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猫和狗胸腺切除术的结果:20例(1984 - 2005年)

Results of excision of thymoma in cats and dogs: 20 cases (1984-2005).

作者信息

Zitz Julia C, Birchard Stephen J, Couto Guillermo C, Samii Valerie F, Weisbrode Steven E, Young Gregory S

机构信息

Department of Veterinary Clinical Sciences, College of Veterinary Medicine, The Ohio State University, Columbus, OH 43210, USA.

出版信息

J Am Vet Med Assoc. 2008 Apr 15;232(8):1186-92. doi: 10.2460/javma.232.8.1186.

Abstract

OBJECTIVE

To provide long-term follow-up information for a series of dogs and cats with invasive and noninvasive thymomas treated by excision alone.

DESIGN

Retrospective case series.

ANIMALS

9 cats and 11 dogs with thymoma.

PROCEDURES

Medical records were reviewed. The following factors were analyzed for their effect on prognosis: age of dog or cat, invasiveness of the tumor, percentage of lymphocytes in the mass (percentage lymphocyte composition) on histologic evaluation, and mitotic index of the mass.

RESULTS

All patients were treated with excision of the tumor alone. Median overall survival time for the cats was 1,825 days, with a 1-year survival rate of 89% and a 3-year survival rate of 74%. Median overall survival time for the dogs was 790 days, with a 1-year survival rate of 64% and a 3-year survival rate of 42%. Recurrence of thymoma was observed in 2 cats and 1 dog, and a second surgery was performed in each, with subsequent survival times of 5, 3, and 4 years following the first surgery. Percentage lymphocyte composition of the mass was the only factor that was significantly correlated with survival time; animals with a high percentage of lymphocytes lived longer.

CONCLUSIONS AND CLINICAL RELEVANCE

Results of this study indicated that most cats and dogs with thymomas did well after excision. Even cats and dogs with invasive masses that survived the surgery and the few cats and dogs with recurrent thymomas or paraneoplastic syndromes had a good long-term outcome. Excision should be considered an effective treatment option for dogs and cats with thymomas.

摘要

目的

为一系列仅通过手术切除治疗的侵袭性和非侵袭性胸腺瘤犬猫提供长期随访信息。

设计

回顾性病例系列研究。

动物

9只患有胸腺瘤的猫和11只患有胸腺瘤的犬。

方法

查阅病历。分析以下因素对预后的影响:犬或猫的年龄、肿瘤的侵袭性、组织学评估中肿块内淋巴细胞的百分比(淋巴细胞组成百分比)以及肿块的有丝分裂指数。

结果

所有患者均仅接受了肿瘤切除术。猫的中位总生存时间为1825天,1年生存率为89%,3年生存率为74%。犬的中位总生存时间为790天,1年生存率为64%,3年生存率为42%。2只猫和1只犬出现了胸腺瘤复发,每只均进行了二次手术,首次手术后的后续生存时间分别为5年、3年和4年。肿块的淋巴细胞组成百分比是唯一与生存时间显著相关的因素;淋巴细胞百分比高的动物存活时间更长。

结论及临床意义

本研究结果表明,大多数患有胸腺瘤的猫和犬在切除术后情况良好。即使是患有侵袭性肿块且手术存活下来的猫和犬,以及少数患有复发性胸腺瘤或副肿瘤综合征的猫和犬,也有良好的长期预后。对于患有胸腺瘤的猫和犬,手术切除应被视为一种有效的治疗选择。

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