Williams Laurel E, Gliatto John M, Dodge Richard K, Johnson Jeffrey L, Gamblin Rance M, Thamm Douglas H, Lana Susan E, Szymkowski Mary, Moore Antony S
Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC 27606, USA.
J Am Vet Med Assoc. 2003 Sep 15;223(6):825-31. doi: 10.2460/javma.2003.223.825.
To characterize the signalment, clinical signs, biological behavior, and response to treatment of carcinoma of the apocrine glands of the anal sac in dogs.
Retrospective study.
113 dogs with histologically confirmed carcinoma of the apocrine glands of the anal sac.
Data on signalment, clinical signs, and staging were reviewed and analyzed along with treatment modality for potential association with survival time.
Sex distribution was approximately equal (54% female, 46% male). One hundred four dogs underwent treatment consisting of surgery, radiation therapy, chemotherapy, or multimodal treatment. Median survival for treated dogs was 544 days (range, 0 to 1,873 days). Dogs treated with chemotherapy alone had significantly shorter survival (median, 212 days) than those receiving other treatments (median, 584 days). Dogs not treated with surgery had significantly shorter survival (median, 402 days) than those that underwent surgery as part of their treatment (median, 548 days). Dogs with tumors > or = 10 cm2 had significantly shorter survival (median, 292 days) than dogs with tumors < 10 cm2 (median, 584 days). Hypercalcemia was identified in 27% (n = 29) of dogs, and those dogs had significantly shorter survival (median, 256 days), compared with those that were normocalcemic (median, 584 days). Dogs with pulmonary metastasis had significantly shorter survival (median, 219 days) than dogs without evidence of pulmonary metastasis (median, 548 days).
Unlike most previous reports, this study revealed an approximately equal sex distribution, and results suggest a more favorable prognosis.
描述犬肛门囊顶泌汗腺癌的征候、临床症状、生物学行为及对治疗的反应。
回顾性研究。
113只经组织学确诊为肛门囊顶泌汗腺癌的犬。
回顾并分析征候、临床症状及分期数据,以及治疗方式与生存时间的潜在关联。
性别分布大致相等(雌性54%,雄性46%)。104只犬接受了手术、放射治疗、化疗或多模式治疗。接受治疗的犬的中位生存时间为544天(范围0至1873天)。单纯接受化疗的犬的生存时间(中位值212天)明显短于接受其他治疗的犬(中位值584天)。未接受手术治疗的犬的生存时间(中位值402天)明显短于接受手术治疗的犬(中位值548天)。肿瘤面积≥10 cm² 的犬的生存时间(中位值292天)明显短于肿瘤面积<10 cm² 的犬(中位值584天)。27%(n = 29)的犬出现高钙血症,这些犬的生存时间(中位值256天)明显短于血钙正常的犬(中位值584天)。有肺转移的犬的生存时间(中位值219天)明显短于无肺转移证据的犬(中位值548天)。
与之前的大多数报告不同,本研究显示性别分布大致相等,结果提示预后可能更佳。