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犬结肠直肠癌:78例(1973 - 1984年)

Colorectal adenocarcinoma in dogs: 78 cases (1973-1984).

作者信息

Church E M, Mehlhaff C J, Patnaik A K

机构信息

Department of Surgery, Animal Medical Center, New York, NY 10021.

出版信息

J Am Vet Med Assoc. 1987 Sep 15;191(6):727-30.

PMID:3679965
Abstract

Colorectal adenocarcinoma was diagnosed in 78 dogs. Clinical signs in all 78 dogs included tenesmus, hematochezia, and dyschezia; most of the dogs had clinical signs less than or equal to 12 weeks before examination. Ultimately, most dogs were euthanatized because of the severity of clinical signs. Proctoscopy and colonoscopy were essential for complete assessment of extent of disease. Tumors were classified by gross appearance and included single, pedunculated masses, 2 or more nodular masses, and annular or intraluminal masses. In dogs in which survival time was compared with location and gross appearance of the tumor, dogs with annular masses had the shortest mean survival time (1.6 months), and dogs with single, pedunculated, polypoid tumors had the longest mean survival time (32 months). The rectum was a more common site than the colon, with 48.2% of the tumors developing in the middle portion of the rectum. Six different modes of surgical treatment were used, depending on the location and type of mass. Dogs that did not have surgical treatment had a mean survival time of 15 months. Mean survival time in the surgically treated dogs varied slightly according to mode of treatment; they survived 7 to 9 months longer than the untreated dogs. Dogs that underwent cryosurgery and local excision had the longest survival times (24 and 22 months, respectively). Statistical analysis disclosed a significantly longer survival time for dogs treated by excision or cryosurgery, as opposed to dogs undergoing biopsy only (P = 0.001). Statistical difference in survival times was not found between dogs that had mass excision and those that had cryosurgery.

摘要

78只犬被诊断为结直肠癌。所有78只犬的临床症状包括里急后重、便血和排便困难;大多数犬在检查前临床症状出现时间小于或等于12周。最终,由于临床症状严重,大多数犬实施了安乐死。直肠镜和结肠镜检查对于全面评估疾病范围至关重要。肿瘤根据大体外观分类,包括单个带蒂肿块、2个或更多结节状肿块以及环形或腔内肿块。在比较生存时间与肿瘤位置和大体外观的犬中,环形肿块的犬平均生存时间最短(1.6个月),单个带蒂息肉样肿瘤的犬平均生存时间最长(32个月)。直肠比结肠更常见,48.2%的肿瘤发生在直肠中部。根据肿块的位置和类型,采用了六种不同的手术治疗方式。未接受手术治疗的犬平均生存时间为15个月。接受手术治疗的犬的平均生存时间根据治疗方式略有不同;它们比未治疗的犬多存活7至9个月。接受冷冻手术和局部切除的犬生存时间最长(分别为24个月和22个月)。统计分析显示,与仅接受活检的犬相比,接受切除或冷冻手术治疗的犬生存时间显著更长(P = 0.001)。肿块切除的犬和接受冷冻手术的犬之间未发现生存时间的统计学差异。

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