Carozzi Gregorio, Zotti Alessandro, Alberti Monica, Rossi Federica
Clinica Veterinaria dell'Orologio, Via Gramsci 1/4, 40037 Sasso Marconi, Bologna, Italy.
Department of Animal Medicine, Production and Health, University of Padua, Viale dell'Università 16, 35020, Legnaro (PD), Padua.
Vet Radiol Ultrasound. 2015 Nov-Dec;56(6):628-37. doi: 10.1111/vru.12278. Epub 2015 Jul 14.
Computed tomography (CT) is commonly used to investigate head tumors in dogs, however little information is available for lesions of the pharyngeal area. The purpose of this multicentric, retrospective, cross-sectional study was to describe the CT findings in a sample of dogs with pathologically confirmed pharyngeal neoplasia and determine whether any CT features allowed differentiation of tumor type. Location of lesions, size and shape, margins, relationship with surrounding structures and vessels, attenuation characteristics and enhancement pattern, regional lymph node changes, and presence of metastasis were recorded by three observers (1 DECVDI). The effect of final diagnosis on each CT feature was tested. A total of 25 dogs were included: 15 with carcinomas, five sarcomas, four melanomas, and one lymphoma. The oropharynx and laryngopharynx were more frequently involved. Among tumor groups, lesions were of similar size, irregularly shaped, had ill-defined margins, and had moderate-to-marked heterogeneous contrast enhancement. Lysis of hyoid bones was recorded in two carcinomas and infiltration of the lingual artery occurred in one case. Marked medial retropharyngeal lymphoadenomegaly was recorded in 11 of 14 carcinomas, in all sarcomas and in two of four melanomas. The single lymphoma case showed ill-defined thickening of the oropharyngeal and laryngeal wall with retropharyngeal and mandibular lymphadenomegaly. Lung metastases were found in two of five sarcomas and two of four melanomas. Findings from the current study did not support the hypothesis that CT features could be used to predict pharyngeal tumor type in dogs. However, CT was helpful for determining mass extension, lymph node involvement, and distant metastatic spread.
计算机断层扫描(CT)常用于检查犬类头部肿瘤,但关于咽部区域病变的信息却很少。这项多中心、回顾性、横断面研究的目的是描述经病理证实患有咽部肿瘤的犬类样本的CT表现,并确定是否有任何CT特征能够区分肿瘤类型。三名观察者(1名兽医诊断影像学专家)记录了病变的位置、大小和形状、边缘、与周围结构和血管的关系、衰减特征和强化模式、区域淋巴结变化以及转移情况。测试了最终诊断对每个CT特征的影响。总共纳入了25只犬:15只患有癌,5只患有肉瘤,4只患有黑色素瘤,1只患有淋巴瘤。口咽和喉咽受累更为常见。在肿瘤组中,病变大小相似,形状不规则,边缘不清,对比增强呈中度至明显不均匀。在两只患有癌的犬中记录到舌骨溶解,在一例中出现舌动脉浸润。在14只患有癌的犬中有11只、所有肉瘤以及4只患有黑色素瘤的犬中有2只记录到明显的咽后内侧淋巴结肿大。唯一的淋巴瘤病例显示口咽和喉壁增厚且边界不清,伴有咽后和下颌淋巴结肿大。在5只患有肉瘤的犬中有2只以及4只患有黑色素瘤的犬中有2只发现了肺转移。本研究结果不支持CT特征可用于预测犬类咽部肿瘤类型这一假设。然而,CT有助于确定肿块范围、淋巴结受累情况以及远处转移扩散。