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犬软组织肉瘤和肥大细胞瘤;临床行为及对手术的反应

Soft tissue sarcomas and mast cell tumours in dogs; clinical behaviour and response to surgery.

作者信息

Baker-Gabb M, Hunt G B, France M P

机构信息

Faculty of Veterinary Science, University of Sydney, Sydney, New South Wales 2006.

出版信息

Aust Vet J. 2003 Dec;81(12):732-8. doi: 10.1111/j.1751-0813.2003.tb14601.x.

Abstract

OBJECTIVE

To characterise the types of canine soft tissue sarcoma and mast cell tumour treated surgically at the University Veterinary Centre, Sydney. To evaluate the success of surgical treatment of these tumours and identify variables predictive of local recurrence and survival. To establish whether conclusions drawn from previous international studies are applicable to the University Veterinary Centre, Sydney, dog population and vice versa.

DESIGN

Clinical presentation and results of surgical excision of 54 soft tissue sarcomas and 70 mast cell tumours affecting the trunk and limbs of dogs at the University Veterinary Centre, Sydney, between 1989 and 2001 were reviewed retrospectively.

RESULTS

Cross-bred dogs and Rhodesian Ridgebacks were at significantly greater risk of developing soft tissue sarcomas, and Boxers, Australian Cattle Dogs and Staffordshire Bull Terriers were at significantly greater risk of developing mast cell tumours than other breeds. Fine needle aspiration biopsy yielded a correct diagnosis in 62.5% of soft tissue sarcomas and 96% of mast cell tumours. Local recurrence was encountered after surgical excision in 7.4% of soft tissue sarcomas and 7.3% of mast cell tumours. Metastasis occurred in 6% of soft tissue sarcomas and 12% of mast cell tumours. The most significant risk factors for local recurrence were contaminated surgical margins (soft tissue sarcomas) and histological grade (mast cell tumours). Due to the low number of animals experiencing metastasis, no conclusions could be drawn about significant risk factors.

CONCLUSIONS

Aggressive surgical management of soft tissue sarcomas and mast cell tumours is associated with a low incidence of local recurrence. The type, location and behaviour of mast cell tumours and soft tissue sarcomas in the population of dogs presented to the University Veterinary Centre, Sydney are similar to those reported by others.

摘要

目的

对悉尼大学兽医中心手术治疗的犬软组织肉瘤和肥大细胞瘤的类型进行特征描述。评估这些肿瘤手术治疗的成功率,并确定预测局部复发和生存的变量。确定从以往国际研究得出的结论是否适用于悉尼大学兽医中心的犬群,反之亦然。

设计

回顾性分析1989年至2001年期间悉尼大学兽医中心54例影响犬躯干和四肢的软组织肉瘤及70例肥大细胞瘤的临床表现及手术切除结果。

结果

杂种犬和罗德西亚脊背犬发生软组织肉瘤的风险显著高于其他品种,拳师犬、澳大利亚牧牛犬和斯塔福郡斗牛梗发生肥大细胞瘤的风险显著高于其他品种。细针穿刺活检对62.5%的软组织肉瘤和96%的肥大细胞瘤做出了正确诊断。软组织肉瘤手术切除后局部复发率为7.4%,肥大细胞瘤为7.3%。软组织肉瘤转移率为6%,肥大细胞瘤为12%。局部复发的最重要风险因素是手术切缘污染(软组织肉瘤)和组织学分级(肥大细胞瘤)。由于发生转移的动物数量较少,无法得出关于显著风险因素的结论。

结论

积极的手术治疗软组织肉瘤和肥大细胞瘤可使局部复发率较低。悉尼大学兽医中心犬群中肥大细胞瘤和软组织肉瘤的类型、位置及行为与其他报告相似。

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