Surgical Treatment of Mammary Melanoma in a Mare; A Case Report
Year 2025,
Volume: 2 Issue: 1, 22 - 25, 30.06.2025
Muhammet Ali Karadağ
,
Merve Sena Demir
,
Semra Kaya
,
Celal Şahin Ermutlu
,
Emin Karakurt
,
Duygu Kaya
Abstract
Mammary tumours are exceptionally uncommon in horses, whereas melanomas are frequently observed in gray horses. Limited information is available regarding the treatment options and corresponding success rates for such cases. This case report aims to describe the surgical treatment of a malignant melanoma in a gray mare. A 5-year-old dark gray mare weighing 440 kg was referred to Kafkas University Animal Health Education Research and Practice Hospital due to a slowly growing pigmented mass located in her right peri-mammary region. Detailed clinical examination and lung X-ray did not reveal any specific metastatic findings. Ultrasonography (USG) and Doppler examination showed an oval solid hypoechoic mass with a well-defined hyperechoic margin and limited vascularization. Surgical extraction of the mass was successfully performed under inhalation anesthesia. Histopathological examination of the removed tumoral mass revealed numerous spindles or epithelioid-shaped neoplastic cells containing large brownish-black granular melanin pigments in their cytoplasm, which were widely distributed throughout the mass. This case demonstrates that careful post-operative monitoring can lead to successful outcomes in the surgical management of rare conditions such as mammary gland carcinomas in mares. However, further studies are needed for long-term follow-up of survival rates.
References
-
1. Johnson PJ: Dermatologic Tumors (Excluding Sarcoids). Vet Clin North Am: Equine Pract, 14: 625-658, 1998. https://doi.org/10.1016/S0749-0739(17)30190-6
-
2. Weber LA, Delarocque J, Feige K, Kietzmann M, Kalbitz J, Meißner J, Paschke R, Cavalleri JM: Effects of Topically Applied Betulinic Acid and NVX-207 on Melanocytic Tumors in 18 Horses. Animals, 11: 3250, 2021. https://doi.org/10.3390/ani11113250
-
3. Valentine BA: Equine Melanocytic Tumors: A Retrospective Study. J Vet Intern Med, 9: 291-297, 1995. https://doi.org/10.1111/j.1939-1676.1995.tb01087.x
-
4. Pielberg GR, Golovko A, Sundström E, Curik I, et al: A cis-acting regulatory mutation causes premature hair graying and susceptibility to melanoma in the horse. Nat Genet, 40: 1004-1009, 2008. https://doi.org/10.1038/ng.185
-
5. Sundström E, Imsland F, Mikko S, Wade C, et al: Copy number expansion of the STX17 duplication in melanoma tissue from grey horses. BMC Genomics, 13: 365, 2012. https://doi.org/10.1186/1471-2164-13-365
-
6. Groom LM, Sullins KE: Surgical excision of large melanocytic tumours in grey horses: 38 cases (2001–2013). Equine Vet Educ, 30: 438-443, 2018. https://doi.org/10.1111/eve.12767
-
7. Brocca G, Centelleghe C, Padoan E, Stoppini R, Giudice C, Castagnaro M, Zappulli V: Case Report of a Mare Diagnosed with a Metastatic Mammary Carcinoma after the Excision of a Recurrent Intraocular Neuroepithelial Tumor. Animals, 10: 2409, 2020. https://doi.org/10.3390/ani10122409
-
8. Faustino-Rocha A, Oliveira PA, Pinho-Oliveira J, et al: Estimation of rat mammary tumor volume using caliper and ultrasonography measurements. Lab Anim, 42: 217-224, 2013. https://doi.org/10.1038/laban.254
-
9. Jeong H, Kwon YS: Topical Chemotherapy Using Cisplatin for Treatment of Malignant Melanoma in a Grey Horse. Pak Vet J, 40 (1): 130-132, 2019. DOI: 10.29261/pakvetj/2019.072
-
10. Knottenbelt DC: Melanocytic neoplasms. In, Patterson-Kane JC, Snalune KL (Eds): Clinical Equine Oncology. 237-245, Elsevier Health Sciences, UK, 2015.
