A 17-year-old Quarter Horse mare was examined to determine the cause o
f a vulvar mass. Differential diagnoses for the swollen, ulcerated tis
sue included hypersensitivity reaction to insect stings or bites and c
utaneous neoplasia. During the next 4 months, the mass enlarged involv
ing the skin of the perineum and ventral aspect of the abdomen with se
condary dependent edema of both hind limbs. Histologic examination of
biopsy and necropsy specimens revealed changes consistent with a diagn
osis of mycosis fungoides (cutaneous T-cell lymphoma). Diagnostic feat
ures included invasion of neoplastic lymphocytes into the epidermis an
d detection of T-cell lineage of neoplastic cells. Location of lesions
at a mucocutaneous junction, association with, epidermal ulcers, and
progressive skin involvement mimic the condition in human beings and o
ther species. Prognosis is poor when the condition is at the tumor sta
ge (invasion of deep tissues).