Pradel J, Berlato D, Dobromylskyj M, Rasotto R
Oncology Unit, Animal Health Trust, Newmarket, Suffolk, UK.
Finn Pathologists, Histopathology Department, Harleston, Norfolk, UK.
Vet Comp Oncol. 2018 Dec;16(4):518-528. doi: 10.1111/vco.12410. Epub 2018 Jul 1.
Metastatic rates and survival times of canine anal sac gland adenocarcinomas (ASGACs) vary among studies, making prognostication difficult. Little is known about the prognostic significance of histopathology of ASGACs. This retrospective study investigated associations between histological features, clinical presentation and outcome for 39 ASGACs. Most tumours were incompletely excised (62%) and had moderate to marked peripheral infiltration (74%). The predominant growth pattern was solid, tubules/rosettes/pseudorosettes and papillary in 49%, 46% and 5% of the cases, respectively. Nuclear pleomorphism was either moderate (77%) or mild (23%). Necrosis and lymphovascular invasion were present in 54% and 10% of the cases, respectively. All histological features except mitotic count and necrosis were associated with nodal metastasis at presentation. A statistically significant poorer outcome was identified for tumours with a solid growth pattern, moderate or marked peripheral infiltration, necrosis and lymphovascular invasion. These results need further validation in a larger cohort of dogs.
犬肛门囊腺癌(ASGACs)的转移率和生存时间在不同研究中有所差异,这使得预后判断变得困难。关于ASGACs组织病理学的预后意义,人们了解甚少。这项回顾性研究调查了39例ASGACs的组织学特征、临床表现与预后之间的关联。大多数肿瘤切除不完全(62%),且有中度至明显的外周浸润(74%)。主要生长模式分别为实性、小管/玫瑰花结/假玫瑰花结和乳头状,各占病例的49%、46%和5%。核异型性为中度(77%)或轻度(23%)。分别有54%和10%的病例出现坏死和淋巴管浸润。除有丝分裂计数和坏死外,所有组织学特征均与就诊时的淋巴结转移有关。对于具有实性生长模式、中度或明显外周浸润、坏死和淋巴管浸润的肿瘤,确定其预后明显较差。这些结果需要在更大的犬类队列中进一步验证。