-
11. Malá A, Kopecká A, Jahn P, Linhart P, Frgelecová L, Škorič M: Prevalence and histopathological classification of equine melanocytic tumours in the Czech Republic and Slovakia. Acta Vet Brno, 93 (3): 269-274, 2024. https://doi.org/10.2754/avb202493030269
-
12. Fleury C, Bérard F, Balme B, Thomas L: The study of cutaneous melanomas in Camargue-type gray-skinned horses (1): clinical-pathological characterization. Pigment Cell Res, 13: 39-46, 2000. https://doi.org/10.1034/j.1600-0749.2000.130108.x
-
13. MacGillivray K, Sweeney R, Del Piero F: Metastatic melanoma in horses. J Vet Intern Med, 16: 452-456, 2002. https://doi.org/10.1111/j.1939-1676.2002.tb01264.x
-
14. Rosengren Pielberg G, Golovko A, Sundström E, Curik I, Lennartsson J, Seltenhammer MH, Druml T, Binns M, Fitzsimmons C, Lindgren G, Sandberg K, Baumung R, Vetterlein M, Strömberg S, Grabherr M, Wade C, Lindbald-Toh K, Pontén F, Heldin CH, Sölkner J, Andersson L: A cis-acting regulatory mutation causes premature hair graying and susceptibility to melanoma in the horse. Nat Genet, 40: 1004-1009, 2008. https://doi.org/10.1038/ng.185
-
15. Curik I, Druml T, Seltenhammer M, Sundström E, Pielberg GR, Andersson L, Sölkner J: Complex Inheritance of Melanoma and Pigmentation of Coat and Skin in Grey Horses. PLoS Genet, 9: e1003248, 2013. https://doi.org/10.1371/journal.pgen.1003248
-
16. Teixeira RBC, Rendahl AK, Anderson SM, Mickelson JR, Sigler D, Buchanan BR, Coleman RJ, McCue ME: Coat Color Genotypes and Risk and Severity of Melanoma in Gray Quarter Horses. J Vet Intern Med, 27: 1201-1208, 2013. https://doi.org/10.1111/jvim.12133
-
17. Cavalleri JM, Mählmann K, Steinig P, Feige K: Aetiology, Clinical Presentation and Current Treatment Options of Equine Malignant Melanoma—A Review of the Literature. Pferdeheilkunde, 30: 455-460, 2014.
-
18. Foley G, Valentine B, Kincaid A: Congenital and Acquired Melanocytomas (Benign Melanomas) in Eighteen Young Horses. Vet Pathol, 28: 363-369, 1991. https://doi.org/10.1177/030098589102800503
-
19. Pimenta J, Prada J, Cotovio M: Equine melanocytic tumors: A narrative review. Animals, 13: 247, 2023. https://doi.org/10.3390/ani13020247
-
20. Seltenhammer MH, Heere-Ress E, Brandt S, Druml T, Jansen B, Pehamberger H, Niebauer GW: Comparative Histopathology of Grey-Horse-Melanoma and Human Malignant Melanoma. Pigment Cell Res, 17: 674-681, 2004. https://doi.org/10.1111/j.1600-0749.2004.00192.x
-
21. Resende L, Moreira J, Prada J, Queiroga FL, Pires I: Current Insights into Canine Cutaneous Melanocytic Tumours Diagnosis. In: Melanoma—Current Clinical Management and Future Therapeutics. Intech, Rijeka, Croatia, 2015. https://doi.org/10.5772/59480
-
22. Nishiya AT, Massoco CO, Felizzola CR, Perlmann E, Batschinski K, Tedardi MV, Garcia JS, Mendonça PP, Teixeira TF, Dagli MLZ: Comparative Aspects of Canine Melanoma. Vet Sci, 3: 7, 2016. https://doi.org/10.3390/vetsci3010007
-
23. Wong K, van derWeyden L, Schott CR, Foote A, Constantino-Casas F, Smith S, Dobson JM, Murchison EP, Wu H, Yeh I, et al: Cross-Species Genomic Landscape Comparison of Human Mucosal Melanoma with Canine Oral and Equine Melanoma. Nat Commun, 10: 353, 2019. https://doi.org/10.1038/s41467-018-08081-1
-
24. Deleon M: Cutaneous Melanoma: A Comparative Study between Gray Horses, Canines, and Humans. Iowa State Univ, Ames, IA, USA, 2021.
