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犬脾脏肿块。第1部分:249例病例(2000 - 2011年)的流行病学、临床特征及组织病理学诊断

Splenic masses in dogs. Part 1: Epidemiologic, clinical characteristics as well as histopathologic diagnosis in 249 cases (2000-2011).

作者信息

Eberle N, von Babo V, Nolte I, Baumgärtner W, Betz D

机构信息

Small Animal Hospital, University of Veterinary Medicine Hannover.

出版信息

Tierarztl Prax Ausg K Kleintiere Heimtiere. 2012;40(4):250-60.

Abstract

OBJECTIVE

Splenic masses have a high prevalence and are more common than diffuse splenic enlargement in dogs. It was the aim of the present study to retrospectively describe clinical aspects and histopathologic characteristics of dogs with splenic masses.

MATERIAL AND METHODS

Records of patients with a histologically diagnosed splenic mass between January 2000 and March 2011 were reviewed.

RESULTS

249 dogs met the inclusion criteria and could be included in the study. Splenic masses were diagnosed histologically as non-malignant disease (n=117; 47%) and malignant splenic disease (n=132; 53%). Hemangiosarcoma was the most common histological diagnosis (n=97; 73.5%). Other malignant tumors included sarcoma (n=14), fibrohistiocytic nodules (n=9) as well as lymphoma, blastoma and adenocarcinoma. The non-malignant masses consisted of nodular hyperplasia (n=60), splenic hematoma (n=41), and splenitis (n=6). Dogs with hemoperitoneum had a higher frequency of splenic neoplasia.

CONCLUSION

The results corroborate previous findings that hemangiosarcoma is the most frequent neoplasm of the canine spleen. However, in approximately half of the cases benign lesions were histologically diagnosed.

CLINICAL RELEVANCE

It is essential that a frank discussion is held with owners regarding the prognosis associated with the treatment of dogs with a splenic mass associated with hemoperitoneum.

摘要

目的

脾脏肿块在犬类中具有较高的患病率,且比脾脏弥漫性肿大更为常见。本研究的目的是回顾性描述患有脾脏肿块的犬类的临床特征和组织病理学特征。

材料与方法

回顾了2000年1月至2011年3月间组织学诊断为脾脏肿块的患者记录。

结果

249只犬符合纳入标准并可纳入本研究。脾脏肿块经组织学诊断为非恶性疾病(n = 117;47%)和恶性脾脏疾病(n = 132;53%)。血管肉瘤是最常见的组织学诊断(n = 97;73.5%)。其他恶性肿瘤包括肉瘤(n = 14)、纤维组织细胞瘤结节(n = 9)以及淋巴瘤、母细胞瘤和腺癌。非恶性肿块包括结节性增生(n = 60)、脾血肿(n = 41)和脾炎(n = 6)。有腹腔积血的犬脾脏肿瘤的发生率更高。

结论

结果证实了先前的发现,即血管肉瘤是犬脾脏最常见的肿瘤。然而,在大约一半的病例中,组织学诊断为良性病变。

临床意义

必须与犬主就患有与腹腔积血相关的脾脏肿块的犬的治疗预后进行坦诚的讨论。

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