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接受放射治疗的犬鼻内肉瘤的生存时间:86例(1996 - 2011年)

Survival times for canine intranasal sarcomas treated with radiation therapy: 86 cases (1996-2011).

作者信息

Sones Evan, Smith Annette, Schleis Stephanie, Brawner William, Almond Gregory, Taylor Kathryn, Haney Siobhan, Wypij Jackie, Keyerleber Michele, Arthur Jennifer, Hamilton Terrance, Lawrence Jessica, Gieger Tracy, Sellon Rance, Wright Zack

机构信息

Department of Clinical Sciences, Auburn University College of Veterinary Medicine, AL, USA.

出版信息

Vet Radiol Ultrasound. 2013 Mar-Apr;54(2):194-201. doi: 10.1111/vru.12006. Epub 2012 Dec 26.

Abstract

Sarcomas comprise approximately one-third of canine intranasal tumors, however few veterinary studies have described survival times of dogs with histologic subtypes of sarcomas separately from other intranasal tumors. One objective of this study was to describe median survival times for dogs treated with radiation therapy for intranasal sarcomas. A second objective was to compare survival times for dogs treated with three radiation therapy protocols: daily-fractionated radiation therapy; Monday, Wednesday, and Friday fractionated radiation therapy; and palliative radiation therapy. Medical records were retrospectively reviewed for dogs that had been treated with radiation therapy for confirmed intranasal sarcoma. A total of 86 dogs met inclusion criteria. Overall median survival time for included dogs was 444 days. Median survival time for dogs with chondrosarcoma (n = 42) was 463 days, fibrosarcoma (n = 12) 379 days, osteosarcoma (n = 6) 624 days, and undifferentiated sarcoma (n = 22) 344 days. Dogs treated with daily-fractionated radiation therapy protocols; Monday, Wednesday and Friday fractionated radiation therapy protocols; and palliative radiation therapy protocols had median survival times of 641, 347, and 305 days, respectively. A significant difference in survival time was found for dogs receiving curative intent radiation therapy vs. palliative radiation therapy (P = 0.032). A significant difference in survival time was also found for dogs receiving daily-fractionated radiation therapy vs. Monday, Wednesday and Friday fractionated radiation therapy (P = 0.0134). Findings from this study support the use of curative intent radiation therapy for dogs with intranasal sarcoma. Future prospective, randomized trials are needed for confirmation of treatment benefits.

摘要

肉瘤约占犬鼻腔肿瘤的三分之一,然而很少有兽医研究分别描述患有肉瘤组织学亚型的犬与其他鼻腔肿瘤的生存时间。本研究的一个目的是描述接受放射治疗的鼻腔肉瘤犬的中位生存时间。第二个目的是比较接受三种放射治疗方案的犬的生存时间:每日分次放射治疗;周一、周三和周五分次放射治疗;以及姑息性放射治疗。对确诊为鼻腔肉瘤并接受放射治疗的犬的病历进行回顾性审查。共有86只犬符合纳入标准。纳入犬的总体中位生存时间为444天。软骨肉瘤(n = 42)犬的中位生存时间为463天,纤维肉瘤(n = 12)犬为379天,骨肉瘤(n = 6)犬为624天,未分化肉瘤(n = 22)犬为344天。接受每日分次放射治疗方案、周一、周三和周五分次放射治疗方案以及姑息性放射治疗方案的犬的中位生存时间分别为641天、347天和305天。发现接受根治性放射治疗的犬与接受姑息性放射治疗的犬在生存时间上存在显著差异(P = 0.032)。接受每日分次放射治疗的犬与接受周一、周三和周五分次放射治疗的犬在生存时间上也存在显著差异(P = 0.0134)。本研究结果支持对鼻腔肉瘤犬使用根治性放射治疗。未来需要进行前瞻性、随机试验以证实治疗益处。

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