-
25. Moore JS, Shaw C, Shaw E, Buechner-Maxwell V, Scarratt WK, Crisman M, Furr J, Robertson J: Melanoma in horses: Current perspectives. Equine Vet Educ, 25:3 144-151, 2013. https://doi.org/10.1111/j.2042-3292.2011.00368.x
-
26. Knottenbelt DC: The equine melanoma. Equine Health, 40: 23-26, 2018. https://doi.org/10.12968/eqhe.2018.40.23
-
27. Rowe EL, Sullins KE: Excision as treatment of dermal melanomatosis in horses: 11 cases (1994–2000). J Am Vet Med Assoc, 225: 94-96, 2004. https://doi.org/10.2460/javma.2004.225.94
-
28. MacEachern KE, McKay JS, Hewicker-Trautwein M: Malignant mammary melanoma in a young mature thoroughbred mare. Equine Vet Educ, 13 (2): 68-71, 2001. https://doi.org/10.1111/j.2042-3292.2001.tb01888.x
-
29. Metcalfe LV, O’Brien PJ, Papakonstantinou S, Cahalan SD, McAllister H, Duggan VE: Malignant melanoma in a grey horse: case presentation and review of equine melanoma treatment options. Ir Vet J, 66: 22, 2013. https://doi.org/10.1186/2046-0481-66-22
-
30. Sullins KE: Melanocytic Tumours in Horses. Equine Vet Educ, 32: 624-630, 2020. https://doi.org/10.1111/eve.13159
-
31. Seltenhammer MH, Simhofer H, Scherzer S, Zechner R, Curik I, Sölkner J, Brandt SM, Jansen B, Pehamberger H, Eisenmenger E: Equine melanoma in a population of 296 grey Lipizzaner horses. Equine Vet J, 35: 153-157, 2003. https://doi.org/10.2746/042516403776114234
-
32. Billi T, Karadima V, Tyrnenopoulou P, Apostolopoulou EP, Brellou GD, Diakakis N: Surgical excision of a malignant metastatic melanoma located in a skeletal muscle of the lateral thorax of a horse. Vet Med Sci, 7 (2): 297-302, 2021. https://doi.org/10.1002/vms3.366
-
33. Pimenta J, Prada J, Pires I, Cotovio M: The Impact of Excision Interval on Equine Melanoma Progression: Time Matters? Animals, 14 (8): 1244, 2024. https://doi.org/10.3390/ani14081244
Kısrakta Meme Bölgesindeki Melanomun Cerrahi Tedavisi; Olgu Raporu
Year 2025,
Volume: 2 Issue: 1, 22 - 25, 30.06.2025
Muhammet Ali Karadağ
,
Merve Sena Demir
,
Semra Kaya
,
Celal Şahin Ermutlu
,
Emin Karakurt
,
Duygu Kaya
Abstract
Atlarda meme tümörleri son derece nadir görülürken melanomlar kır donlu atlarda sıklıkla görülür. Bu gibi
durumlarda tedavi seçenekleri ve ilgili başarı oranları hakkında sınırlı bilgi mevcuttur. Bu olgu raporu, bir
kısrakta meme bölgesinde tespit edilen malign melanomun cerrahi tedavisini tanımlamaktadır. Kafkas
Üniversitesi Hayvan Sağlığı Eğitim Araştırma ve Uygulama Hastanesi'ne getirilen ve sağ meme bölgesinde
yavaş büyüyen pigmente kitle bulunan 5 yaşlı, 440 kg ağırlığındaki kır donlu kısrağın ayrıntılı klinik
muayenesinde ve akciğer röntgeninde spesifik bir metastatik bulguya rastlanmadı. Ultrasonografi (USG)
ve doppler incelemesinde, hiperekoik sınırı iyi tanımlanmış, oval, katı, hipoekoik merkezli ve
vaskülarizasyonu zayıf kitle görüntülendi. İnhalasyon anestezisi altında kitlenin eksizyonu başarıyla
gerçekleştirildi. Tümöral kitlenin histopatolojik incelemesinde, sitoplazmalarında kitle boyunca yaygın
olarak dağılmış, büyük kahverengimsi-siyah granüler melanin pigmentleri içeren çok sayıda iğ veya
epiteloid şekilli neoplastik hücre tespit edildi. Bu vaka, kısraklarda meme bezi karsinomları gibi nadir
görülen durumlarda cerrahi tedavi seçeneğinin uygulanabilir olduğu, post operatif süreçte yakın takibin
operasyon başarısını artırabileceğini göstermektedir. Ancak hayatta kalma oranlarının uzun vadeli takibi
için daha fazla çalışmaya ihtiyaç vardır.
