Murphy S, Sparkes A H, Smith K C, Blunden A S, Brearley M J
Centre for Preventive Medicine, Animal Health Trust, Lanwades Park, Kentford, Newmarket, Suffolk CB8 7UU.
Vet Rec. 2004 Jun 12;154(24):743-6. doi: 10.1136/vr.154.24.743.
The histological grade of 340 cutaneous mast cell tumours derived from 280 dogs was determined by an established histological grading system; 87 of the tumours (26 per cent) were well differentiated, 199 (59 per cent) were intermediately differentiated and 54 (16 per cent) were poorly differentiated. The one-year survival rates for the dogs with tumours of these three grades were significantly different (P = 0.0001), being 100 per cent, 92 per cent and 46 per cent, respectively. The median survival time for the dogs with poorly differentiated tumours was 278 days, significantly shorter than that for the dogs with either intermediately or well-differentiated tumours, which were both over 1300 days. Regrowth of the tumours was identified in 10 (19 per cent) of the dogs with poorly differentiated tumours, 12 (6 per cent) of the dogs with intermediately differentiated tumours and one of the dogs with well-differentiated tumours; only three of the tumours which regrew had initially had complete margins. The results suggest that wide surgical margins are not a prerequisite for a successful long-term outcome in dogs with well-differentiated cutaneous mast cell tumours.
采用既定的组织学分级系统对源自280只犬的340个皮肤肥大细胞瘤进行组织学分级;其中87个肿瘤(26%)为高分化,199个(59%)为中分化,54个(16%)为低分化。这三个分级的肿瘤犬的1年生存率有显著差异(P = 0.0001),分别为100%、92%和46%。低分化肿瘤犬的中位生存时间为278天,显著短于中分化或高分化肿瘤犬,后两者均超过1300天。在低分化肿瘤犬中有10只(19%)、中分化肿瘤犬中有12只(6%)以及高分化肿瘤犬中有1只出现肿瘤复发;复发的肿瘤中只有3个最初切缘为阴性。结果表明,对于高分化皮肤肥大细胞瘤犬,广泛的手术切缘并非长期成功预后的必要条件。