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雄性犬肛周腺肿瘤的药物治疗

Pharmacological Treatment of Perianal Gland Tumors in Male Dogs.

作者信息

Brodzki Adam, Łopuszyński Wojciech, Brodzki Piotr, Głodkowska Katarzyna, Knap Bartosz, Gawin Paulina

机构信息

Department and Clinic of Animal Surgery, Faculty of Veterinary Medicine, University of Life Sciences in Lublin, 20-612 Lublin, Poland.

Department of Pathomorphology and Forensic Veterinary Medicine, University of Life Sciences in Lublin, 20-612 Lublin, Poland.

出版信息

Animals (Basel). 2023 Jan 28;13(3):463. doi: 10.3390/ani13030463.

Abstract

The presence of androgen (AR) and estrogen (ER) receptors has been demonstrated both in normal perianal (hepatoid) glands and in perianal tumors. The aim of this study was to demonstrate the relationship between the expression of AR and ER in perianal gland tumors and the effectiveness of antihormonal treatment. The study was performed on 41 male dogs with neoplastic lesions of the anal region. Histopathological evaluation of the lesions revealed 24 adenomas, 12 epitheliomas, and five carcinomas. Treatment was administered orally with tamoxifen at a dose of 1 mg/kg BW and cyproterone acetate at a dose of 5 mg/kg. Tumor diameters were measured regularly with calipers and recorded in millimeters starting with the measurement before treatment, and then after 1, 2, 3, 6, 12, 18, and 24 months of therapy. The results show that hepatoid adenomas that are characterized by high expression of AR and ER receptors respond positively to antihormonal therapy, resulting in complete tumor regression. For locally malignant hepatoid epitheliomas and carcinomas with low expression of AR and ER receptors, antihormonal therapy makes it possible to reduce the size of the tumor, but does not make it possible to cure it completely.

摘要

雄激素(AR)受体和雌激素(ER)受体在正常肛周(类肝)腺以及肛周肿瘤中均有表达。本研究的目的是证明肛周腺肿瘤中AR和ER的表达与抗激素治疗效果之间的关系。该研究对41只患有肛门区域肿瘤性病变的雄性犬进行。对病变进行组织病理学评估,发现有24例腺瘤、12例上皮瘤和5例癌。治疗采用口服他莫昔芬,剂量为1 mg/kg体重,醋酸环丙孕酮,剂量为5 mg/kg。定期用卡尺测量肿瘤直径,以毫米为单位记录,从治疗前的测量开始,然后在治疗1、2、3、6、12、18和24个月后测量。结果表明,以AR和ER受体高表达为特征的类肝腺瘤对抗激素治疗反应良好,导致肿瘤完全消退。对于AR和ER受体低表达的局部恶性类肝上皮瘤和癌,抗激素治疗可以减小肿瘤大小,但不能完全治愈。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7fb/9913509/fe6e9154ae16/animals-13-00463-g001.jpg

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