcoma were present in the cortical and subchondral bone, meaning cancerous cells were present in multiple locations and manifested as nodules or small masses.
  • Also observed were osteoclastic cavities in the bone trabeculae, or the framework of the bone, adjacent to the nodular foci of lymphosarcoma. This suggests that the cancer was causing the bone to break down at these sites.

Significance of Findings

  • The observations from the case are significant because lymphosarcoma, a type of cancer common in horses, usually does not present with such extensive damage and infiltration into the bones of the skeleton. This highlights an unusual manifestation of this condition.
  • These findings suggest that lymphosarcoma can cause widespread bone lysis and fractures if it penetrates deep into the bone. Therefore, this research extends our understanding of how lymphosarcoma can impact a horse’s body, particularly the skeletal system.

Cite This Article

APA
Moore BR, Weisbrode SE, Biller DS, Williams J. (1995). Metacarpal fracture associated with lymphosarcoma-induced osteolysis in a horse. J Am Vet Med Assoc, 207(2), 208-210.

Publication

ISSN: 0003-1488
NlmUniqueID: 7503067
Country: United States
Language: English
Volume: 207
Issue: 2
Pages: 208-210

Researcher Affiliations

Moore, B R
  • Department of Clinical Sciences, Ohio State University, Columbus 43210-1089, USA.
Weisbrode, S E
    Biller, D S
      Williams, J

        MeSH Terms

        • Animals
        • Bone Neoplasms / complications
        • Bone Neoplasms / secondary
        • Bone Neoplasms / veterinary
        • Fractures, Bone / etiology
        • Fractures, Bone / veterinary
        • Horses / injuries
        • Lymphoma, Follicular / complications
        • Lymphoma, Follicular / pathology
        • Lymphoma, Follicular / veterinary
        • Male
        • Metacarpus / injuries
        • Osteolysis / etiology
        • Osteolysis / veterinary

        Citations

        This article has been cited 3 times.
        1. Pye J, Kilcoyne I, Roy M, Vaughan B, Ormond C, Spriet M. Scapula fracture secondary to metastatic pulmonary carcinoma in a horse: Clinical, sonographic, radiographic, computed tomographic, and pathologic findings. Can Vet J 2020 Mar;61(3):251-256.
          pubmed: 32165747
        2. Torrent A, Kilcoyne I, Johnson A, Affolter VK, Berryhill E, Aleman M. An atypical presentation of multi-systemic B-cell lymphoma in a horse. Can Vet J 2019 Mar;60(3):300-304.
          pubmed: 30872854
        3. Sano Y, Okamoto M, Ootsuka Y, Matsuda K, Yusa S, Taniyama H. Blindness associated with nasal/paranasal lymphoma in a stallion. J Vet Med Sci 2017 Mar 23;79(3):579-583.
          doi: 10.1292/jvms.16-0537pubmed: 28163275google scholar: lookup