Norton C, Drenen C M, Emms S G
Camberwell Veterinary Clinic, Camberwell VIC 3124.
Aust Vet J. 2006 Oct;84(10):364-6. doi: 10.1111/j.1751-0813.2006.00033.x.
The medical records of six dogs treated by sub-total scapulectomy for tumours involving the scapula were reviewed. The mean age of dogs in this study was 8 years and 4 months. Clinical signs on presentation included lameness of the affected forelimb and a palpable mass over the scapular area on physical examination. Pre-operative chest and affected forelimb radiographs were taken in most cases in addition to a biopsy. Subtotal scapulectomy was performed, ensuring margins clear of neoplastic tissue of at least 2 cm, preservation of the glenoid cavity and thus retention of the scapulo-humeral joint. On histopathological examination the tumours where diagnosed as chondrosarcoma (one), haemangiosarcoma (two), anaplastic malignant neoplasia (one) and osteosarcoma (one). Limb function was found to be good in all cases postoperatively. Prognosis was related to histopathological diagnosis of the tumour, favourable with chondrosarcoma and poor with the other tumour types.
回顾了6只因肩胛骨肿瘤接受次全肩胛骨切除术治疗的犬的病历。本研究中犬的平均年龄为8岁4个月。就诊时的临床症状包括患侧前肢跛行,体格检查时在肩胛区域可触及肿块。除活检外,大多数病例术前还拍摄了胸部和患侧前肢的X光片。实施了次全肩胛骨切除术,确保切缘距肿瘤组织至少2 cm,保留关节盂,从而保留肩肱关节。组织病理学检查显示,肿瘤诊断为软骨肉瘤(1例)、血管肉瘤(2例)、间变性恶性肿瘤(1例)和骨肉瘤(1例)。发现所有病例术后肢体功能良好。预后与肿瘤的组织病理学诊断有关,软骨肉瘤预后良好,其他肿瘤类型预后较差。