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猫口腔鳞状细胞癌的计算机断层扫描特征:18例(2002 - 2008年)

Computed tomographic features of oral squamous cell carcinoma in cats: 18 cases (2002-2008).

作者信息

Gendler Andrew, Lewis John R, Reetz Jennifer A, Schwarz Tobias

机构信息

Department of Surgical Sciences, School of Veterinary Medicine, University of Wisconsin, Madison, WI 53706, USA.

出版信息

J Am Vet Med Assoc. 2010 Feb 1;236(3):319-25. doi: 10.2460/javma.236.3.319.

Abstract

OBJECTIVE

To describe the computed tomographic features of oral squamous cell carcinoma (SCC) in cats and identify imaging characteristics associated with survival time.

DESIGN

Retrospective case series.

ANIMALS

18 cats with a diagnosis of oral SCC.

PROCEDURES

Information on history; clinical, laboratory, and diagnostic imaging findings; treatment; and survival time was obtained from medical records of 18 cats with oral SCC. Computed tomography (CT) studies were examined to identify features associated with oral SCC. The association of CT features with survival time was evaluated.

RESULTS

On CT images, SCC was centered at the following sites: sublingual or lingual region (n = 7), maxilla (5), buccal mucosa (4), mandible (4), pharyngeal mucosa (2), soft palate mucosa (1), and lip (1). These results were in agreement with the results of oral examination for all sites, except the soft palate (CT, 1 cat; oral examination, 4 cats). On CT images, extension of maxillary masses was most often observed to affect the orbit (5 cats). Heterogeneous contrast enhancement was most commonly identified (8/18). Osteolytic mass lesions were identified on CT images in 9 cats. None of the quantitative CT features that were identified, including mass size, attenuation, or lymph node width, were correlated with survival time.

CONCLUSIONS AND CLINICAL RELEVANCE

Common CT features of oral SCC in cats included sublingual and maxillary locations, marked heterogeneous contrast enhancement, and osteolysis. Computed tomography may be used to determine mass extension and lymph node enlargement, but results did not correlate with survival time.

摘要

目的

描述猫口腔鳞状细胞癌(SCC)的计算机断层扫描特征,并确定与生存时间相关的影像学特征。

设计

回顾性病例系列研究。

动物

18只被诊断为口腔SCC的猫。

方法

从18只患有口腔SCC的猫的病历中获取病史、临床、实验室和诊断影像学检查结果、治疗情况及生存时间等信息。对计算机断层扫描(CT)研究进行检查,以确定与口腔SCC相关的特征。评估CT特征与生存时间的相关性。

结果

在CT图像上,SCC集中于以下部位:舌下或舌部区域(n = 7)、上颌骨(5例)、颊黏膜(4例)、下颌骨(4例)、咽黏膜(2例)、软腭黏膜(1例)和唇部(1例)。除软腭外,所有部位的这些结果与口腔检查结果一致(CT检查1只猫;口腔检查4只猫)。在CT图像上,上颌肿物最常累及眼眶(5只猫)。最常见的是不均匀强化(8/18)。9只猫的CT图像上发现溶骨性肿物。所确定的定量CT特征,包括肿物大小、密度或淋巴结宽度,均与生存时间无关。

结论及临床意义

猫口腔SCC的常见CT特征包括舌下和上颌部位、明显的不均匀强化和骨质溶解。计算机断层扫描可用于确定肿物范围和淋巴结肿大情况,但结果与生存时间无关。

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