Sarcoid Surgery - Case Study 1

Over the past couple of weeks, the St Boniface Equine team has been delighted to welcome Jeremy Kemp-Symonds, BA (Hons), BSc (Hons), MSc, BVMS, PGCHE, MRCVS to the Equine department at Wolfgar Farm.  Jeremy is an equine surgeon who specialises in the treatment and removal of skin tumours using CO2 laser with adjunctive treatments as required.

We recently had to treat a grey gelding with an irregular lesion on the upper eye lid.  A biopsy of the lump confirmed it was a sarcoid (picture 1).
 
Under general anaestetic, the sarcoid was treated with carbon dioxide laser to reduce the size and thickness of the lesion (picture 2).
 
The following day, and again 7 days later, the sarcoid was treated with a special cream that is absorbed by sarcoid cells.  A light soruce is then shone onto the site to activate the cream and destroy sarcoid cells, in a process called 'Photodynamic Therapy' (picture 3).
 
Picture 4 shows the lesion at 2 week post-op.
 
Picture 5 shows the lesion at 3 weeks post-op.

Picture 6 & 7 shows the lesion at approximately 8 weeks post-op.

To view more articles on sarcoid surgery please click the link.