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42只患有肩胛肿瘤的犬接受肩胛骨切除术的临床结果:兽医外科肿瘤学会(VSSO)回顾性研究(1995 - 2010年)

Clinical outcome of 42 dogs with scapular tumors treated by scapulectomy: a Veterinary Society of Surgical Oncology (VSSO) retrospective study (1995-2010).

作者信息

Montinaro Vincenzo, Boston Sarah E, Buracco Paolo, Culp William T N, Romanelli Giorgio, Straw Rod, Ryan Stewart

机构信息

Department for Clinical Studies, Ontario Veterinary College, University of Guelph, Guelph, Canada.

出版信息

Vet Surg. 2013 Nov;42(8):943-50. doi: 10.1111/j.1532-950X.2013.12066.x.

Abstract

OBJECTIVE

To report signalment, clinical signs, preoperative staging tests, histologic diagnosis, surgical, and oncologic outcomes including postoperative limb use, in dogs with scapular tumors treated by scapulectomy.

STUDY DESIGN

Retrospective case series

ANIMALS

Dogs (n = 42) with scapular tumors.

METHODS

Medical records (1995-2010) from 6 hospitals were searched for dogs with scapular tumors treated by scapulectomy. Data retrieved were: signalment, weight, percentage of scapula removed, histologic diagnosis, postoperative limb use, adjunctive therapy, disease free interval (DFI), and survival time (ST). Individual variables were modeled with a Cox proportional hazard model accounting for censoring to determine risk factors for decreased DFI and ST. For categorical variables, Kaplan-Meier survival plots as well as mean and median survival times (MSTs) were calculated.

RESULTS

Subtotal scapulectomy was performed in 18 dogs (42.9%). Osteosarcoma (OSA) was diagnosed in 27 dogs (64.3%). Limb use was evaluated immediately after surgery in 41 dogs. Information on limb use at other times (1, 2, 3, and >3 months) postoperatively was also available for some dogs and was good to excellent overall. Only adjunctive chemotherapy had a positive significant effect on DFI (P = .00011) and ST (P = .0003).

CONCLUSION

Canine scapular tumors can be treated effectively by scapulectomy and limb use is fair to excellent for most dogs. OSA was the most common scapular tumor. Overall prognosis for scapular OSA is similar to appendicular OSA at other sites and use of adjunctive chemotherapy prolonged the overall DFI and MST.

摘要

目的

报告接受肩胛骨切除术治疗的肩胛部肿瘤犬的特征、临床症状、术前分期检查、组织学诊断、手术及肿瘤学结果,包括术后肢体使用情况。

研究设计

回顾性病例系列

动物

患有肩胛部肿瘤的犬(n = 42)

方法

检索6家医院1995年至2010年的病历,查找接受肩胛骨切除术治疗的肩胛部肿瘤犬。检索到的数据包括:特征、体重、切除肩胛骨的比例、组织学诊断、术后肢体使用情况、辅助治疗、无病生存期(DFI)和生存时间(ST)。使用Cox比例风险模型对个体变量进行建模,并考虑删失情况以确定DFI和ST降低的风险因素。对于分类变量,计算Kaplan-Meier生存曲线以及平均和中位生存时间(MST)。

结果

18只犬(42.9%)接受了次全肩胛骨切除术。27只犬(64.3%)被诊断为骨肉瘤(OSA)。41只犬在术后立即评估了肢体使用情况。部分犬还提供了术后其他时间点(1、2、3和>3个月)的肢体使用信息,总体情况良好至优秀。只有辅助化疗对DFI(P = 0.00011)和ST(P = 0.0003)有显著的积极影响。

结论

肩胛骨切除术可有效治疗犬肩胛部肿瘤,大多数犬的肢体使用情况良好至优秀。OSA是最常见的肩胛部肿瘤。肩胛部OSA的总体预后与其他部位的附肢OSA相似,辅助化疗的使用延长了总体DFI和MST。

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