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Ocular neoplasia - Best therapy
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Management of equine periocular neoplasia is challenging because of the need for adjunctive therapy, the adverse effects of therapies, and the frequent recurrence of the lesion (s). The horse owner should be carefully educated to understand that for best long-term results from the treatment of periocular neoplasia, they must be diligent in observing signs of recurrence or metastasis and be willing to have the horse examined as soon as adverse signs or recurrences are observed.
Equine periocular sarcoids - Sarcoids are cutaneous tumors of fibroblastic origin, which often have proliferative and hyperplastic epithelial components and while metastasis is rare, recurrence is common, especially with the more invasive lesions. Size and location dictates their clinical significance. Periocular/eyelid sarcoids are common and may result in significant pathology to the eye either by disrupting normal eyelid function or by directly irritating the eye.
Periocular squamous cell carcinoma (SCC) - SCC is most common in appaloosa, paint, and draft horses with light periocular hair and skin. SCC typically starts as a hyperemic area of the eyelid with dark exudates, and then progresses to ulceration with hemorrhage to papillomatous masses. The tumors progress to fleshy masses with variable degrees of ulceration, necrosis, and inflammation. The most common location for ocular SCC is the lower eyelid, the third eyelid, the lateral canthus, and the cornea.
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