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犬坐骨肿瘤保肢的中后部半骨盆切除术。

Mid-to-caudal partial hemipelvectomy with limb preservation for ischial tumor in a dog.

机构信息

School of Veterinary Medicine, The Rakuno Gakuen University, 582 Bunkyodai Midorimachi, Ebetsu-shi, Hokkaido 069-8501, Japan.

Japan Animal Referral Medical Center, 2-5-8 Kuji, Takatsu-ku, Kawasaki-shi, Kanagawa 213-0032, Japan.

出版信息

J Vet Med Sci. 2022 Feb 10;84(2):218-222. doi: 10.1292/jvms.21-0414. Epub 2021 Dec 13.

DOI:10.1292/jvms.21-0414
PMID:34897159
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8920726/
Abstract

A 10-year-old spayed female Golden Retriever was referred for hindlimb lameness. A firm mass was palpated over the right caudal pelvis. Computed tomography revealed an osteolytic bone region and an associated periosteal reaction in the ischium, including the acetabulum. The histological diagnosis was sarcoma of unknown origin. A mid-to-caudal partial hemipelvectomy was performed to remove the mass. Femoral head and neck osteotomy was performed to allow hindlimb preservation. Following surgery, the dog regained satisfactory hindlimb use over time and was alive for 821 days with no recurrence or metastatic disease. This report indicates that mid-to-caudal partial hemipelvectomy with femoral head and neck osteotomy is technically feasible and allows for tumor control with preservation of the hindlimb and its function.

摘要

一只 10 岁已绝育的雌性金毛猎犬因后肢跛行而被转诊。在右尾骨盆可触及一坚实肿块。计算机断层扫描显示坐骨包括髋臼处有溶骨性骨区和相关的骨膜反应。组织学诊断为来源不明的肉瘤。进行了中至尾侧部分半骨盆切除术以切除肿块。进行了股骨颈切开术以保留后肢。手术后,随着时间的推移,狗的后肢恢复了满意的使用,并且在没有复发或转移疾病的情况下存活了 821 天。本报告表明,中至尾侧部分半骨盆切除术联合股骨头颈截骨术在技术上是可行的,并且可以通过保留后肢及其功能来控制肿瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17d1/8920726/6b55317a7016/jvms-84-218-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17d1/8920726/6b55317a7016/jvms-84-218-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17d1/8920726/6b55317a7016/jvms-84-218-g001.jpg

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本文引用的文献

1
Ischiectomy With Limb Preservation for a Dog With Ischial Chondrosarcoma: Case Report and Surgical Technique.保留肢体的坐骨切除术治疗犬坐骨软骨肉瘤:病例报告及手术技术
Vet Surg. 2015 Jul;44(5):571-5. doi: 10.1111/j.1532-950X.2014.12296.x. Epub 2014 Oct 16.
2
Hemipelvectomy: modified surgical technique and clinical experiences from a retrospective study.半骨盆切除术:改良手术技术及一项回顾性研究的临床经验
Vet Surg. 2014 Jan;43(1):19-26. doi: 10.1111/j.1532-950X.2013.12085.x. Epub 2013 Dec 9.
3
Hemipelvectomy: outcome in 84 dogs and 16 cats. A veterinary society of surgical oncology retrospective study.
半侧骨盆切除术:84只犬和16只猫的手术结果。一项兽医外科肿瘤学会的回顾性研究。
Vet Surg. 2014 Jan;43(1):27-37. doi: 10.1111/j.1532-950X.2013.12080.x. Epub 2013 Nov 20.
4
Low-grade myofibroblastic sarcoma of the distal femur.股骨远端低度恶性肌纤维母细胞肉瘤
Int J Surg Case Rep. 2013;4(2):195-9. doi: 10.1016/j.ijscr.2012.11.017. Epub 2012 Nov 23.
5
Bilateral obturator neuropathy caused by an intrapelvic fibrosarcoma with myofibroblastic features in a dog.一只犬因盆腔内具有肌成纤维细胞特征的纤维肉瘤导致双侧闭孔神经病变。
J Small Anim Pract. 2012 Jul;53(7):423-7. doi: 10.1111/j.1748-5827.2012.01225.x. Epub 2012 Jun 12.
6
Hemipelvectomy in dogs and cats: technique overview, variations, and description.犬猫半骨盆切除术:技术概述、变异及描述
Vet Surg. 2008 Jul;37(5):413-9. doi: 10.1111/j.1532-950X.2008.00405.x.
7
Femoral and obturator neuropathies.股神经和闭孔神经病变。
Neurol Clin. 1999 Aug;17(3):633-53, vii. doi: 10.1016/s0733-8619(05)70156-0.
8
Partial or total hemipelvectomy in the management of sarcomas in nine dogs and two cats.9只犬和2只猫的肉瘤治疗中采用部分或全骨盆切除术。
Vet Surg. 1992 May-Jun;21(3):183-8. doi: 10.1111/j.1532-950x.1992.tb00043.x.