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67只犬恶性鼻肿瘤的放射治疗

Radiotherapy of malignant nasal tumors in 67 dogs.

作者信息

Adams W M, Withrow S J, Walshaw R, Turrell J M, Evans S M, Walker M A, Kurzman I D

机构信息

Department of Surgical Sciences, School of Veterinary Medicine, University of Wisconsin, Madison 53706.

出版信息

J Am Vet Med Assoc. 1987 Aug 1;191(3):311-5.

PMID:3654292
Abstract

The nasal cavity of 67 dogs with malignant nasal neoplasia was treated with radiation. Preirradiation surgical cytoreduction of the tumor was done in 41 dogs. Fifty dogs were irradiated by use of 10 fractions over 22 days, and 17 dogs were given a similar total dose in 5 fractions over 35 days. The range of survival times (0.5 to 42 months), median survival time (8.5 months), and 1- and 2-year survival rates (38% and 30%, respectively) were better than those expected for other methods of treatment. Serious complications were few (4%). Survival times for dogs were determined on the basis of histologic tumor type and on the basis of megavoltage (cobalt or linear accelerator) vs softer deep radiation (cesium or orthovoltage) treatment, with or without cytoreductive surgery. Survival times of 10 dogs given softer radiation without surgery were shorter than those of 14 dogs that were given softer radiation and had cytoreductive surgery. Survival times of dogs that were given softer radiation and had surgery were similar to those of dogs that were given megavoltage radiation only. Cytoreductive surgery did not improve survival times for dogs that were given megavoltage radiation. Median survival time for 38 dogs with adenocarcinoma was 12 months, compared with 6 months for 14 dogs with squamous cell or undifferentiated carcinoma. Median survival time for 16 dogs with a variety of sarcomas was 11.2 months. Survival times of dogs with adenocarcinoma or sarcoma were significantly better (P less than 0.02 or 0.03) than for dogs with squamous cell or undifferentiated carcinoma. Necropsies were performed on 27 of 58 dogs that died or were euthanatized.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

对67只患有恶性鼻肿瘤的犬的鼻腔进行了放射治疗。41只犬在放疗前进行了肿瘤的手术细胞减灭术。50只犬在22天内分10次进行照射,17只犬在35天内分5次给予相似的总剂量。生存时间范围(0.5至42个月)、中位生存时间(8.5个月)以及1年和2年生存率(分别为38%和30%)均优于其他治疗方法预期的结果。严重并发症较少(4%)。根据组织学肿瘤类型以及基于兆伏级(钴或直线加速器)与软深部放射(铯或正交电压)治疗(无论有无细胞减灭术)来确定犬的生存时间。10只未手术接受软放射的犬的生存时间短于14只接受软放射并进行了细胞减灭术的犬。接受软放射并进行手术的犬的生存时间与仅接受兆伏级放射的犬相似。细胞减灭术并未改善接受兆伏级放射的犬的生存时间。38只腺癌犬的中位生存时间为12个月,而14只鳞状细胞癌或未分化癌犬的中位生存时间为6个月。16只患有各种肉瘤的犬的中位生存时间为11.2个月。腺癌或肉瘤犬的生存时间明显优于鳞状细胞癌或未分化癌犬(P小于0.02或0.03)。对58只死亡或被安乐死的犬中的27只进行了尸检。(摘要截选至250字)

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