Dernell W S, Van Vechten B J, Straw R C, LaRue S M, Powers B E, Withrow S J
Department of Veterinary Clinical Sciences, College of Veterinary Medicine, and Biomedical Sciences, Colorado State University, Fort Collins 80523, USA.
J Am Anim Hosp Assoc. 2000 May-Jun;36(3):245-51. doi: 10.5326/15473317-36-3-245.
Twenty dogs with histopathologically confirmed primary (n=15) or metastatic (n=5) osteosarcoma (n=14) or fibrosarcoma (n=6) of the vertebral column were treated with surgery (n=4), radiation therapy and chemotherapy (n=6), surgery and chemotherapy (n=2), or surgery, radiation, and chemotherapy (n=8). All dogs died due to their disease; 15 died due to local failure, and five died due to nonvertebral metastasis. Overall median survival time was 135 days, with a range of 15 to 600 days. Of the factors evaluated, only postoperative neurological status had a significant influence on outcome by multivariate analysis. This study supports the overall guarded prognosis for dogs with vertebral neoplasia. Better combinations of surgery, chemotherapy, and radiation therapy remain to be defined for this difficult subset of animal cancer.
20只经组织病理学确诊为原发性(n = 15)或转移性(n = 5)脊柱骨肉瘤(n = 14)或纤维肉瘤(n = 6)的犬接受了手术(n = 4)、放射治疗和化疗(n = 6)、手术和化疗(n = 2)或手术、放射和化疗(n = 8)。所有犬均因疾病死亡;15只因局部衰竭死亡,5只因非脊柱转移死亡。总体中位生存时间为135天,范围为15至600天。在评估的因素中,经多变量分析,只有术后神经状态对预后有显著影响。本研究支持脊柱肿瘤犬总体预后不佳的观点。对于这一困难的动物癌症亚组,手术、化疗和放射治疗的更佳组合仍有待确定。