Shaw Stephen C, Kent Michael S, Gordon Ira K, Collins Cameron J, Greasby Tamara A, Beckett Laurel A, Hammond Genevieve M, Skorupski Katherine A
William R. Prichard Veterinary Medical Teaching Hospital, Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California, Davis, CA 95616, USA.
J Am Vet Med Assoc. 2009 Feb 1;234(3):376-80. doi: 10.2460/javma.234.3.376.
To evaluate changes in characteristics of feline injection-site sarcomas (ISSs) from 1990 through 2006.
Retrospective case series.
392 cats with a histologic diagnosis of soft tissue sarcoma, osteosarcoma, or chondrosarcoma at potential injection sites.
Classification and anatomic location of tumors and signalment of affected cats were compared between ISSs diagnosed before and after publication of the Vaccine Associated Feline Sarcoma Task Force vaccination recommendations in 1996.
From before to after publication of the vaccination recommendations, proportions of ISSs significantly decreased in the interscapular (53.4% to 39.5%) and right and left thoracic (10.2% to 3.6% and 9.1% to 1.3%, respectively) regions. On the other hand, proportions of ISSs significantly increased in the right thoracic limb (1.1% to 9.5%) and the combined regions of the right pelvic limb with right lateral aspect of the abdomen (12.5% to 25.0%) and the left pelvic limb with left lateral aspect of the abdomen (11.4% to 13.8%). Patterns of tumor classification and signalment did not change.
Despite publication of the vaccination recommendations, a high proportion of tumors still developed in the interscapular region. There was also an increase in lateral abdominal ISSs, which are more difficult to treat and are likely attributable to aberrant placement of injections intended for the pelvic limbs. Veterinarians are complying with vaccination recommendations to some extent, but they need to focus on administering vaccines as distally as possible on a limb to allow for complete surgical margins if amputation of a limb is required.
评估1990年至2006年猫注射部位肉瘤(ISSs)特征的变化。
回顾性病例系列研究。
392只猫,其组织学诊断为潜在注射部位的软组织肉瘤、骨肉瘤或软骨肉瘤。
比较1996年疫苗相关猫肉瘤特别工作组疫苗接种建议发布前后诊断的ISSs的肿瘤分类、解剖位置以及患猫的特征。
从疫苗接种建议发布前到发布后,肩胛间区域ISSs的比例显著下降(从53.4%降至39.5%),左右胸部区域的ISSs比例也显著下降(分别从10.2%降至3.6%以及从9.1%降至1.3%)。另一方面,右胸肢(从1.1%增至9.5%)、右后肢与右腹外侧联合区域(从12.5%增至25.0%)以及左后肢与左腹外侧联合区域(从11.4%增至13.8%)的ISSs比例显著增加。肿瘤分类和特征模式没有变化。
尽管发布了疫苗接种建议,但肩胛间区域仍有很高比例的肿瘤发生。腹外侧ISSs也有所增加,这些肿瘤更难治疗,可能归因于针对后肢的注射位置异常。兽医在一定程度上遵守了疫苗接种建议,但他们需要关注尽可能在肢体远端接种疫苗,以便在需要截肢时能有完整的手术切缘。