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犬脾脏疾病的患病率、类型及重要性:1480例病例(1985 - 1989年)

Prevalence, type, and importance of splenic diseases in dogs: 1,480 cases (1985-1989).

作者信息

Spangler W L, Culbertson M R

机构信息

California Veterinary Diagnostics Inc, West Sacramento 95691.

出版信息

J Am Vet Med Assoc. 1992 Mar 15;200(6):829-34.

PMID:1568933
Abstract

The prevalence data of splenic diseases from 3 sources were studied. Group 1 consisted of a general diagnostic survey of accessions submitted from private veterinary hospitals in California during a period of approximately 4 years and included 1,372 submissions of canine splenic tissue. Group 2 consisted of surgical splenectomy specimens from 92 dogs; the specimens were submitted to the laboratory for gross and histologic evaluation prior to fixation, and a questionnaire was subsequently sent to determine the outcome of the disease. Group 3 was made up of specimens of 105 splenic lesions derived from a large colony of Beagles with complete medical records and records of pathologic findings. In this study, splenic hematoma and hyperplastic nodule, not hemangiosarcoma, made up the bulk of splenic lesions. Hemangiosarcoma was the most frequent neoplasm of the canine spleen, but the combined prevalence of all other splenic neoplasms was similar to that of hemangiosarcoma alone. Splenic hematoma and hemangiosarcoma were grossly indistinguishable in most cases. Hyperplastic lymphoid nodules and hematomas of the spleen appeared to represent a continuum. If that finding was correlated with microscopic splenic blood flow, specific causal relationship could be suggested. Prognostically, the live/dead ratio and mean survival of dogs with various splenic lesions differed significantly.

摘要

研究了来自3个来源的脾脏疾病患病率数据。第1组包括对加利福尼亚州私立兽医医院在大约4年期间提交的病例进行的一般诊断调查,其中包括1372份犬脾脏组织病例。第2组由92只狗的手术脾切除标本组成;标本在固定前被送到实验室进行大体和组织学评估,随后发送一份问卷以确定疾病的转归。第3组由105个脾脏病变标本组成,这些标本来自一大群有完整病历和病理检查结果记录的比格犬。在本研究中,脾脏病变的主要构成是脾血肿和增生性结节,而非血管肉瘤。血管肉瘤是犬脾脏最常见的肿瘤,但所有其他脾脏肿瘤的合并患病率与单独血管肉瘤的患病率相似。在大多数情况下,脾血肿和血管肉瘤在大体上无法区分。脾脏增生性淋巴结节和血肿似乎代表了一个连续过程。如果该发现与脾脏微观血流相关,则可以提示特定的因果关系。在预后方面,患有各种脾脏病变的犬的存活/死亡比率和平均生存期存在显著差异。

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