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猫颅内肿瘤:160例回顾性研究(1985 - 2001年)

Feline intracranial neoplasia: retrospective review of 160 cases (1985-2001).

作者信息

Troxel Mark T, Vite Charles H, Van Winkle Thomas J, Newton Alisa L, Tiches Deena, Dayrell-Hart Betsy, Kapatkin Amy S, Shofer Frances S, Steinberg Sheldon A

机构信息

Department of Clinical Studies, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.

出版信息

J Vet Intern Med. 2003 Nov-Dec;17(6):850-9. doi: 10.1111/j.1939-1676.2003.tb02525.x.

Abstract

The purpose of this study was to determine the frequency of different tumor types within a large cohort of cats with intracranial neoplasia and to attempt to correlate signalment, tumor size and location, and survival time for each tumor. Medical records of 160 cats with confirmed intracranial neoplasia evaluated between 1985 and 2001 were reviewed. Parameters evaluated included age, sex, breed, FeLV/FIV status, clinical signs, duration of signs, number of tumors, tumor location(s), imaging results, treatment, survival times, and histopathologic diagnosis. Most of the cats were older (11.3 +/- 3.8 years). Primary tumors accounted for 70.6% of cases. Metastasis and direct extension of secondary tumors accounted for only 5.6 and 3.8% of cases, respectively. Twelve cats (7.5%) had 2 or more discrete tumors of the same type, whereas 16 cats (10.0%) had 2 different types of intracranial tumors. The most common tumor types were meningioma (n = 93, 58.1%), lymphoma (n = 23, 14.4%), pituitary tumors (n = 14, 8.8%), and gliomas (n = 12, 7.5%). The most common neurological signs were altered consciousness (n = 42, 26.2%), circling (n = 36, 22.5%), and seizures (n = 36, 22.5%). Cats without specific neurological signs were common (n = 34, 21.2%). The tumor was considered an incidental finding in 30 (18.8%) cats. In addition to expected relationships (eg, meninges and meningioma, pituitary and pituitary tumors), we found that lesion location was predictive of tumor type with diffuse cerebral or brainstem involvement predictive of lymphoma and third ventricle involvement predictive of meningioma.

摘要

本研究的目的是确定一大群患有颅内肿瘤的猫中不同肿瘤类型的发生率,并尝试将每种肿瘤的特征、肿瘤大小和位置以及生存时间联系起来。回顾了1985年至2001年间评估的160只确诊颅内肿瘤猫的病历。评估的参数包括年龄、性别、品种、猫白血病病毒/猫免疫缺陷病毒状态、临床症状、症状持续时间、肿瘤数量、肿瘤位置、影像学结果、治疗、生存时间和组织病理学诊断。大多数猫年龄较大(11.3±3.8岁)。原发性肿瘤占病例的70.6%。继发性肿瘤的转移和直接蔓延分别仅占病例的5.6%和3.8%。12只猫(7.5%)有2个或更多同一类型的离散肿瘤,而16只猫(10.0%)有2种不同类型的颅内肿瘤。最常见的肿瘤类型是脑膜瘤(n = 93,58.1%)、淋巴瘤(n = 23,14.4%)、垂体瘤(n = 14,8.8%)和神经胶质瘤(n = 12,7.5%)。最常见的神经症状是意识改变(n = 42,26.2%)、转圈(n = 36,22.5%)和癫痫发作(n = 36,22.5%)。没有特定神经症状的猫很常见(n = 34,21.2%)。在30只(18.8%)猫中,肿瘤被认为是偶然发现的。除了预期的关系(如脑膜和脑膜瘤、垂体和垂体瘤)外,我们发现病变位置可预测肿瘤类型,弥漫性脑或脑干受累可预测淋巴瘤,第三脑室受累可预测脑膜瘤。

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