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犬结膜肥大细胞瘤:一项回顾性研究。

Canine conjunctival mast cell tumors: a retrospective study.

作者信息

Fife Matthew, Blocker Tiffany, Fife Tina, Dubielzig Richard R, Dunn Karen

机构信息

Animal Eye Specialty Clinic, 3421 Forest Hill Blvd, West Palm Beach, FL 33406, USA.

出版信息

Vet Ophthalmol. 2011 May;14(3):153-60. doi: 10.1111/j.1463-5224.2010.00857.x.

Abstract

OBJECTIVE

To describe signalment, clinical presentation, treatment, recurrence rate, and outcome of canine conjunctival mast cell tumors (MCTs).

DESIGN

Retrospective study.

PROCEDURES

Canine cases were selected from the Comparative Ocular Pathology Laboratory of Wisconsin, Eye Path Lab of the UK, and California Eye Care for Animals. Thirty-two canine patients were identified as having a MCT presumed to be arising primarily from the conjunctiva. Data were collected from pathology submission request forms; additional information was collected by means of a questionnaire distributed to the veterinary ophthalmologist or veterinarian who performed the surgery. Data collected included age, gender, breed, location of tumor, dimensions of tumor, duration and growth rate, additional diagnostics, surgical descriptions, adjunctive treatment, histologic description, special stains, number of recurrences, and final outcome.

RESULTS

Thirty-two dogs with 33 conjunctival MCTs meeting search criteria were identified. All dogs underwent surgical excision as the primary treatment. Surgical margins were evaluated for 30 tumors and were reported as: incomplete margins in 25 cases, narrow in four cases and complete in one case. Histologic grade was provided for 33 of 33 MCTs and included 10 low (30%), 18 intermediate (55%) and five high-grade (15%) tumors. Follow up information was received for 25 dogs. Four died of unrelated causes, two had local recurrence, 15 were currently disease free (mean 21.4 months postoperatively) and four were reported to be disease free at the reported rechecks but were lost to long term follow up (mean 13 months postoperatively). No dogs in the study were identified that died of MCT related disease.

摘要

目的

描述犬结膜肥大细胞瘤(MCT)的征候、临床表现、治疗方法、复发率及预后。

设计

回顾性研究。

步骤

从威斯康星比较眼病理实验室、英国眼病理实验室及加利福尼亚动物眼科护理中心选取犬类病例。32例犬类患者被确诊患有主要起源于结膜的MCT。数据从病理提交申请表中收集;通过向实施手术的兽医眼科医生或兽医发放问卷收集额外信息。收集的数据包括年龄、性别、品种、肿瘤位置、肿瘤大小、持续时间和生长速率、其他诊断、手术描述、辅助治疗、组织学描述、特殊染色、复发次数及最终预后。

结果

确定了32只患有33个符合搜索标准的结膜MCT的犬。所有犬均接受手术切除作为主要治疗方法。对30个肿瘤评估了手术切缘,报告为:切缘不完整25例,狭窄4例,完整1例。33个MCT中的33个提供了组织学分级,包括10个低级别(30%)、18个中级(55%)和5个高级别(15%)肿瘤。收到了25只犬的随访信息。4只死于无关原因,2只局部复发,15只目前无病(术后平均21.4个月),4只在报告的复查时报告无病,但失访(术后平均13个月)。研究中未发现犬死于与MCT相关的疾病。

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