Kapatkin A S, Mullen H S, Matthiesen D T, Patnaik A K
Department of Surgery, Animal Medical Center, New York, NY 10021.
J Am Vet Med Assoc. 1992 Oct 1;201(7):1077-9.
During a 5-year period, leiomyosarcoma was diagnosed in 57 dogs. Forty-four dogs were included in the study on the basis of completeness of medical records. All dogs underwent exploratory laparotomy, and dogs were allotted to 4 groups according to primary site of tumor: spleen (16 dogs, median age 10.3 years), stomach/small intestine (13 dogs, median age 10.3 years), cecum (10 dogs, median age 11.8 years), and liver (5 dogs, median age 9 years). All dogs with leiomyosarcoma of the liver had visible metastasis and were euthanatized at surgery. In the other 3 groups, 79% of the dogs had no gross evidence of metastasis at surgery, and 64% survived greater than 2 weeks. Median survival in these 3 groups was 10 months (range, 1 month to 7 years); 48% died of metastasis, 32% died of unrelated causes, and 16% died of unknown causes. The prognosis in dogs with leiomyosarcoma of the spleen, stomach, small intestine, and especially the cecum is good to excellent if surgery is performed. In dogs with leiomyosarcoma of the liver, the prognosis is poor.
在5年期间,57只犬被诊断为平滑肌肉瘤。基于完整的病历记录,44只犬被纳入研究。所有犬均接受了剖腹探查术,并根据肿瘤的原发部位分为4组:脾脏(16只犬,中位年龄10.3岁)、胃/小肠(13只犬,中位年龄10.3岁)、盲肠(10只犬,中位年龄11.8岁)和肝脏(5只犬,中位年龄9岁)。所有患有肝脏平滑肌肉瘤的犬均有可见转移,并在手术时实施安乐死。在其他3组中,79%的犬在手术时无肉眼可见的转移证据,64%存活超过2周。这3组的中位生存期为10个月(范围为1个月至7年);48%死于转移,32%死于无关原因,16%死于不明原因。如果进行手术,脾脏、胃、小肠尤其是盲肠平滑肌肉瘤犬的预后良好至极佳。对于患有肝脏平滑肌肉瘤的犬,预后较差。