Spodnick G J, Berg J, Rand W M, Schelling S H, Couto G, Harvey H J, Henderson R A, MacEwen G, Mauldin N, McCaw D L
North Carolina State University, Raleigh 27606.
J Am Vet Med Assoc. 1992 Apr 1;200(7):995-9.
Long-term follow-up information pertaining to 162 dogs with appendicular osteosarcoma treated by amputation alone was collected from 17 veterinary institutions. The majority (72.5%) of dogs died or were euthanatized because of problems documented to be related to metastases. The first clinically apparent sites of metastasis were the lungs (60.8% of total), the skeleton (5.2%), or both (4.6%). A Kaplan-Meier survivorship distribution was plotted on the basis of available survival time data in all 162 dogs. The mean and median survival times were estimated to be 19.8 and 19.2 weeks, respectively, and the 1- and 2-year survival rates were estimated to be 11.5 and 2.0% respectively. Statistically significant relationships were not found between survival time and reporting institution, gender, site of primary tumor, whether the primary tumor was proximally or distally located, whether the primary tumor was located in the forelimb or hind limb, whether presurgical biopsy was performed, and whether death was tumor related. A significant (P less than 0.01) quadratic relationship was found between age and survival time. Survival time was longest in dogs 7 to 10 years old and was shorter in older and younger dogs.
从17家兽医机构收集了162只仅接受截肢治疗的附肢骨肉瘤犬的长期随访信息。大多数(72.5%)犬因记录在案的与转移相关的问题死亡或被安乐死。转移的首个临床明显部位是肺(占总数的60.8%)、骨骼(5.2%)或两者皆有(4.6%)。根据所有162只犬的可用生存时间数据绘制了Kaplan-Meier生存分布曲线。平均和中位生存时间分别估计为19.8周和19.2周,1年和2年生存率分别估计为11.5%和2.0%。在生存时间与报告机构、性别、原发肿瘤部位、原发肿瘤是近端还是远端、原发肿瘤位于前肢还是后肢、是否进行术前活检以及死亡是否与肿瘤相关之间未发现统计学上的显著关系。发现年龄与生存时间之间存在显著(P小于0.01)的二次关系。7至10岁的犬生存时间最长,年龄较大和较小的犬生存时间较短。