Melanoma – a fungal disease

A melanoma is a tumor that develops from the pigment cells of the skin, known as melanocytes. The tumor produces cells that contain melanin, the dark pigment in the skin. If the tumor is benign, it is referred to as a melanoma; if it is malignant, it is referred to as a melanosarcoma. In human medicine, melanomas are commonly referred to as "black skin cancer."

INHALT
Cause and origin Symptoms Diagnosis Treatment and prognosis Prophylaxis
Cause and origin

The exact cause of tumor formation is unknown. However, there is a genetic predisposition in certain breeds and coat colors. Arabian, Percheron, and Lipizzaner horses are particularly affected. Melanomas can occur in horses of all coat colors, but are significantly more common in gray horses. According to several scientific studies, melanomas occur in an estimated 80% of all gray horses over the age of 15, although most of these are benign.

Symptoms

Melanomas can occur anywhere on the body, but are most common on the underside of the tail, in the perianal region (around the anus and, in mares, around the vulva) and on the head below the ear. In the early stages, they appear as isolated, firm, small lumps, which are black in most cases and lie under the skin. However, the surface of the tumors may also be hairless and ulcerated. As the disease progresses, secondary tumors usually develop in the immediate vicinity under the skin. These lumps, which can grow to the size of walnuts, may remain seemingly unchanged for years and, in this form, are merely cosmetic blemishes.

Occasionally, melanomas can also form in the pelvic cavity. If they are large enough, they can constrict nearby organs such as the rectum or vagina. Melanomas can be divided into different groups based on their growth rate and degree of malignancy (i.e., how cancerous they are). Many melanomas grow very slowly and do not metastasize (spread). Other melanomas also grow very slowly and appear virtually unchanged for years until sudden metastasis occurs. This transformation from a benign to a malignant tumor can be caused by both mechanical irritation and certain stressful situations. The third group includes all melanomas that grow very quickly from the outset and metastasize immediately. The cancer cells of the original tumor can spread throughout the body via the lymphatic system. Metastases primarily affect the breast and abdominal lining, liver, lungs, spleen, and lymph nodes of internal organs.

External signs of metastasis that has already occurred can include neurological symptoms, weight loss, and problems with eating and defecation. Therefore, have even a harmless-looking lump on your horse examined by a veterinarian as soon as possible and treated if necessary.

Mold with melanomas
Melanomas on the underside of the tail root of a gray horse
Diagnosis

The diagnosis of melanoma can usually be made by the veterinarian based on the externally visible clinical signs. Only in rare cases with atypical appearance are biopsies (= tissue samples) necessary.

Treatment and prognosis

Benign, non-metastatic melanomas on the tail root or head have a good prognosis and are merely cosmetic blemishes. If no skin changes are visible on the surface of the tumor, they should not be touched or treated. Surgical treatment is only recommended for isolated melanomas if they cause problems due to their location (girth, halter or bridle) or their altered surface. However, this operation is only promising if the associated lymph node is also removed to prevent or contain metastasis.

If there are multiple tumors merging into one another in the perianal region or in the facial area below the ear, the veterinarian will usually not perform surgery, as manipulation of an otherwise dormant tumor could activate it and lead to subsequent metastasis. In some cases, it is possible to remove the lymph nodes, giving these animals a survival rate of 3-5 years. Otherwise, there is no prospect of a cure. The animals live with the tumors for as long as they can without any disturbance to their general well-being.

A novel therapy method currently under development is immunotherapy. This involves administering the body's own immune messengers to stimulate the immune system to curb tumor growth. Scientific studies are currently underway at veterinary universities.

Prophylaxis

The development of melanoma cannot be prevented. However, in the case of existing slow-growing melanomas, activation of the tumor cells and subsequent spread can be prevented by refraining from any manipulation.