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犬肛门囊腺癌的计算机断层扫描分期。

Computed tomographic staging of dogs with anal sac adenocarcinoma.

机构信息

Langford Vets, Langford House, Langford, BS40 5DU, UK.

Bristol Veterinary School, University of Bristol, Langford House, Langford, BS40 5DU, UK.

出版信息

J Small Anim Pract. 2022 Jan;63(1):27-33. doi: 10.1111/jsap.13426. Epub 2021 Oct 4.

Abstract

OBJECTIVES

To describe the CT appearance of anal sac adenocarcinoma lesions in a population of dogs including the relations between primary tumour, and locoregional and distant metastasis.

MATERIALS AND METHODS

Retrospective review of dogs with confirmed anal sac adenocarcinoma and available CT images of the thorax, abdomen and pelvis.

RESULTS

A population of 70 dogs were included in the study. No association was found between anal sac mass size and presence or absence of iliosacral lymph node enlargement. The prevalence of local metastatic disease characterised by iliosacral lymphadenomegaly in this study was 71%, with pulmonary metastases identified in 11% of cases. There were no cases of distant pulmonary metastasis without concurrent locoregional lymphadenomegaly.

CLINICAL SIGNIFICANCE

In our population of dogs local metastatic spread of anal sac adenocarcinoma was common, with a relatively low prevalence of pulmonary metastasis. The study demonstrates the importance of thorough rectal examination and/or imaging to assess the iliosacral lymph centre in this disease irrespective of the size of the anal sac mass.

摘要

目的

描述犬肛门囊腺癌病变的 CT 表现,包括原发肿瘤与局部和远处转移之间的关系。

材料和方法

回顾性分析了 70 例经证实患有肛门囊腺癌且有胸部、腹部和骨盆 CT 图像的犬。

结果

本研究未发现肛门囊肿块大小与髂腹股沟淋巴结肿大之间存在相关性。局部转移性疾病的患病率以髂腹股沟淋巴结肿大为特征,占 71%,11%的病例存在肺转移。没有病例出现远处肺转移而无局部淋巴结转移。

临床意义

在本研究的犬群中,肛门囊腺癌的局部转移较为常见,肺转移的发生率相对较低。该研究表明,无论肛门囊肿块的大小如何,对这种疾病进行全面的直肠检查和/或影像学检查以评估髂腹股沟淋巴结中心都很重要。

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