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犬脾脏非血管生成性和非淋巴瘤性肉瘤:57例(1975 - 1987年)

Nonangiogenic and nonlymphomatous sarcomas of the canine spleen: 57 cases (1975-1987).

作者信息

Weinstein M J, Carpenter J L, Schunk C J

机构信息

Department of Surgery, Foster Hospital for Small Animals, Tufts University School of Veterinary Medicine, North Grafton, MA 01536.

出版信息

J Am Vet Med Assoc. 1989 Sep 15;195(6):784-8.

PMID:2551865
Abstract

The case records of and histopathologic findings in 57 dogs with nonangiogenic and nonlymphomatous splenic sarcomas were reviewed. Splenic neoplasms in these dogs included leiomyosarcoma, fibrosarcoma, undifferentiated sarcoma, liposarcoma, osteosarcoma, chondrosarcoma, myxosarcoma, rhabdomyosarcoma, and fibrous histiocytoma. The clinical signs associated with splenic sarcoma included anorexia or decreased appetite, abdominal distention, polydipsia, lethargy, vomiting, weight loss, and weakness. An abdominal mass was detected in 86% of the dogs by use of abdominal palpation (63%), and/or abdominal radiography (74%). The diagnosis was based on histopathologic findings in the spleen. Abdominal exploratory surgery was performed on 43 of the 57 dogs. Twenty-seven dogs were treated by splenectomy, and 16 were euthanatized at the time of surgery because of widespread metastatic lesions. Of the 14 dogs on which surgery was not performed, 11 were euthanatized on the basis of results of preoperative diagnostic tests, and the remaining 3 dogs had splenic neoplasms that were incidental findings at necropsy. Of the 27 surgically treated dogs, 5 died in the immediate postoperative period, 12 died or were euthanatized within 1 year after splenectomy, and only 5 dogs survived greater than or equal to 1 year. Three dogs were lost to follow-up evaluation, and 2 were still alive 6 and 7 months after surgery. The median survival time of the 22 dogs for which survival was known was 2.5 months. The median survival time for 11 dogs with no obvious metastasis at the time of splenectomy was 9 months.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

回顾了57只患有非血管生成性和非淋巴瘤性脾肉瘤犬的病例记录及组织病理学检查结果。这些犬的脾肿瘤包括平滑肌肉瘤、纤维肉瘤、未分化肉瘤、脂肪肉瘤、骨肉瘤、软骨肉瘤、黏液肉瘤、横纹肌肉瘤和纤维组织细胞瘤。与脾肉瘤相关的临床症状包括厌食或食欲减退、腹胀、多饮、嗜睡、呕吐、体重减轻和虚弱。通过腹部触诊(63%)和/或腹部X线摄影(74%),在86%的犬中检测到腹部肿块。诊断基于脾脏的组织病理学检查结果。57只犬中有43只接受了腹部探查手术。27只犬接受了脾切除术治疗,16只犬因广泛转移病变在手术时实施了安乐死。在未进行手术的14只犬中,11只根据术前诊断测试结果实施了安乐死,其余3只犬的脾肿瘤是尸检时的偶然发现。在接受手术治疗的27只犬中,5只在术后即刻死亡,12只在脾切除术后1年内死亡或实施了安乐死,只有5只犬存活时间大于或等于1年。3只犬失访,2只犬在手术后6个月和7个月时仍然存活。已知存活的22只犬的中位生存时间为2.5个月。脾切除时无明显转移的11只犬的中位生存时间为9个月。(摘要截选至250词)

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