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79只接受治疗的指部鳞状细胞癌犬的临床特征与预后:一项SIONCOV观察性研究

Clinical Features and Outcome of 79 Dogs With Digital Squamous Cell Carcinoma Undergoing Treatment: A SIONCOV Observational Study.

作者信息

Marconato Laura, Murgia Daniela, Finotello Riccardo, Meier Valeria, Morello Emanuela Maria, Pisoni Luciano, Foglia Armando, Guerra Dina, Chalfon Carmit, Aralla Marina, Mesto Paola, Annoni Maurizio, Albanese Francesco, Bettini Giuliano, Sabattini Silvia

机构信息

Department of Medical Veterinary Sciences, University of Bologna, Bologna, Italy.

Dick White Referrals, Six Mile Bottom, United Kingdom.

出版信息

Front Vet Sci. 2021 Apr 30;8:645982. doi: 10.3389/fvets.2021.645982. eCollection 2021.

Abstract

In dogs, digit squamous cell carcinoma (SCC) is uncommon. Clinical signs are frequently underestimated, leading to a diagnostic delay. The purpose of this retrospective study was to report our experience regarding the clinical presentation, diagnostic work-up, treatment and outcome of 79 client-owned dogs with SCC of the digit. The greatest majority (84.8%) of dogs was dark-coated. Schnauzers represented approximately one third of the study population, and had a poorer outcome compared with other breeds. The majority of SCCs occurred in the front limbs (61%), and bone lysis was frequently observed (92.4%). Approximately 9% of dogs had involvement of multiple digits, and this was associated with a shorter time to progression (TTP; = 0.047). Similarly, a duration of clinical signs >90 days was associated with a shorter TTP ( = 0.02). Regional lymph node metastases were documented in 17.7% of dogs at admission and were significantly associated with tumor-related death ( < 0.001). At presentation, none of the dogs had evidence of distant metastasis. Digit amputation achieved adequate local tumor control in the majority of cases. Adjuvant chemotherapy and radiation therapy were carried out in 21.5% of cases, with uncertain benefit. Due to the relatively non-aggressive clinical behavior of digit SCC, chemotherapy should only be offered in the case of metastatic disease. Approximately one fourth of dogs developed SCCs during the follow-up. Careful examination of the digits should be encouraged in breeds considered at high risk and in dogs with a previous history of digital SCC.

摘要

在犬类中,趾部鳞状细胞癌(SCC)并不常见。临床症状常常被低估,导致诊断延误。这项回顾性研究的目的是报告我们对79只客户拥有的患有趾部SCC的犬的临床表现、诊断检查、治疗及预后的经验。绝大多数(84.8%)犬的被毛颜色较深。雪纳瑞犬约占研究群体的三分之一,与其他品种相比预后较差。大多数SCC发生在前肢(61%),并且经常观察到骨溶解(92.4%)。约9%的犬有多趾受累,这与较短的疾病进展时间(TTP;P = 0.047)相关。同样,临床症状持续时间>90天与较短的TTP相关(P = 0.02)。17.7%的犬在入院时记录有区域淋巴结转移,并且与肿瘤相关死亡显著相关(P < 0.001)。在就诊时,没有一只犬有远处转移的证据。在大多数病例中,趾部截肢实现了充分的局部肿瘤控制。21.5%的病例进行了辅助化疗和放疗,益处不明确。由于趾部SCC相对不具侵袭性的临床行为,化疗仅应在转移性疾病的情况下提供。约四分之一的犬在随访期间发生了SCC。对于被认为高危的品种以及有趾部SCC既往史的犬,应鼓励仔细检查趾部。

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