Surgical Management of Penile and Preputial Neoplasms in Equine with Special Reference to Partial Phallectomy.

Awad Rizk,Mohamed Abou Alsoud,Esam Mosbah,Gamal Karrouf

doi:10.1155/2013/891413

Awad Rizk, Mohamed Abou Alsoud + Show 2 more

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https://doi.org/10.1155/2013/891413

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Abstract

Penile and preputial neoplasia in horses occurs infrequently and represents diagnostic and therapeutic challenges. The present study was carried out on a total number of 21 equids (14 stallions and 7 donkeys) suffered from different penile and preputial neoplasia. Diagnosis of neoplasms was based up on history of the case, clinical examination as well as histopathological evaluation. Animals with penile and preputial neoplasms were underwent local excision and partial phallectomy with a slightly modified version of the techniques described by William's. The diagnosed neoplasms were penile and preputial squamous cell carcinomas (SCCs; n = 15); sarcoid (n = 4); a-fibrosarcoma; and a melanoma. Local excision was curative in all cases except 5 stallions with SCCs. These stallions had extensive damage of the glans penis, free part of the penis and the inner lamina of the internal fold of the prepuce, and they underwent a partial phallectomy with successful outcome. Follow-up information was obtained by visit and telephone inquiries. In conclusion, penile and preputial neoplasms are commonly encountered in elderly male horses and SCCs are the most common type affecting male external genitalia. Partial phallectomy is effective for management of equine neoplasia if they are confined to the glans and body of the penis and there is no proximal spread or involvement to regional lymph nodes.

Highlights

Penile and preputial neoplasia is more prevalent in equine than in other domestic animals; they occupied about 6 and 10% of all neoplasms in equine [1, 2]
The present study aimed to examine various types of penile and preputial neoplasia in horses and donkeys in our region and investigate the results of the surgical intervention using a modified version of Williams’s technique for partial phallectomy
The diagnosed neoplasms were penile (n = 9) and preputial (n = 6) squamous cell carcinomas (SCCs), penile fibrosarcoma (n = 1), penile (n = 1) and preputial (n = 3) sarcoid, and preputial melanoma (n = 1) which was detected in a stallion with SCCs who underwent partial phallectomy (Table 2)

Summary

Introduction

Penile and preputial neoplasia is more prevalent in equine than in other domestic animals; they occupied about 6 and 10% of all neoplasms in equine [1, 2]. SCCs are the commonest neoplasm involving the penis, prepuce, or both [6]. It represents 20% of all equine tumours, making it the second most common tumour in horses. SCCs of the penis and prepuce are locally invasive but usually show only low-grade malignancy [2]. These tumours may metastasize to regional lymph nodes if not treated aggressively. Long-standing SCCs can interfere with coitus or normal protrusion and retraction of the penis and most penile SCCs involve the glans penis (53–80%) [4, 11, 12]

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