Abstract. A 15-year-old Haflinger gelding presented with a mass in the left nictitating membrane. Two biopsies and the excised nictitating membrane were taken at different time points as a result of reoccurrence of the mass and submitted for histopathologic evaluation. The horse was euthanized as a result of poor prognosis following the reoccurrence of the mass after surgical removal. Histologically, the mass consisted of dilated, thin-walled vascular clefts and channels, lined by flattened to cuboidal endothelial cells with moderate cellular pleomorphism. There was up to 1 mitotic figure per high power field. The channels were empty or contained few erythrocytes. In the collagen-rich stroma, few lymphocytes, focal follicular lymphoid aggregations, and marked lymphangiectasia were observed. Immunohistochemically, the neoplastic cells stained positive for vimentin and partially positive for factor VIII-related antigen. Ultrastructural analysis revealed discontinuous endothelial lining vascular channels that partially lacked a basal membrane. Based on the histopathologic, immunohistochemical, and ultrastructural features lymphangiosarcoma was diagnosed.Key words: Horses; lymphangiosarcoma; nictitating membrane; tumor; ultrastructural findings.Ocular tumors of vascular origin have been rarely described in horses.1,4,9,13 Such tumors include hemangiomas, hemangiosarcomas, and lymphangiosarcomas. 1,13 In cases where the cell of origin remains undetermined, they are classified as angiosarcomas. 4,9 Lymphangiosarcoma is an extremely rare tumor originating from the lymphatic endothelium.5 It occurs in various species and is most frequently described in dogs 16 and cats.6 Additionally, single cases are reported in horses 7,12 and cattle. 11 In domestic animals, lymphangiosarcomas tend to be localized in the subcutis along the ventral midline and limbs.5 Grossly, these neoplasms are poorly demarcated, soft to spongy masses, containing clear, serous fluid on cut surface.3 Histologically, lymphangiosarcomas differ little from their benign counterpart, except for their increased cellular pleomorphism. Characteristic features include clefts and channels lined with cells displaying more rounded nuclei with hyperchromatism and a slightly increased mitotic activity. 5 The underlying cause triggering the development of lymphangiosarcomas remains undetermined in most cases. However, chronic lymphedema has been shown to play an important role in humans.
15A 15-year-old Haflinger gelding showed a swelling of the left nictitating membrane of 4 weeks' duration. A biopsy of this cavernous, fluid-filled mass was taken and sent for histopathologic examination. Two weeks later, a total extirpation of the nictitating membrane was performed. Postoperatively, the horse developed a progressive periocular swelling and a sero-sanguinous nasal discharge over the following 5 months. Therefore, a second biopsy was taken. As a result of poor prognosis, the horse was euthanized but was not available for postmortem examination.For histopathologic exa...