Lamb C R, Grierson J
Department of Small Animal Medicine and Surgery, Royal Veterinary College, University of London, Hertfordshire.
J Small Anim Pract. 1999 May;40(5):211-5. doi: 10.1111/j.1748-5827.1999.tb03062.x.
The ultrasonographic findings in 21 dogs with histologically confirmed primary gastric neoplasia were reviewed. Location, shape of the gastric lesion, evidence of gastric wall thickening, wall layers affected, presence of ulceration, evidence of extension through the gastric wall and lymphadenopathy were recorded. Twelve dogs with carcinoma shared many ultrasonographic features with six dogs that had lymphoma, the majority having sessile masses that appeared to involve all layers of the gastric wall; many also had evidence of ulceration and lymphadenopathy. Signs of extension of the lesion through the serosal surface of the stomach were identified ultrasonographically only in dogs with carcinoma. In contrast, three dogs with leiomyoma or leiomyosarcoma each had a focal mass affecting the gastric antrum, and lymphadenopathy was not identified ultrasonographically in these dogs. Even without any specific patient preparation, ultrasonography enables a morphological assessment of gastric neoplasms that may prompt a tentative diagnosis of gastric neoplasia and stimulate further investigation.
回顾了21只经组织学确诊为原发性胃肿瘤的犬的超声检查结果。记录了胃病变的位置、形状、胃壁增厚的证据、受累的壁层、溃疡的存在、胃壁外侵的证据和淋巴结病情况。12只患有癌的犬与6只患有淋巴瘤的犬具有许多超声特征,大多数有广基肿物,似乎累及胃壁各层;许多还伴有溃疡和淋巴结病的证据。仅在患有癌的犬中,超声检查发现病变通过胃浆膜表面向外侵的迹象。相比之下,3只患有平滑肌瘤或平滑肌肉瘤的犬均有一个影响胃窦的局灶性肿物,且超声检查未发现这些犬有淋巴结病。即使没有任何特殊的患者准备,超声检查也能对胃肿瘤进行形态学评估,这可能提示胃肿瘤的初步诊断并促使进一步检查。