Sex cord–stromal tumors (SCSTs), generally referred to as granulosa cell tumors (GCTs) or
granulosa-theca cell tumors (GTCTs) in equids, show complex compositions and variable
numbers of hormone-producing cells. These tumors can be difficult to diagnose, especially
in early stages. Therefore, we tested a panel of antibodies for vimentin, smooth muscle
actin, laminin, Ki-67, E-cadherin, calretinin, moesin, p-ezrin, AMH, and aromatase,
markers used for tumor composition and classification, progression, and prognosis in human
SCSTs, on an exemplary grapefruit-size equine GCT within the left ovary of a 13-year-old
mare with stallion-like behavior and elevated testosterone levels in comparison with
normal ovarian tissue. The tumor showed a low proliferation rate and prominent moesin and
p-ezrin staining in granulosa cells. E-cadherin, calretinin, aromatase, and AMH are
suggested to be potential markers for different cell components of equine SCSTs that can
support tumor diagnosis and classification.