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对比增强计算机断层扫描可能有助于对犬胃肿瘤进行特征描述和分期。

Contrast-enhanced computed tomography may be helpful for characterizing and staging canine gastric tumors.

作者信息

Tanaka Toshiyuki, Akiyoshi Hideo, Mie Keiichiro, Okamoto Mari, Yoshida Yuuki, Kurokawa Shohei

机构信息

Laboratory of Veterinary Surgery, Department of Graduate School of Life and Environmental Sciences, Osaka Prefecture University, Izumisano-shi, Osaka, 598-8531, Japan.

Kinki Animal Medical Training Institute & Veterinary Clinic, Higashiosaka, Osaka, 578-0984, Japan.

出版信息

Vet Radiol Ultrasound. 2019 Jan;60(1):7-18. doi: 10.1111/vru.12677. Epub 2018 Aug 19.

Abstract

In humans, computed tomography (CT) is a widely performed technique for the diagnosis and staging of gastric tumors. The purpose of this retrospective case series study was to describe CT findings in a group of dogs with confirmed gastric tumors. For each included dog, the following CT parameters were recorded: gastric tumor location, tumor shape, gastric involvement pattern, tumor enhancement pattern in early and late phases, presence and location of lymphadenopathy, gastric tumor attenuation values, attenuation values of enlarged lymph nodes, maximum short-axis diameter (mm) of enlarged lymph node, maximum long-axis diameter (mm) of enlarged lymph node, and short-axis diameter to long-axis diameter ratio (short axis/long axis). A total of 16 dogs met inclusion criteria and had the following final diagnoses: five lymphoma, six adenocarcinoma, three inflammatory polyps, and two leiomyoma. In the early- and delayed-phase postcontrast images, the mean CT attenuation value for lymphoma was lower than that of other gastric tumors. Lymphadenopathy was widespread in lymphomas and regional in adenocarcinomas. Lymphadenopathy was not detected in leiomyomas. Lymph node measurements in lymphoma were larger than lymph node measurements in adenocarcinoma. Although there were overlapping findings for the different types of gastric tumors, contrast-enhanced CT provided helpful information for characterizing gastric tumors based on the following criteria: early and late enhancement patterns, the site of origin of the mass lesion, and extent of local invasion and distant metastases. Lymphoma should be considered for canine gastric tumors with low mean attenuation values during early- and delayed-phase postcontrast images, and widespread, bulky, and rounded lymphadenopathy.

摘要

在人类中,计算机断层扫描(CT)是一种广泛用于胃肿瘤诊断和分期的技术。本回顾性病例系列研究的目的是描述一组确诊为胃肿瘤的犬的CT表现。对于每只纳入的犬,记录以下CT参数:胃肿瘤位置、肿瘤形状、胃受累模式、早期和晚期肿瘤强化模式、淋巴结病的存在及位置、胃肿瘤衰减值、肿大淋巴结的衰减值、肿大淋巴结的最大短轴直径(mm)、肿大淋巴结的最大长轴直径(mm)以及短轴直径与长轴直径之比(短轴/长轴)。共有16只犬符合纳入标准并得到以下最终诊断:5例淋巴瘤、6例腺癌、3例炎性息肉和2例平滑肌瘤。在对比剂注射后的早期和延迟期图像中,淋巴瘤的平均CT衰减值低于其他胃肿瘤。淋巴瘤中的淋巴结病广泛存在,腺癌中的淋巴结病为局部性。平滑肌瘤中未检测到淋巴结病。淋巴瘤中的淋巴结测量值大于腺癌中的淋巴结测量值。尽管不同类型的胃肿瘤存在重叠表现,但对比增强CT根据以下标准为胃肿瘤的特征性诊断提供了有用信息:早期和晚期强化模式、肿块病变的起源部位以及局部侵犯和远处转移的范围。对于在对比剂注射后的早期和延迟期图像中平均衰减值较低且存在广泛、肿大且圆形淋巴结病的犬胃肿瘤,应考虑淋巴瘤的诊断。

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