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英国马肿瘤的数据库调查。

A database survey of equine tumours in the United Kingdom.

作者信息

Knowles E J, Tremaine W H, Pearson G R, Mair T S

机构信息

Bell Equine Veterinary Clinic, Mereworth, UK.

Department of Clinical Veterinary Science, University of Bristol, Langford, UK.

出版信息

Equine Vet J. 2016 May;48(3):280-4. doi: 10.1111/evj.12421. Epub 2015 Mar 19.

Abstract

REASONS FOR PERFORMING STUDY

Survey data on equine tumours are sparse compared with other species and may have changed over time.

OBJECTIVES

To describe the most frequently diagnosed equine tumours recorded by a diagnostic pathology laboratory over 29 years, to identify background factors associated with tumour type, and to identify any changes in the tumours diagnosed or the background of cases submitted during the study period.

STUDY DESIGN

Observational; cross-sectional analysis of records of a diagnostic pathology laboratory.

METHODS

The records of all neoplastic equine histology submissions to the University of Bristol (January 1982-December 2010) were accessed from a database, and a list of diagnoses compiled. The 6 most commonly diagnosed tumour types were analysed using logistic regression to identify background factors associated with tumour type. The overall population of equine tumour submissions and the relative frequency of diagnosis of the most common tumour types were compared between decades.

RESULTS

There were 964 cases included. The most frequently diagnosed tumours were: sarcoid (24% cases), squamous cell carcinoma (SCC) (19%), lymphoma (14%), melanoma (6%), gonadal stromal tumour (6%) and mast cell tumour (MCT) (4%). With sarcoid, Thoroughbred/Thoroughbred cross and gelding as reference categories: increasing age was significantly associated with the odds of each of the other tumour types, mares were at reduced risk of SCC, Arab/Arab cross had a higher risk of MCT, Cob/Cob cross had an increased risk of SCC and MCT, and ponies had an increased risk of melanoma. The mean age of submissions increased in each successive decade and the breed composition became broader. Sarcoids and lymphoma formed a smaller proportion of diagnoses in later decades.

CONCLUSIONS

The types of tumours submitted to this laboratory have changed over the last 3 decades. Current data inform clinicians and researchers and further studies are warranted to follow trends.

摘要

开展本研究的原因

与其他物种相比,马肿瘤的调查数据较为稀少,且可能随时间发生了变化。

目的

描述一家诊断病理实验室在29年间记录的最常诊断出的马肿瘤,确定与肿瘤类型相关的背景因素,并确定研究期间诊断出的肿瘤或提交病例背景的任何变化。

研究设计

观察性研究;对诊断病理实验室记录进行横断面分析。

方法

从数据库中获取1982年1月至2010年12月提交至布里斯托大学的所有马肿瘤组织学送检记录,并编制诊断清单。使用逻辑回归分析6种最常诊断出的肿瘤类型,以确定与肿瘤类型相关的背景因素。比较了几十年间马肿瘤送检的总体情况以及最常见肿瘤类型的相对诊断频率。

结果

共纳入964例病例。最常诊断出的肿瘤为:肉瘤样瘤(24%的病例)、鳞状细胞癌(SCC)(19%)、淋巴瘤(14%)、黑色素瘤(6%)、性腺间质肿瘤(6%)和肥大细胞瘤(MCT)(4%)。以肉瘤样瘤、纯种马/纯种马杂交马和去势公马作为参照类别:年龄增长与其他每种肿瘤类型的发生几率显著相关,母马患SCC的风险较低,阿拉伯马/阿拉伯马杂交马患MCT的风险较高,科柏马/科柏马杂交马患SCC和MCT的风险增加,而矮种马患黑色素瘤的风险增加。送检病例的平均年龄在随后的几十年中有所增加,品种构成也更加广泛。在随后几十年中,肉瘤样瘤和淋巴瘤在诊断中所占比例较小。

结论

在过去30年中,提交至该实验室的肿瘤类型发生了变化。当前数据为临床医生和研究人员提供了信息,有必要开展进一步研究以跟踪相关趋势。

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