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犬组织细胞肉瘤的临床预后因素。

Clinical prognostic factors in canine histiocytic sarcoma.

作者信息

Dervisis N G, Kiupel M, Qin Q, Cesario L

机构信息

VA-MD College of Veterinary Medicine, Blacksburg, VA, USA.

出版信息

Vet Comp Oncol. 2017 Dec;15(4):1171-1180. doi: 10.1111/vco.12252. Epub 2016 Jun 23.

Abstract

Canine histiocytic sarcoma (HS) is an aggressive neoplasia with variable clinical course and fatal outcome. The goals of this study were to evaluate a large cohort of canine patients with immunohistochemically confirmed HS and identify clinical prognostic factors. Biopsy submissions to the Michigan State University with tentative HS diagnoses were histologically and immunohistochemically confirmed, medical records collected, and interviews with relevant veterinary clinics conducted. Of 1391 histopathology submissions with a diagnosis containing the word 'histiocytic', 335 were suspicious for malignancy, and 180 were consistent with HS and had adequate clinical information recorded. The most commonly represented breeds were Bernese mountain dogs (n = 53), labrador retrievers (n = 26) and golden retrievers (n = 17). Median survival for all dogs in the study was 170 days, and subgroup analysis identified palliative treatment, disseminated HS, and concurrent use of corticosteroids as statistically significant negative factors for survival, in both uni- and multi-variate methodologies.

摘要

犬组织细胞肉瘤(HS)是一种侵袭性肿瘤,临床病程多变,预后不良。本研究的目的是评估一大群经免疫组织化学确诊为HS的犬类患者,并确定临床预后因素。对密歇根州立大学提交的初步诊断为HS的活检样本进行组织学和免疫组织化学确认,收集病历,并与相关兽医诊所进行访谈。在1391份诊断中包含“组织细胞性”一词的组织病理学提交样本中,335份疑似恶性,180份与HS一致且记录了足够的临床信息。最常见的品种是伯恩山犬(n = 53)、拉布拉多寻回犬(n = 26)和金毛寻回犬(n = 17)。研究中所有犬的中位生存期为170天,亚组分析确定姑息治疗、播散性HS以及同时使用皮质类固醇在单变量和多变量方法中均为生存的统计学显著负性因素。

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