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骨肉瘤犬血液单核细胞和淋巴细胞计数与无病间期的相关性。

Association of blood monocyte and lymphocyte count and disease-free interval in dogs with osteosarcoma.

机构信息

Department of Clinical Sciences, Animal Cancer Center, Colorado State University, Fort Collins, CO 80523, USA.

出版信息

J Vet Intern Med. 2010 Nov-Dec;24(6):1439-44. doi: 10.1111/j.1939-1676.2010.0591.x. Epub 2010 Sep 14.

Abstract

BACKGROUND

Identification of biomarkers that predict outcomes in dogs with osteosarcoma (OSA) would be valuable to veterinarians and owners. Leukocyte numbers in peripheral blood are associated with outcomes in some types of cancer in humans.

HYPOTHESIS/OBJECTIVES: We hypothesized that increased numbers of monocytes would be associated with reduced disease-free interval (DFI) in dogs with OSA.

ANIMALS

Medical data from 69 dogs with appendicular OSA treated with amputation and chemotherapy were selected for study.

METHODS

Retrospective study. Statistical associations were assessed by univariate and multivariate analysis. Information about DFI and leukogram values, tumor location, and serum alkaline phosphatase was abstracted from the medical record.

RESULTS

Higher numbers of circulating monocytes (>0.4×10(3)  cells/μL) and lymphocytes (>1.0×10(3)  cells/μL) before treatment were found to be significantly (P<.05) associated with shorter DFI in dogs with OSA. Other parameters associated with poor outcomes were increased alkaline phosphatase, primary tumor location, and age.

CONCLUSION AND CLINICAL IMPORTANCE

These results indicated that pretreatment evaluation of monocyte and lymphocyte counts provided prognostic information for dogs with appendicular OSA. Notably, most animals in this study had monocyte counts within the normal reference range, indicating that variations within the reference range of leukocyte values might also have prognostic significance.

摘要

背景

鉴定可预测骨肉瘤(OSA)犬预后的生物标志物对兽医和犬主具有重要意义。外周血白细胞数量与人类某些类型癌症的预后相关。

假设/目的:我们假设单核细胞数量增加与 OSA 犬的无病间隔(DFI)缩短有关。

动物

选择了 69 只接受截肢和化疗治疗的附肢 OSA 犬的医学数据进行研究。

方法

回顾性研究。通过单变量和多变量分析评估统计相关性。从病历中提取了 DFI 和白细胞计数值、肿瘤位置和血清碱性磷酸酶的信息。

结果

治疗前循环单核细胞(>0.4×10³ 细胞/μL)和淋巴细胞(>1.0×10³ 细胞/μL)数量较高与 OSA 犬 DFI 缩短显著相关(P<.05)。其他预后不良的参数包括碱性磷酸酶升高、原发肿瘤位置和年龄。

结论和临床意义

这些结果表明,在治疗前评估单核细胞和淋巴细胞计数可提供附肢 OSA 犬的预后信息。值得注意的是,本研究中的大多数动物的单核细胞计数均在正常参考范围内,这表明白细胞值参考范围内的变化也可能具有预后意义。

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