Bryan Jeffrey N, Henry Carolyn J, Turnquist Susan E, Tyler Jeff W, Liptak Julius M, Rizzo Scott A, Sfiligoi Gabriella, Steinberg Steven J, Smith Annette N, Jackson Tarraca
Department of Veterinary Medicine and Surgery, University of Missouri-Columbia, USA.
J Vet Intern Med. 2006 Sep-Oct;20(5):1155-60. doi: 10.1892/0891-6640(2006)20[1155:prnod]2.0.co;2.
Primary renal tumors are diagnosed uncommonly in dogs.
Signs and survival will differ among different categories of primary renal tumors.
Data were collected from the medical records of 82 dogs with primary renal tumors diagnosed by examination of tissue obtained by ultrasound-guided biopsy, needle aspiration, surgery, or at postmortem examination.
This was a multi-institutional, retrospective study.
Forty-nine dogs had carcinomas, 28 had sarcomas, and 5 had nephroblastomas. The dogs were geriatric (mean 8.1 years; range: 1-17) with a weight of 24.9 kg (range: 4.5-80). Tumors occurred with equal frequency in each kidney with 4% occurring bilaterally. Initial signs included one or more of hematuria, inappetance, lethargy. weight loss, or a palpable abdominal mass. Pain was reported more frequently in dogs with sarcomas (5/28). The most common hematologic abnormalities were neutrophilia (22/63), anemia (21/64), and thrombocytopenia (6/68). Polycythemia was present in 3 dogs and resolved with treatment. Hematuria (28/49), pyuria (26/49), proteinuria (24/50), and isosthenuria (20/56) were the most frequently observed abnormalities on urinalysis. Pulmonary metastases were noted on thoracic radiographs in 16% of dogs at diagnosis. Seventy-seven percent of dogs had metastatic disease at the time of death. Median survival for dogs with carcinomas was 16 months (range 0-59 months), for dogs with sarcomas 9 months (range 0-70 months), and for dogs with nephroblastomas 6 months (range 0-6 months).
Primary renal tumors in dogs are generally highly malignant with surgery being the only treatment that improves survival.
犬原发性肾肿瘤的诊断并不常见。
不同类型的原发性肾肿瘤在体征和生存期方面存在差异。
从82只经超声引导活检、针吸活检、手术或尸检获得的组织检查确诊为原发性肾肿瘤的犬的病历中收集数据。
这是一项多机构回顾性研究。
49只犬患有癌,28只患有肉瘤,5只患有肾母细胞瘤。这些犬为老年犬(平均8.1岁;范围:1 - 17岁),体重24.9千克(范围:4.5 - 80千克)。肿瘤在每个肾脏中出现的频率相同,4%为双侧发生。初始体征包括血尿、食欲不振、嗜睡、体重减轻或可触及的腹部肿块中的一项或多项。肉瘤患犬中疼痛的报告更为频繁(5/28)。最常见的血液学异常为嗜中性粒细胞增多(22/63)、贫血(21/64)和血小板减少(6/68)。3只犬出现红细胞增多症,经治疗后缓解。血尿(28/49)、脓尿(26/49)、蛋白尿(24/50)和等渗尿(20/56)是尿液分析中最常观察到的异常。诊断时胸部X线片显示16%的犬有肺转移。77%的犬在死亡时已有转移性疾病。癌患犬的中位生存期为16个月(范围0 - 59个月),肉瘤患犬为9个月(范围0 - 70个月),肾母细胞瘤患犬为6个月(范围0 - 6个月)。
犬原发性肾肿瘤通常具有高度恶性,手术是唯一能提高生存期的治疗方法。