References
-
1. Johnson PJ: Dermatologic Tumors (Excluding Sarcoids). Vet Clin North Am: Equine Pract, 14: 625-658, 1998. https://doi.org/10.1016/S0749-0739(17)30190-6
-
2. Weber LA, Delarocque J, Feige K, Kietzmann M, Kalbitz J, Meißner J, Paschke R, Cavalleri JM: Effects of Topically Applied Betulinic Acid and NVX-207 on Melanocytic Tumors in 18 Horses. Animals, 11: 3250, 2021. https://doi.org/10.3390/ani11113250
-
3. Valentine BA: Equine Melanocytic Tumors: A Retrospective Study. J Vet Intern Med, 9: 291-297, 1995. https://doi.org/10.1111/j.1939-1676.1995.tb01087.x
-
4. Pielberg GR, Golovko A, Sundström E, Curik I, et al: A cis-acting regulatory mutation causes premature hair graying and susceptibility to melanoma in the horse. Nat Genet, 40: 1004-1009, 2008. https://doi.org/10.1038/ng.185
-
5. Sundström E, Imsland F, Mikko S, Wade C, et al: Copy number expansion of the STX17 duplication in melanoma tissue from grey horses. BMC Genomics, 13: 365, 2012. https://doi.org/10.1186/1471-2164-13-365
-
6. Groom LM, Sullins KE: Surgical excision of large melanocytic tumours in grey horses: 38 cases (2001–2013). Equine Vet Educ, 30: 438-443, 2018. https://doi.org/10.1111/eve.12767
-
7. Brocca G, Centelleghe C, Padoan E, Stoppini R, Giudice C, Castagnaro M, Zappulli V: Case Report of a Mare Diagnosed with a Metastatic Mammary Carcinoma after the Excision of a Recurrent Intraocular Neuroepithelial Tumor. Animals, 10: 2409, 2020. https://doi.org/10.3390/ani10122409
-
8. Faustino-Rocha A, Oliveira PA, Pinho-Oliveira J, et al: Estimation of rat mammary tumor volume using caliper and ultrasonography measurements. Lab Anim, 42: 217-224, 2013. https://doi.org/10.1038/laban.254
-
9. Jeong H, Kwon YS: Topical Chemotherapy Using Cisplatin for Treatment of Malignant Melanoma in a Grey Horse. Pak Vet J, 40 (1): 130-132, 2019. DOI: 10.29261/pakvetj/2019.072
-
10. Knottenbelt DC: Melanocytic neoplasms. In, Patterson-Kane JC, Snalune KL (Eds): Clinical Equine Oncology. 237-245, Elsevier Health Sciences, UK, 2015.
-
11. Malá A, Kopecká A, Jahn P, Linhart P, Frgelecová L, Škorič M: Prevalence and histopathological classification of equine melanocytic tumours in the Czech Republic and Slovakia. Acta Vet Brno, 93 (3): 269-274, 2024. https://doi.org/10.2754/avb202493030269
-
12. Fleury C, Bérard F, Balme B, Thomas L: The study of cutaneous melanomas in Camargue-type gray-skinned horses (1): clinical-pathological characterization. Pigment Cell Res, 13: 39-46, 2000. https://doi.org/10.1034/j.1600-0749.2000.130108.x
-
13. MacGillivray K, Sweeney R, Del Piero F: Metastatic melanoma in horses. J Vet Intern Med, 16: 452-456, 2002. https://doi.org/10.1111/j.1939-1676.2002.tb01264.x
-
14. Rosengren Pielberg G, Golovko A, Sundström E, Curik I, Lennartsson J, Seltenhammer MH, Druml T, Binns M, Fitzsimmons C, Lindgren G, Sandberg K, Baumung R, Vetterlein M, Strömberg S, Grabherr M, Wade C, Lindbald-Toh K, Pontén F, Heldin CH, Sölkner J, Andersson L: A cis-acting regulatory mutation causes premature hair graying and susceptibility to melanoma in the horse. Nat Genet, 40: 1004-1009, 2008. https://doi.org/10.1038/ng.185
-
15. Curik I, Druml T, Seltenhammer M, Sundström E, Pielberg GR, Andersson L, Sölkner J: Complex Inheritance of Melanoma and Pigmentation of Coat and Skin in Grey Horses. PLoS Genet, 9: e1003248, 2013. https://doi.org/10.1371/journal.pgen.1003248
-
16. Teixeira RBC, Rendahl AK, Anderson SM, Mickelson JR, Sigler D, Buchanan BR, Coleman RJ, McCue ME: Coat Color Genotypes and Risk and Severity of Melanoma in Gray Quarter Horses. J Vet Intern Med, 27: 1201-1208, 2013. https://doi.org/10.1111/jvim.12133
-
17. Cavalleri JM, Mählmann K, Steinig P, Feige K: Aetiology, Clinical Presentation and Current Treatment Options of Equine Malignant Melanoma—A Review of the Literature. Pferdeheilkunde, 30: 455-460, 2014.
