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composed <strong>of</strong> collagen with only small numbers <strong>of</strong> fibroblasts/fibrocytes <strong>of</strong> normal<br />

morphology and only rarely are mitotic figures visible. Histological differentiation <strong>of</strong><br />

sarcoids and fibrosarcomas may be more problematical; however, anaplasia <strong>of</strong><br />

fibroblasts is rarely observed in sarcoids and perpendicular alignment <strong>of</strong> fibroblasts<br />

beneath the epidermis is not expected in fibrosarcomas or other mesenchymal<br />

neoplasms. Histological detection <strong>of</strong> close association <strong>of</strong> a spindle cell tumour with<br />

a peripheral nerve or its sheath may be useful in identifying peripheral nerve sheath<br />

tumours.<br />

Alternative diagnostic methods<br />

With the advent <strong>of</strong> polymerase chain reaction (PCR) technology, t<strong>here</strong> is the<br />

potential for rapid diagnosis <strong>of</strong> equine sarcoids by identification <strong>of</strong> bovine<br />

papillomaviral DNA in swabs or scrapings <strong>of</strong> the surface <strong>of</strong> suspected lesions. In<br />

one study <strong>of</strong> 92 sarcoids, the overall sensitivity <strong>of</strong> this test was 88% for swabs and<br />

91% for scrapings, with all sarcoids having partially or completely ulcerated surfaces<br />

being correctly identified. The swab technique was found to be unsuitable for occult<br />

sarcoids due to low sensitivity.<br />

PCR amplification <strong>of</strong> bovine papillomaviral sequences can also be performed on<br />

formalin-fixed, paraffin-embedded tissues to confirm a diagnosis <strong>of</strong> equine sarcoid<br />

when histopathological examination <strong>of</strong> biopsy material is inconclusive.<br />

82<br />

ACVSC Proceedings Dermatology Chapter Science Week 2005

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