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犬乳腺肿瘤中肥大细胞密度、微血管密度和内皮面积与临床病理参数及预后的相关性研究。

Association of mast cell density, microvascular density and endothelial area with clinicopathological parameters and prognosis in canine mammary gland carcinomas.

机构信息

Department of Veterinary Pathobiology, Faculty of Veterinary Medicine, Veterinary Academy, Lithuanian University of Health Sciences, Mickevičiaus 9, 44307, Kaunas, Lithuania.

Department of Veterinary Medicine, Faculty of Agrotechnologies, University of Applied Sciences, Saltoniškių 58, 08105, Vilnius, Lithuania.

出版信息

Acta Vet Scand. 2022 Jun 27;64(1):14. doi: 10.1186/s13028-022-00633-2.

Abstract

BACKGROUND

Mast cell density has been shown to have both enhancing and inhibiting effects on tumour progression and the ability to predict breast cancer behaviour in humans. However, prognostic results have been contradictory. Some previous studies suggested involvement of mast cells in the progression of canine mammary tumours. This study investigated total, intratumoural and peritumoural mast cell densities by Giemsa staining, and their association with clinicopathological parameters and the disease outcome of canine mammary tumours. In addition, since mast cells promote angiogenesis, the microvascular density and endothelial area were evaluated by CD31 immunostaining.

RESULTS

Intratumoural mast cell density was associated with tumour size, lymph node involvement and tumour-infiltrating lymphocyte count, while peritumoural mast cell density was associated with grade. The endothelial area was associated with grade, mitotic index, tubular formation and proliferation index. Tumours with a high grade, high total intratumoural mast cell density and a larger endothelial area were associated with shorter disease-free survival. Intratumoural mast cell density and grade were found to be independent prognostic factors.

CONCLUSIONS

These results suggest that intratumoural mast cell density and the endothelial area can be used to evaluate the aggressiveness of canine mammary carcinomas, while intratumoural mast cell density could be of use as an independent predictor of a prognosis of disease-free survival. Peritumoural mast cell density does not seem to influence tumour behaviour.

摘要

背景

已有研究表明,肥大细胞密度对肿瘤的进展既有促进作用,也有抑制作用,并且能够预测人类乳腺癌的行为。然而,预测结果存在争议。一些先前的研究表明,肥大细胞参与了犬乳腺肿瘤的进展。本研究通过吉姆萨染色法检测了犬乳腺肿瘤的总、肿瘤内和肿瘤周围的肥大细胞密度,并探讨了它们与临床病理参数及肿瘤预后的关系。此外,由于肥大细胞促进血管生成,本研究还通过 CD31 免疫染色评估了微血管密度和内皮面积。

结果

肿瘤内肥大细胞密度与肿瘤大小、淋巴结受累和肿瘤浸润淋巴细胞计数有关,而肿瘤周围肥大细胞密度与分级有关。内皮面积与分级、有丝分裂指数、管腔形成和增殖指数有关。具有高分级、高总肿瘤内肥大细胞密度和较大内皮面积的肿瘤,无病生存时间较短。肿瘤内肥大细胞密度和分级被发现是独立的预后因素。

结论

这些结果表明,肿瘤内肥大细胞密度和内皮面积可用于评估犬乳腺腺癌的侵袭性,而肿瘤内肥大细胞密度可作为无病生存预后的独立预测指标。肿瘤周围肥大细胞密度似乎不会影响肿瘤的行为。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d85/9235230/958eef2462dd/13028_2022_633_Fig1_HTML.jpg

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