Just an anecdote about the external melanomas being the tip of the ice burg:
When I ran a kids riding program, I was given a gray welsh mare that had a monstrous amount of melanomas on her vulva and dock. The owners had been told what has been stated before: if that’s what the outside looked like, then she was surely dead horse walking internally. They couldn’t bear the idea of euthanizing her, so they have her to me with full disclosure and the belief we’d have to euthanize within the year. The mare was 19 when she walked in my door.
Well, wouldn’t you know , she worked happily until she was 30, never had issues, was an easy keeper, and after we retired her at 30 she lived another five years before she passed away quietly in her sleep.
Now, of course one experience is just that, but external doesn’t always mean internal death is lurking.
My heart horse is an 18 yo gray, and every time he gets a bellyache, I try not to go immediately to “it’s a tumor”. Not sure I could take that added stress with a broodie.