Department of Veterinary Sciences, University of Pisa, Pisa, Italy.
Vet Med Sci. 2020 Aug;6(3):265-271. doi: 10.1002/vms3.238. Epub 2020 Mar 23.
Obesity has been identified as a risk factor for developing breast cancer in post-menopausal period in humans and has been suspected to be associated with a worse prognosis also in the bitch. The aims of this study were to investigate the association between body condition score (BCS) and the prognosis of canine mammary carcinomas (CMCs) and the relationships between adiponectin expression and tumour behaviour. Seventy-three bitches with tubular, tubulopapillary, solid or complex carcinomas were included in the present study. For each dog, evaluation of BCS was conducted using a nine-point BCS system and the study population was divided into normal weight (4-5/9 points; n = 42), overweight (6-7/9 points; n = 19) and obese (8-9/9 points; n = 12). Type of diet (commercial, homemade or mixed) was recorded. After surgical excision, histological type, tumour size and nodal status were assessed and adiponectin expression was determined and quantified by immunohistochemistry and morphometric analysis. CMC histotype was not correlated with BCS, while a positive correlation between BCS and histological grade (p < .01) was observed. Overweight and obese bitches combined showed a shorter cancer-specific survival than normal weighted bitches (p < .01). Bitches fed with a homemade diet had a higher BCS than dogs fed with a commercial one, although no relationship was observed between diet and cancer-specific survival. Thirty-six CMCs scored positive for adiponectin expression (49%), but no correlation was found between the hormone expression and either CMC characteristics or prognosis. In conclusion, a higher BCS seems to be related with a higher prevalence of more aggressive CMCs and negatively affects the survival time in bitches with these mammary tumours.
肥胖已被确定为绝经后女性发生乳腺癌的一个风险因素,并且在母犬中也被怀疑与预后较差有关。本研究的目的是探讨体况评分(BCS)与犬乳腺肿瘤(CMCs)预后之间的关系,以及脂联素表达与肿瘤行为之间的关系。本研究纳入了 73 只患有管状、小管状乳头状、实体或复杂癌的母犬。对每只狗进行 9 分 BCS 系统评估,将研究人群分为正常体重(4-5/9 分;n=42)、超重(6-7/9 分;n=19)和肥胖(8-9/9 分;n=12)。记录了饮食类型(商业、自制或混合)。手术切除后,评估组织学类型、肿瘤大小和淋巴结状态,并通过免疫组织化学和形态计量分析确定和量化脂联素表达。CMC 组织类型与 BCS 无相关性,而 BCS 与组织学分级呈正相关(p<.01)。超重和肥胖犬的联合癌症特异性生存率低于正常体重犬(p<.01)。尽管与癌症特异性生存率之间没有关系,但食用自制饮食的犬比食用商业饮食的犬的 BCS 更高。36 个 CMC 对脂联素表达呈阳性(49%),但激素表达与 CMC 特征或预后之间均无相关性。总之,较高的 BCS 似乎与更具侵袭性的 CMC 发生率更高相关,并对患有这些乳腺肿瘤的母犬的生存时间产生负面影响。