Barrett Laura E, Pollard Rachel E, Zwingenberger Allison, Zierenberg-Ripoll Alexandra, Skorupski Katherine A
University of California, Davis, School of Veterinary Medicine, Veterinary Medical Teaching Hospital, Davis, CA, 95616.
Vet Radiol Ultrasound. 2014 Sep-Oct;55(5):480-7. doi: 10.1111/vru.12154. Epub 2014 Mar 27.
Primary pulmonary neoplasia is well recognized in dogs and prognosis depends upon the tumor type. The purpose of this retrospective study was to characterize the radiographic appearance of different primary lung tumors with the goal of establishing imaging criteria to separate the different types. Three-view thoracic radiographs of 74 dogs with histologically confirmed pulmonary anaplastic carcinoma (n = 2), adenocarcinoma (n = 31), bronchioalveolar carcinoma (n = 19), histiocytic sarcoma (n = 21), and squamous cell carcinoma (n = 1) were evaluated. Radiographs were assessed for tumor volume, affected lobe, location within lobe, overall pulmonary pattern, presence of cavitation, mineralization, air bronchograms, lymphadenomegaly, and pleural fluid. Histiocytic sarcomas were significantly larger than other tumor types (271 cm(3); P = 0.009) and most likely to be found in the left cranial (38%; 8/21) and right middle (43%; 9/21) lung lobes, whereas adenocarcinomas were most likely to be found in the left caudal (29%; 9/31) lung lobe. Fifty-seven percent (12/21) of histiocytic sarcomas had an internal air bronchogram. Findings indicate that a large mass in the periphery or affecting the whole lobe of the right middle or left cranial lung lobe with an internal air bronchogram is likely to be an histiocytic sarcoma.
原发性肺肿瘤在犬类中已得到充分认识,其预后取决于肿瘤类型。这项回顾性研究的目的是描述不同原发性肺肿瘤的放射学表现,以期建立区分不同类型的影像学标准。对74只组织学确诊为肺间变性癌(n = 2)、腺癌(n = 31)、细支气管肺泡癌(n = 19)、组织细胞肉瘤(n = 21)和鳞状细胞癌(n = 1)的犬的胸部三联X光片进行了评估。对X光片评估了肿瘤体积、受累肺叶、肺叶内位置、整体肺部形态、空洞形成、矿化、空气支气管征、淋巴结肿大及胸腔积液情况。组织细胞肉瘤明显大于其他肿瘤类型(271 cm³;P = 0.009),最常出现在左颅侧(38%;8/21)和右中叶(43%;9/21)肺叶,而腺癌最常出现在左尾侧(29%;9/31)肺叶。57%(12/21)的组织细胞肉瘤有内部空气支气管征。研究结果表明,外周出现的或累及右中叶或左颅侧肺叶全叶且有内部空气支气管征的大肿块很可能是组织细胞肉瘤。