Wobeser B K, Kidney B A, Powers B E, Withrow S J, Mayer M N, Spinato M T, Allen A L
Department of Veterinary Pathology, Western College of Veterinary Medicine, University of Saskatchewan, Saskatoon, Saskatchewan S7N 5B4, Canada.
Vet Pathol. 2007 May;44(3):362-5. doi: 10.1354/vp.44-3-362.
Amputation is commonly performed in an attempt to both treat and diagnose conditions affecting the digits of cats. The records of multiple veterinary diagnostic laboratories were searched to identify submissions of amputated digits from cats. Eighty-five 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. The Kaplan-Meier product-limit method was used to determine the disease-free interval and survival time. Neoplastic disease was identified in 63 of 85 submissions, with exclusively inflammatory lesions composing the other 22 cases. In 60 (95.2%) of the neoplastic cases, a malignant tumor was identified. Squamous cell carcinoma was the most commonly identified malignant tumor (n = 15; 23.8%) and was associated with a median survival time of 73 days. Other diagnoses included fibrosarcoma (n = 14; 22.2%); adenocarcinoma, likely metastases of a primary pulmonary neoplasm (n = 13; 20.6%); osteosarcoma (n = 5; 7.9%); mast cell tumor (n = 4; 6.3%); hemangiosarcoma (n = 5; 7.9%); malignant fibrous histiocytoma (n = 2; 3.2%); giant cell tumor of bone (n = 2; 3.2%); and hemangioma (n = 2; 3.2%). Giant cell tumor of bone has not been previously described in the digits of cats. Various neoplasms can occur in the digits of cats, and submission of the amputated digit for histopathologic diagnosis is essential to determine the histogenesis and predict the clinical outcome.
截肢术通常用于治疗和诊断影响猫趾部的病症。研究人员检索了多家兽医诊断实验室的记录,以确定猫截肢趾部的送检样本。对85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,以确定临床结果。采用Kaplan-Meier乘积限法确定无病间隔期和生存时间。85份送检样本中,63份被诊断为肿瘤性疾病,另外22例仅为炎性病变。在60例(95.2%)肿瘤性病例中,确诊为恶性肿瘤。鳞状细胞癌是最常见的恶性肿瘤(n = 15;23.8%),中位生存时间为73天。其他诊断包括纤维肉瘤(n = 14;22.2%);腺癌,可能是原发性肺肿瘤的转移(n = 13;20.6%);骨肉瘤(n = 5;7.9%);肥大细胞瘤(n = 4;6.3%);血管肉瘤(n = 5;7.9%);恶性纤维组织细胞瘤(n = 2;3.2%);骨巨细胞瘤(n = 2;3.2%);以及血管瘤(n = 2;3.2%)。骨巨细胞瘤此前未在猫的趾部中被描述过。猫的趾部可发生多种肿瘤,送检截肢趾部进行组织病理学诊断对于确定组织发生和预测临床结果至关重要。