[Malignant melanoma of the pelvis as a possible cause of pelvic limb lameness in two gray mares].
Two grey mares, a 12-year-old Arabian and a 13-year-old Lippizaner cross, were referred for chronic pelvic limb lameness and abduction of the limb during the non supporting phase of the stride. The clinical examination revealed melanomas under the tail and on the perineum, and oedema of the proximal lame limb. A mass in the pelvic area was detected on rectal palpation. Laparoscopy was performed and the provisional diagnosis of malignant melanoma was made. Histological examination of the biopsy taken under laparoscopic control from the mass in the pelvis confirmed the diagnosis of malignant melanoma. In the postmortem examination a large black mass in the pelvis and metastases in several organs were diagnosed. The process under the tail showed microscopically the characteristics of dermal melanomatosis. The metastases showed the appearance of a malignant melanoma. The lameness and abduction during the non supporting phase of the stride were possibly caused by a combination of pain, a mechanical limitation, and paresis/paralysis. When an older grey horse with melanomas on the predilection sites is submitted with pelvic limb lameness and abduction of the limb during the non supporting phase of the stride, a malignant melanoma in the pelvis is one of the differential diagnoses and a rectal examination should be performed. Diagnostic laparoscopy in the standing horse can be useful to confirm the provisional diagnosis.
Faculteit der Diergeneeskunde, Universiteit Utrecht, Utrecht. info@dapbodegraven.nl
J A
JA
de Blaauw
A B
AB
Rijkenhuizen
R A
RA
van Nieuwstadt
G C
GC
Grinwis
W
W
Back
D000818:Animals; D005260:Female; D006734:Horse Diseases / Q000175:diagnosis* / Q000209:etiology* / Q000473:pathology; D006736:Horses; D007794:Lameness, Animal / Q000209:etiology*; D008545:Melanoma / Q000150:complications / Q000175:diagnosis / Q000556:secondary / Q000662:veterinary*; D009362:Neoplasm Metastasis; D010386:Pelvic Neoplasms / Q000150:complications / Q000175:diagnosis / Q000556:secondary / Q000662:veterinary*