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对自发性血腹症犬进行腹部超声检查时,检测到单发与多发病变时的恶性肿瘤患病率:31例(2003 - 2008年)

Prevalence of malignancy when solitary versus multiple lesions are detected during abdominal ultrasonographic examination of dogs with spontaneous hemoperitoneum: 31 cases (2003-2008).

作者信息

Levinson Joshua G, Bouma Jennifer L, Althouse Gary C, Rieser Teresa M

机构信息

VCA Newark Animal Hospital, Newark, DE 19711, USA.

出版信息

J Vet Emerg Crit Care (San Antonio). 2009 Oct;19(5):496-500. doi: 10.1111/j.1476-4431.2009.00466.x.

Abstract

OBJECTIVE

To compare the histopathologic diagnosis in dogs with spontaneous hemoperitoneum when abdominal ultrasonographic examination detects a solitary versus multiple lesions.

DESIGN

Retrospective cross-sectional study.

SETTING

Private veterinary hospital.

ANIMALS

Client-owned dogs presented with spontaneous hemoperitoneum between March 1, 2003 and June 1, 2008.

INTERVENTIONS

Dogs were divided into 2 groups based on presence of a solitary or multiple abdominal ultrasonographic lesions. Prevalences were compared between groups for malignancy and specifically hemangiosarcoma.

MEASUREMENTS AND MAIN RESULTS

Ten of 31 (32%) dogs had a solitary abdominal ultrasonographic lesion and 21 of 31 (68%) had more than 1 lesion. The bleeding tissue was characterized as malignant in 8 of 10 (80%) dogs with solitary lesions and 17 of 21 (81%) dogs with multiple lesions; there was no significant difference (P=1.0) between groups. In this study no association (P=0.26) was found between the number of abdominal ultrasonographic lesions observed and subsequent diagnosis of hemangiosarcoma.

CONCLUSIONS

Solitary abdominal ultrasonographic lesions in dogs with spontaneous hemoperitoneum do not necessarily indicate a lower prevalence of malignancy.

摘要

目的

比较腹部超声检查发现单发与多发病变的自发性腹腔积血犬的组织病理学诊断结果。

设计

回顾性横断面研究。

地点

私立兽医医院。

动物

2003年3月1日至2008年6月1日期间出现自发性腹腔积血的客户拥有的犬只。

干预措施

根据腹部超声检查发现的单发或多发病变将犬只分为两组。比较两组之间恶性肿瘤尤其是血管肉瘤的患病率。

测量指标和主要结果

31只犬中,10只(32%)有单发腹部超声病变,21只(68%)有不止1个病变。10只单发病变犬中有8只(80%)、21只多发病变犬中有17只(81%)的出血组织被判定为恶性;两组之间无显著差异(P = 1.0)。在本研究中,观察到的腹部超声病变数量与随后血管肉瘤的诊断之间未发现关联(P = 0.26)。

结论

自发性腹腔积血犬的单发腹部超声病变不一定表明恶性肿瘤的患病率较低。

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