Coyle V J, Rassnick K M, Borst L B, Rodriguez C O, Northrup N C, Fan T M, Garrett L D
College of Veterinary Medicine, University of Illinois, Urbana, IL, USA.
College of Veterinary Medicine, Cornell University, Ithaca, NY, USA.
Vet Comp Oncol. 2015 Jun;13(2):89-97. doi: 10.1111/vco.12020. Epub 2013 Feb 15.
The purpose of this retrospective study was to describe the biological behaviour of canine mandibular osteosarcoma (OSA) and to examine factors for their impact on metastasis-free interval (MFI) and survival time (ST). Records from dogs treated with mandibulectomy for OSA (1999-2007) were reviewed. Archived tumour samples were evaluated for mitotic index (MI) and tumour grade. Fifty dogs were included, 21 received chemotherapy. Twenty-nine dogs (58%) developed metastatic disease. The median MFI was 627 days, and median ST was 525 days. In univariate analysis MI > 40 was prognostic for decreased MFI and ST. Grade also influenced MFI and ST, with 5/21 (24%) dogs with grade II/III tumours metastasis-free at one year versus 16/22 (72%) dogs with grade I tumours (P = 0.002); and 5/21 (24%) dogs with grade II/III tumours alive versus 17/22 (77%) dogs with grade I tumours (P = 0.001). In multivariate analysis, histological grade and adjuvant chemotherapy were prognostic for MFI and ST.
本回顾性研究的目的是描述犬下颌骨肉瘤(OSA)的生物学行为,并研究影响无转移生存期(MFI)和生存时间(ST)的因素。回顾了1999年至2007年接受下颌骨切除术治疗OSA的犬的记录。对存档的肿瘤样本进行有丝分裂指数(MI)和肿瘤分级评估。纳入50只犬,其中21只接受了化疗。29只犬(58%)发生了转移性疾病。中位MFI为627天,中位ST为525天。单因素分析中,MI>40提示MFI和ST降低。分级也影响MFI和ST,21只II/III级肿瘤犬中有5只(24%)在1年时无转移,而22只I级肿瘤犬中有16只(72%)无转移(P=0.002);21只II/III级肿瘤犬中有5只(24%)存活,而22只I级肿瘤犬中有17只(77%)存活(P=0.001)。多因素分析中,组织学分级和辅助化疗对MFI和ST具有预后意义。