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犬脚垫恶性黑色素瘤的多机构回顾性研究:20例病例。

Multi-institutional retrospective study of canine foot pad malignant melanomas: 20 cases.

作者信息

Jeon Mark D, Leeper Haley J, Cook Matthew R, McMillan Sarah K, Bennett Tristram, Murray Caroline A, Tripp Chelsea D, Curran Kaitlin M

机构信息

Department of Clinical Sciences, Oregon State University, Corvallis, Oregon, USA.

Department of Veterinary and Clinical Sciences, The Ohio State University, Columbus, Ohio, USA.

出版信息

Vet Comp Oncol. 2022 Dec;20(4):854-861. doi: 10.1111/vco.12846. Epub 2022 Jul 12.

Abstract

Melanomas arising from the foot pad are a rare clinical entity in dogs. The biologic behaviour of foot pad malignant melanoma is not well understood, and these tumours are infrequently described. The objective of this study was to evaluate the clinical characteristics of primary canine foot pad melanoma in a larger cohort of patients. Eligible cases were solicited from the American College of Veterinary Internal Medicine (ACVIM) Oncology listserv for retrospective review. Included dogs had a cytologic and/or histologic diagnosis of foot pad melanoma evaluated by a board-certified clinical or anatomic pathologist. Dogs with cutaneous, oral, digital, subungual or interdigital melanomas were excluded. A total of 20 cases were included. Eleven dogs received various adjuvant therapies including chemotherapy, radiation therapy, and/or the ONCEPT canine melanoma vaccine following surgery. At diagnosis, regional lymph node metastasis was observed in four dogs (20%). Seven dogs developed subsequent regional and/or distant metastasis for an overall metastatic rate of 55%. The progression-free interval (PFI) was 101 days (range, 20-960 days). The median survival time (MST) was 240 days (range, 25-479 days). For dogs receiving adjuvant therapy, the MST was 159 days (range, 25-387 days). Canine foot pad melanoma is a rare neoplasm that can exhibit an aggressive behaviour.

摘要

犬脚垫黑色素瘤是一种罕见的临床病症。脚垫恶性黑色素瘤的生物学行为尚未完全明确,对这些肿瘤的描述也较少。本研究的目的是评估更大患者队列中原发性犬脚垫黑色素瘤的临床特征。从美国兽医内科学会(ACVIM)肿瘤学邮件列表中征集符合条件的病例进行回顾性研究。纳入的犬只经委员会认证的临床或解剖病理学家评估,有脚垫黑色素瘤的细胞学和/或组织学诊断。排除患有皮肤、口腔、趾部、甲下或指间黑色素瘤的犬只。共纳入20例病例。11只犬在手术后接受了包括化疗、放疗和/或ONCEPT犬黑色素瘤疫苗在内的各种辅助治疗。诊断时,4只犬(20%)出现区域淋巴结转移。7只犬随后发生区域和/或远处转移,总体转移率为55%。无进展生存期(PFI)为101天(范围20 - 960天)。中位生存时间(MST)为240天(范围25 - 479天)。接受辅助治疗的犬只,MST为159天(范围25 - 387天)。犬脚垫黑色素瘤是一种罕见的肿瘤,可表现出侵袭性。

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