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提交给多个兽医诊断实验室的经手术截肢的犬类趾头的诊断结果和临床结局。

Diagnoses and clinical outcomes associated with surgically amputated canine digits submitted to multiple veterinary diagnostic laboratories.

作者信息

Wobeser B K, Kidney B A, Powers B E, Withrow S J, Mayer M N, Spinato M T, Allen A L

机构信息

Department of Veterinary Pathology, Western College of Veterinary Medicine, University of Saskatchewan, Saskatoon, Saskatchewan S7N 5B4, Canada.

出版信息

Vet Pathol. 2007 May;44(3):355-61. doi: 10.1354/vp.44-3-355.

Abstract

Amputation is commonly performed to both treat and diagnose conditions affecting the digits of dogs. Although histopathologic evaluation of these digits is routinely done, data on the prevalence and prognosis of neoplasms of the digit are scarce. The records of multiple veterinary diagnostic laboratories were searched to identify submissions of amputated digits from dogs. Four hundred twenty-eight separate submissions were reviewed for diagnosis, age, sex, limb of origin, and digits affected, and the original submitting clinics were surveyed to determine clinical outcome of the animal. No diagnosis could be agreed upon in 24 animals, and these were excluded from the study. Kaplan-Meier product-limit method was used to determine the disease-free interval and survival time. Neoplastic disease was identified in 296 of 404 submissions, with exclusively inflammatory lesions composing 108 cases. A total of 30 different neoplastic processes were identified. In 233 (77.7%) of the neoplastic cases, a malignant tumor was identified. Squamous cell carcinoma was the most commonly identified tumor (n = 109, 36.3%), and 11 of 42 dogs for which clinical follow-up information was available developed metastatic disease. Squamous cell carcinoma of the digit appears to have a greater metastatic potential than that occurring elsewhere in the body. Other common diagnoses included melanoma (n = 52, 17.3%), soft-tissue sarcoma (n = 29, 9.7%), and mast cell tumor (n = 20, 6.7%). Melanomas were associated with poor prognoses, with a median survival time of 365 days.

摘要

截肢术常用于治疗和诊断影响犬类趾部的病症。尽管对这些趾部进行组织病理学评估是常规操作,但关于趾部肿瘤的患病率和预后的数据却很稀少。检索了多个兽医诊断实验室的记录,以确定犬类截肢趾部的送检样本。对428份独立送检样本进行了诊断、年龄、性别、起源肢体和受影响趾部的审查,并对最初送检的诊所进行了调查,以确定动物的临床结局。24只动物无法达成一致诊断,这些动物被排除在研究之外。采用Kaplan-Meier乘积限界法确定无病间期和生存时间。在404份送检样本中,296份被确诊为肿瘤性疾病,其中108例仅为炎症性病变。共确定了30种不同的肿瘤性病变。在233例(77.7%)肿瘤病例中,确诊为恶性肿瘤。鳞状细胞癌是最常见的肿瘤(n = 109,36.3%),在有临床随访信息的42只犬中,11只发生了转移性疾病。趾部鳞状细胞癌似乎比身体其他部位发生的鳞状细胞癌具有更大的转移潜能。其他常见诊断包括黑色素瘤(n = 52,17.3%)、软组织肉瘤(n = 29,9.7%)和肥大细胞瘤(n = 20,6.7%)。黑色素瘤的预后较差,中位生存时间为365天。

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