Histologic and immunohistochemical characterization of hemangiomas in the skin of seven young horses

The histologic and immunochemical characteristics of benign vascular tumors excised from the skin of seven young horses were evaluated. The patients were male horses of various breeds and were 16 months of age or younger at the time of presentation. Six tumors occurred on the extremities, and one was removed from the lip. Histologically, most tumors consisted of cellular nodules of varying compactness with few to many blood-filled lumina. Nodular growth separated preexisting adnexa and subcutaneous collagen. Some tumors contained or consisted predominantly of loosely packed arrays of ramifying arteries, veins, and capillaries separated by collagen within the dermis and subcutis. Within areas of nodular growth, multilayered vascular walls were encircled by reticulin strands that surrounded the endothelium and adjacent pericytes and also separated nonperivascular cells in the mass. Immunohistochemical staining of factor-VIII-related antigen and labeling by Ulex europeus-1 lectin was restricted to an innermost layer of cells surrounding vascular spaces, confirming their vascular endothelial origin. The plump fusiform cells arranged concentrically around the endothelium and some of those unassociated with vascular lumina stained with antibody to ct-smooth muscle actin, as did the muscularis of larger vessels inside and outside of tumor nodules. These findings demonstrate an orderly arrangement between endothelium and supportive cells in these benign vascular neoplasms of young horses, similar to that observed during vascular development.