Tsai Steven, Sutherland-Smith James, Burgess Kristine, Ruthazer Robin, Sato Amy
Department of Clinical Sciences, Cummings School of Veterinary Medicine at Tufts University, North Grafton, MA 01536, USA.
Vet Radiol Ultrasound. 2012 Jan-Feb;53(1):21-7. doi: 10.1111/j.1740-8261.2011.01863.x.
In this retrospective study, two observers independently reviewed thoracic imaging studies of 39 dogs with confirmed histiocytic sarcoma. The most common findings were intrathoracic lymphadenopathy, identified by the first and second observers in 82.1% and 87.2% of dogs, respectively, and pulmonary masses (74.4% and 82.1%). Right middle lung lobe masses were significantly more common than masses in any other lung lobe (P < 0.0013), with the majority having a ventral distribution. Sternal and tracheobronchial lymphadenopathy were significantly more common than cranial mediastinal lymphadenopathy (P-values of 0.0002 and 0.012, respectively). Interobserver agreement regarding distribution of lymphadenopathy and pulmonary masses was good (kappa = 0.64 and 0.75, respectively). Other findings included pulmonary nodules, pleural effusion, and abnormal pulmonary patterns. In patients with CT examinations, the majority of masses were mildly to moderately enhancing and heterogeneous, poorly marginated, and bronchocentric. Lymphadenopathy and pulmonary masses are the most common intrathoracic findings in dogs with histiocytic sarcoma, and the strong predilection for the ventral aspect of the right middle lung lube may help to differentiate it from other types of neoplasia.
在这项回顾性研究中,两名观察者独立回顾了39只确诊为组织细胞肉瘤的犬的胸部影像学研究。最常见的发现是胸内淋巴结病,第一名和第二名观察者分别在82.1%和87.2%的犬中发现,以及肺部肿块(74.4%和82.1%)。右中叶肺部肿块比其他任何肺叶的肿块明显更常见(P < 0.0013),大多数肿块分布在腹侧。胸骨旁和气管支气管淋巴结病比纵隔前部淋巴结病明显更常见(P值分别为0.0002和0.012)。观察者之间关于淋巴结病和肺部肿块分布的一致性良好(kappa分别为0.64和0.75)。其他发现包括肺结节、胸腔积液和异常肺部影像。在进行CT检查的患者中,大多数肿块有轻度至中度强化且不均匀,边界不清,以支气管为中心。淋巴结病和肺部肿块是组织细胞肉瘤犬最常见的胸内表现,并且对右中叶腹侧的强烈偏好可能有助于将其与其他类型的肿瘤区分开来。