-
18. Foley G, Valentine B, Kincaid A: Congenital and Acquired Melanocytomas (Benign Melanomas) in Eighteen Young Horses. Vet Pathol, 28: 363-369, 1991. https://doi.org/10.1177/030098589102800503
-
19. Pimenta J, Prada J, Cotovio M: Equine melanocytic tumors: A narrative review. Animals, 13: 247, 2023. https://doi.org/10.3390/ani13020247
-
20. Seltenhammer MH, Heere-Ress E, Brandt S, Druml T, Jansen B, Pehamberger H, Niebauer GW: Comparative Histopathology of Grey-Horse-Melanoma and Human Malignant Melanoma. Pigment Cell Res, 17: 674-681, 2004. https://doi.org/10.1111/j.1600-0749.2004.00192.x
-
21. Resende L, Moreira J, Prada J, Queiroga FL, Pires I: Current Insights into Canine Cutaneous Melanocytic Tumours Diagnosis. In: Melanoma—Current Clinical Management and Future Therapeutics. Intech, Rijeka, Croatia, 2015. https://doi.org/10.5772/59480
-
22. Nishiya AT, Massoco CO, Felizzola CR, Perlmann E, Batschinski K, Tedardi MV, Garcia JS, Mendonça PP, Teixeira TF, Dagli MLZ: Comparative Aspects of Canine Melanoma. Vet Sci, 3: 7, 2016. https://doi.org/10.3390/vetsci3010007
-
23. Wong K, van derWeyden L, Schott CR, Foote A, Constantino-Casas F, Smith S, Dobson JM, Murchison EP, Wu H, Yeh I, et al: Cross-Species Genomic Landscape Comparison of Human Mucosal Melanoma with Canine Oral and Equine Melanoma. Nat Commun, 10: 353, 2019. https://doi.org/10.1038/s41467-018-08081-1
-
24. Deleon M: Cutaneous Melanoma: A Comparative Study between Gray Horses, Canines, and Humans. Iowa State Univ, Ames, IA, USA, 2021.
-
25. Moore JS, Shaw C, Shaw E, Buechner-Maxwell V, Scarratt WK, Crisman M, Furr J, Robertson J: Melanoma in horses: Current perspectives. Equine Vet Educ, 25:3 144-151, 2013. https://doi.org/10.1111/j.2042-3292.2011.00368.x
-
26. Knottenbelt DC: The equine melanoma. Equine Health, 40: 23-26, 2018. https://doi.org/10.12968/eqhe.2018.40.23
-
27. Rowe EL, Sullins KE: Excision as treatment of dermal melanomatosis in horses: 11 cases (1994–2000). J Am Vet Med Assoc, 225: 94-96, 2004. https://doi.org/10.2460/javma.2004.225.94
-
28. MacEachern KE, McKay JS, Hewicker-Trautwein M: Malignant mammary melanoma in a young mature thoroughbred mare. Equine Vet Educ, 13 (2): 68-71, 2001. https://doi.org/10.1111/j.2042-3292.2001.tb01888.x
-
29. Metcalfe LV, O’Brien PJ, Papakonstantinou S, Cahalan SD, McAllister H, Duggan VE: Malignant melanoma in a grey horse: case presentation and review of equine melanoma treatment options. Ir Vet J, 66: 22, 2013. https://doi.org/10.1186/2046-0481-66-22
-
30. Sullins KE: Melanocytic Tumours in Horses. Equine Vet Educ, 32: 624-630, 2020. https://doi.org/10.1111/eve.13159
-
31. Seltenhammer MH, Simhofer H, Scherzer S, Zechner R, Curik I, Sölkner J, Brandt SM, Jansen B, Pehamberger H, Eisenmenger E: Equine melanoma in a population of 296 grey Lipizzaner horses. Equine Vet J, 35: 153-157, 2003. https://doi.org/10.2746/042516403776114234
-
32. Billi T, Karadima V, Tyrnenopoulou P, Apostolopoulou EP, Brellou GD, Diakakis N: Surgical excision of a malignant metastatic melanoma located in a skeletal muscle of the lateral thorax of a horse. Vet Med Sci, 7 (2): 297-302, 2021. https://doi.org/10.1002/vms3.366
-
33. Pimenta J, Prada J, Pires I, Cotovio M: The Impact of Excision Interval on Equine Melanoma Progression: Time Matters? Animals, 14 (8): 1244, 2024. https://doi.org/10.3390/ani14081244