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犬腹部肿块的起源部位与恶性风险相关:123例回顾性研究

The Site of Origin of Canine Abdominal Masses Correlates with the Risk of Malignancy: Retrospective Study of 123 Cases.

作者信息

Valenti Paola, Pellegrino Valeria, Muscatello Luisa Vera, Brunetti Barbara, Zambon Elisa, Gerboni Gian Marco, Alberti Monica, Avallone Giancarlo

机构信息

Clinica Veterinaria Malpensa, Samarate, 21017 Varese, Italy.

Department of Veterinary Medical Sciences, University of Bologna, Ozzano dell'Emilia, 40064 Bologna, Italy.

出版信息

Animals (Basel). 2021 Mar 30;11(4):962. doi: 10.3390/ani11040962.

DOI:10.3390/ani11040962
PMID:33808440
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8065481/
Abstract

The detection of an abdominal mass represents a common finding in clinical practice. The aim of this study was to retrospectively describe the tissue distribution and diagnosis of abdominal masses amenable to surgical removal in a canine population. Dogs with abdominal masses with a minimum diameter of 3 cm were selected. Cases were classified, based on the anatomical location, as splenic, gastrointestinal, hepatobiliary, genital, and masses not associated with any organ. Masses were surgically removed and formalin-fixed for the histological examination. Collected data were statistically analyzed. A total of 123 masses were collected from 122 dogs. Sixty-nine masses were classified as malignant neoplasia, 15 as benign, and 39 as non-neoplastic. The abdominal masses were 5.8-fold more likely to be malignant if located in the gastrointestinal tract ( = 0.01). A significant association between the size and the site of the masses was identified, the masses not associated with any organ being larger than the genital and splenic lesions ( = 0.008). This case series describes the most frequent location in association with the histopathological diagnosis of canine abdominal masses and suggests that the gastrointestinal location was related to a higher risk of representing a malignant neoplasm.

摘要

腹部肿块的检测是临床实践中的常见发现。本研究的目的是回顾性描述犬类群体中适合手术切除的腹部肿块的组织分布和诊断情况。选择最小直径为3 cm的腹部肿块犬。根据解剖位置,病例分为脾脏、胃肠道、肝胆、生殖器官以及与任何器官均无关的肿块。肿块通过手术切除并经福尔马林固定用于组织学检查。对收集的数据进行统计分析。共从122只犬身上收集了123个肿块。69个肿块被分类为恶性肿瘤,15个为良性,39个为非肿瘤性。如果位于胃肠道,腹部肿块为恶性的可能性要高5.8倍(P = 0.01)。确定了肿块大小与部位之间存在显著关联,与任何器官均无关的肿块大于生殖器官和脾脏病变(P = 0.008)。本病例系列描述了犬腹部肿块组织病理学诊断最常见的部位,并表明胃肠道部位与代表恶性肿瘤的较高风险相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8773/8065481/5544c350696a/animals-11-00962-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8773/8065481/39bac514a16c/animals-11-00962-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8773/8065481/ff61f5bb914a/animals-11-00962-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8773/8065481/faa9e1c3f653/animals-11-00962-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8773/8065481/5544c350696a/animals-11-00962-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8773/8065481/39bac514a16c/animals-11-00962-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8773/8065481/ff61f5bb914a/animals-11-00962-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8773/8065481/faa9e1c3f653/animals-11-00962-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8773/8065481/5544c350696a/animals-11-00962-g004.jpg

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本文引用的文献

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Splenic mass diagnosis in dogs undergoing splenectomy according to breed size.根据犬种体型大小进行脾切除术的犬脾脏肿块诊断。
Vet Rec. 2019 May 18;184(20):620. doi: 10.1136/vr.104983. Epub 2019 Apr 30.
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Ultrasonographic and CT accuracy in localising surgical- or necropsy- confirmed solitary hepatic masses in dogs.超声检查和CT在定位经手术或尸检证实的犬肝脏孤立性肿块中的准确性。
J Small Anim Pract. 2019 May;60(5):274-279. doi: 10.1111/jsap.12977. Epub 2019 Feb 7.
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Extruded gallbladder mucoceles have characteristic ultrasonographic features and extensive migratory capacity in dogs.
挤出性胆囊黏液囊肿在犬类中具有特征性超声特征和广泛的迁移能力。
Vet Radiol Ultrasound. 2018 Nov;59(6):744-748. doi: 10.1111/vru.12673. Epub 2018 Aug 6.
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Clinical characteristics and outcome in dogs with small cell T-cell intestinal lymphoma.患有小细胞T细胞肠道淋巴瘤的犬只的临床特征及预后
Vet Comp Oncol. 2018 Sep;16(3):337-343. doi: 10.1111/vco.12384. Epub 2018 Jan 11.
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Evaluation of canine hepatic masses by use of triphasic computed tomography and B-mode, color flow, power, and pulsed-wave Doppler ultrasonography and correlation with histopathologic classification.利用三相计算机断层扫描、B 型、彩色血流、能量及脉冲波多普勒超声对犬肝脏肿块进行评估,并与组织病理学分类进行相关性分析。
Am J Vet Res. 2017 Nov;78(11):1273-1283. doi: 10.2460/ajvr.78.11.1273.
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Occurrence and Clinicopathologic Features of Splenic Neoplasia Based on Body Weight: 325 Dogs (2003-2013).基于体重的犬脾脏肿瘤的发生情况及临床病理特征:325只犬(2003 - 2013年)
J Am Anim Hosp Assoc. 2016 Jul-Aug;52(4):220-6. doi: 10.5326/JAAHA-MS-6346. Epub 2016 Jun 3.
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