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Granulosa-theca Cell Tumor - Removal of Ovary

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  • Granulosa-theca Cell Tumor - Removal of Ovary

    We are awaiting results of blood tests but ultrasound and symptoms seem to fit with the diagnosis of a granulosa-theca cell tumor. Looking for others who have faced this diagnosis and wondering if they elected to have surgery. If so, how has your mare thrived?
    Susan B.
    http://canterberrymeadows.com/

  • #2
    I have a now 26 year old mare who was diagnosed with a granulosa thecal cell last year. I opted for laparoscopic surgery to have her granulosed ovary removed.

    The hospital stay and the procedure were stressful for her, to be sure, but very worthwhile. She was recovered enough to start back to gentle riding in about a month, gradually increasing work from there.

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    • #3
      I had an Arabian mare with that probably 16-17 years ago. there was no choice. She was a nut. Like owning a stallion. teasing the other mare, screaming at other horses I was riding with. She was about 6 or 7. We did the surgery in VA somewhere. It was a belly incision. I think she was on stall rest for several weeks then brought back slowly. The other ovary was very small because of the over production coming from the bad one. Surgery was done in July. I don't think I bred her the following year, but the next year after that. The initial blood work checking for testosterone level was within normal range. Then she was ultra sounded. It was something I'd never heard of. I think the bill was about $1500 which was a fair amount back then... but like I said, there was no living with it.
      She still usually cycled every month, once that other ovary recovered. She had 2 foals for me, 2 years apart. I sold her later. I also owned a Half Arabian who had had one removed and I think it was small enough to do vaginally. I bought her that way and never wanted to breed her. She was probably on the young side, too. She was about 7, I think, when I got her.

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      • #4
        My mare had surgery at the University of Georgia last November - she had a huge, vascular granulosa-theca cell tumor on her R-ovary. A Reproduction Specialist also looked at her and said her L-ovary did not look healthy, so both her ovaries were removed. Surgery was necessary in my mare's case. It was Laparoscopic surgery so recovery time was not lengthy. The Surgeon was wonderful and my mare received excellent care. You would never know she went through such a horrible ordeal now. Wishing you and your mare the very best of luck!

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        • #5
          my mare is a gelding now LOL...so glad i did it...she is so much happier and healthier after years of pain and nasty behavior.

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          • Original Poster

            #6
            Thanks everyone. We are still awaiting the inhibin blood tests. This mare has some personality issues that we have always attributed to her breeding but now we (daughter and I) are wondering if they are related to the tumor. I appreciate hearing that your mares have recuperated and have gone back to work. That's an important consideration.
            Susan B.
            http://canterberrymeadows.com/

            Comment


            • #7
              For anyone who had the surgery done...can you explain your experience?
              What were the costs, how long did they remain at the clinic?

              Comment


              • #8
                Recovery time will depend on the surgical approach used. There are four basic approaches, a laparoscopy, a laparotomy, a culpotomy (through the vaginal wall) and ventral midline or paramedian incision. The size of the tumor will influence which approach is used. Most can be done through a culpotomy or a standing flank laparotomy. If this is the approach used the down time is 4-6 weeks. If the abdomen is entered from the ventral side it is more like having colic surgery and you are looking at a little longer recovery.
                Entropy Farm
                www.entropyfarm.com
                Home of Roc USA
                I used to have a handle on life, but it broke.

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                • #9
                  As I posted earlier my mare had laparoscopic surgery. I brought her to the hospital on a Thursday, her surgery was Friday, and I brought her back home on Monday.

                  I had to fast her from all hay 24 hours prior to bringing her in to the hospital. She was allowed to have a small amount of pelleted food. That was tough, let me tell you! She didn't understand why I was starving her.

                  The surgery took about an hour. I watched the whole thing, kept the granulosed ovary, still have it preserved in a jar.

                  She was understandably quite sore post surgery, as there is a certain amount of muscle tearing involved through the flank in laparoscopic surgery, although the incision itself was remarkably small. She was not allowed out of her stall at the hospital until I got the okay to pick her up on Monday. The concern is that they want to make sure she stayed quiet and monitored just in case there was internal hemoraghing.

                  Once home, I was to keep her on stall rest the first few days. Some of my stalls have small run-outs (essentially a double-wide stall), and that's where I kept her so she would stay quiet and happy.

                  My mare was on a course of SMZs post-op, but I didn't have to do anything to the incision wound itself other than monitor it for signs of oozing or swelling. Her second day home she had one tiny drop of serum oozing from the stitches, so I called the hospital to let them know. They said to keep an eye on it and had me extend her course of SMZs from 14 days to 21 just to be safe. The wound never oozed again, though there was a minor amount of ventral swelling which I was told was normal, and it did reabsorb completely as her turnout was gradually increased.

                  She was back to riding again roughly a month after surgery. We started quietly and worked back up.

                  All said and done, it cost about $2000 from initial diagnosis to surgery to post-op meds.

                  Comment


                  • #10
                    My mare was spayed, via culpotomy. Fortunately (?) it wasn't a granulosa cell tumor that was causing the issues. She was a bit young to have one but we worked her up for it just in case.

                    She was just evil and dangerous when she cycled.

                    I would do it over in a minute!

                    Her recovery time was about a week then back to work we went. But her ovaries were normal in size.

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