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母犬乳腺肿瘤的临床分期:肿瘤类型和组织学分级的影响。

Clinical staging in bitches with mammary tumors: Influence of type and histological grade.

作者信息

Gundim Lígia F, de Araújo Camila P, Blanca William T, Guimarães Ednaldo C, Medeiros Alessandra A

机构信息

Laboratory of Veterinary Pathology, Faculty of Animal Medicine, Federal University of Uberlândia, Av. Mato Grosso, 3289, Bloco 2S. Campus Umuarama. Uberlândia, MG. Brazil (Gundim, de Araújo, Blanca, Medeiros); Faculty of Mathematics, Federal University of Uberlândia, Av. João Naves de Ávila, 2121. Campus Santa Mônica. Uberlândia, MG. Brazil (Guimarães).

出版信息

Can J Vet Res. 2016 Oct;80(4):318-322.

Abstract

Breast tumors are the most common tumors in dogs and the study of disease prognostic factors is important for establishing the appropriate treatment protocols. The purpose of this study was to clinically stage mammary tumors of bitches and correlate the stages with histological type and grade. The tumors of 63 dogs were clinically staged based on the findings of tumor sizing, lymph node evaluation, and radiographic examination. After surgical excision, the tumors were classified histologically and graded. The relationship between the tumor grade, stage, and histological type was evaluated using a binomial test. Stage I tumors were the most numerous (31.75%), followed by tumors at stages II, III, IV, and V. Animals with histological grade I carcinomas presented stage I, II, or III tumors more frequently and stage IV and V tumors less frequently. The number of animals with simple carcinomas that were at stage I of the disease was greater than that at stage V. Carcinomas in the mixed tumors were less aggressive; however, the small number of animals in stage V of the disease made any statistical association impossible. The complex carcinomas presented with the invasion of the lymph nodes and less cellular differentiation in a larger number of animals than did simple carcinomas. Histological grading proved to be the best parameter for the prognostic evaluation of the breast carcinomas.

摘要

乳腺肿瘤是犬类中最常见的肿瘤,研究疾病的预后因素对于制定合适的治疗方案至关重要。本研究的目的是对母犬乳腺肿瘤进行临床分期,并将分期与组织学类型和分级相关联。根据肿瘤大小、淋巴结评估和影像学检查结果,对63只犬的肿瘤进行临床分期。手术切除后,对肿瘤进行组织学分类和分级。使用二项式检验评估肿瘤分级、分期和组织学类型之间的关系。I期肿瘤数量最多(31.75%),其次是II、III、IV和V期肿瘤。组织学分级为I级的癌性肿瘤动物,I、II或III期肿瘤出现频率更高,IV和V期肿瘤出现频率更低。处于疾病I期的单纯癌动物数量多于V期。混合性肿瘤中的癌侵袭性较小;然而,处于疾病V期的动物数量较少,无法进行任何统计学关联分析。与单纯癌相比,复杂癌在更多动物中表现出淋巴结浸润和细胞分化程度较低。组织学分级被证明是乳腺癌预后评估的最佳参数。

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