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基于比格犬寿命观察的犬乳腺上皮肿瘤的分类与行为

Classification and behavior of canine mammary epithelial neoplasms based on life-span observations in beagles.

作者信息

Benjamin S A, Lee A C, Saunders W J

机构信息

Department of Pathology, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins 80523, USA.

出版信息

Vet Pathol. 1999 Sep;36(5):423-36. doi: 10.1354/vp.36-5-423.

Abstract

As part of a study of the effects of low-level radiation, 1,343 Beagles, including 671 males and 672 females, were evaluated over their full lifetime for the occurrence of mammary neoplasia; there were 139 control males and 138 control females and 532 irradiated males and 534 irradiated females. All nodules found in surgical specimens or at necropsy were evaluated histologically. The overall incidence, metastasis and recurrence rates, and contribution to mortality of mammary neoplasms were determined. Based on this unique opportunity to correlate morphologic characteristics with ultimate biological behavior of all mammary tumors in a defined canine population, we propose a histogenetically based reclassification of epithelial mammary tumors. Of the 672 female dogs, 70.8% (476) had at least one mammary neoplasm; 60.7% (408) had more than one. Two male dogs had mammary neoplasms. Of 1,639 mammary carcinomas in the 672 females, 18.7% (307) were classified as ductular carcinomas (arising from the small interlobular or intralobular ductules), whereas 80.7% (1,322) were classified as adenocarcinomas of other histogenetic origin. Of 73 fatal carcinomas, ductular carcinomas accounted for 48 fatalities (65.8%), whereas other adenocarcinomas accounted for only 20 fatalities (27.4%). Radiation had no effect on this ratio. Ductular carcinomas also had a higher rate of metastasis than did adenocarcinomas. Existing classifications of mammary carcinomas do not recognize the characteristic morphologic features, the degree of malignancy, and the prognostic importance of these ductular carcinomas. Metastasis rates did not differ between simple and complex carcinomas or between those lesions and adenocarcinomas in mixed tumors. True carcinosarcomas metastasized more frequently (100%, or 5/5) than did adenocarcinomas in mixed tumors (34.4%, or 22/64), emphasizing the importance of not lumping these tumors under the classification of malignant mixed tumors.

摘要

作为一项关于低水平辐射影响的研究的一部分,对1343只比格犬(包括671只雄性和672只雌性)进行了终生乳腺肿瘤发生情况评估;其中有139只对照雄性和138只对照雌性,以及532只受辐照雄性和534只受辐照雌性。对手术标本或尸检中发现的所有结节进行了组织学评估。确定了乳腺肿瘤的总体发病率、转移率和复发率以及对死亡率的影响。基于这一独特机会,可将形态学特征与特定犬类群体中所有乳腺肿瘤的最终生物学行为相关联,我们提出了一种基于组织发生学的上皮性乳腺肿瘤重新分类方法。在672只雌性犬中,70.8%(476只)至少有一个乳腺肿瘤;60.7%(408只)有不止一个。两只雄性犬患有乳腺肿瘤。在672只雌性犬的1639例乳腺癌中,18.7%(307例)被归类为导管癌(起源于小叶间或小叶内小导管),而80.7%(1322例)被归类为其他组织发生学起源的腺癌。在73例致命性癌中,导管癌导致48例死亡(65.8%),而其他腺癌仅导致20例死亡(27.4%)。辐射对此比例没有影响。导管癌的转移率也高于腺癌。现有的乳腺癌分类未认识到这些导管癌的特征性形态学特征、恶性程度和预后重要性。单纯癌和复杂癌之间或混合瘤中的这些病变与腺癌之间的转移率没有差异。真正的癌肉瘤转移频率更高(100%,即5/5),高于混合瘤中的腺癌(34.4%,即22/64),强调了不要将这些肿瘤归为恶性混合瘤分类的重要性。

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