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犬胃肠道后段腺癌——临床、内镜、组织病理学及免疫组化检查结果

Adenocarcinoma of the posterior segment of the gastrointestinal tract in dogs - clinical, endoscopic, histopathological and immunohistochemical findings.

作者信息

Spużak J, Ciaputa R, Kubiak K, Jankowski M, Glińska-Suchocka K, Poradowski D, Nowak M

机构信息

.

出版信息

Pol J Vet Sci. 2017 Sep 26;20(3):539-549. doi: 10.1515/pjvs-2017-0066.

DOI:10.1515/pjvs-2017-0066
PMID:29166282
Abstract

Of all the tumours in dogs, three percent are located in the intestines, and 36-60% of those tumours affect the large intestine. Adenocarcinomas of the intestines account for 20-35% of the gastrointestinal tumours and for almost 60% of the large intestine tumours. The aim of the study was to analyze clinical disorders and endoscopic, histopathological and immunohistochemical changes in colorectal adenocarcinomas in dogs with the use of the E-cadherin, β-catenin, cytokeratin 20 (CK20), Ki-67 and minichromosome maintenance 3 (MCM-3). The study comprised 11 dogs of both genders and of different breeds diagnosed with adenocarcinoma of the large intestine. They were from 4 to 11 years old. The large intestine adenocarcinoma was diagnosed in all the patients. 72.7% cases were diagnosed with a rectal adenocarcinoma, and 27.3% were found to have a colonic adenocarcinoma. All the studied proteins were expressed at different levels and, together with the histological findings, indicated different levels of malignancy (G). The statistical analysis revealed no statistically significant differences between the expression of E-cadherin and β-catenin in the studied tissues (p=0.79) and between the expression of Ki-67 andMCM-3 (p=0.39). A strong positive correlation was found between the expression of E-cadherin and β-catenin (r=0.86; p<0.05). The diagnosis of adenocarcinomas of the large intestine may be facilitated by the introduction of immunohistochemical studies using appropriate cell markers. They may also aid in the accurate evaluation of the biological character of the tumours, their origin, the connections between tumour cells and the mitotic index. That, in turn, may help determine the malignancy and the choice of treatment.

摘要

在犬类所有肿瘤中,3%位于肠道,其中36 - 60%的肿瘤发生在大肠。肠道腺癌占胃肠道肿瘤的20 - 35%,几乎占大肠肿瘤的60%。本研究的目的是利用E - 钙黏蛋白、β - 连环蛋白、细胞角蛋白20(CK20)、Ki - 67和微小染色体维持蛋白3(MCM - 3)分析犬结直肠癌的临床病症以及内镜、组织病理学和免疫组化变化。该研究纳入了11只不同性别和品种、被诊断为大肠腺癌的犬。它们年龄在4至11岁之间。所有患者均被诊断为大肠腺癌。72.7%的病例被诊断为直肠腺癌,27.3%被发现患有结肠腺癌。所有研究的蛋白均以不同水平表达,并且与组织学结果一起表明了不同程度的恶性(G)。统计分析显示,在所研究组织中E - 钙黏蛋白和β - 连环蛋白的表达之间(p = 0.79)以及Ki - 67和MCM - 3的表达之间(p = 0.39)无统计学显著差异。发现E - 钙黏蛋白和β - 连环蛋白的表达之间存在强正相关(r = 0.86;p < 0.05)。使用适当的细胞标志物进行免疫组化研究可能有助于大肠腺癌的诊断。它们还可能有助于准确评估肿瘤的生物学特性、起源、肿瘤细胞之间的联系以及有丝分裂指数。这反过来可能有助于确定恶性程度和治疗选择。

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