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母犬卵巢肿瘤的临床及超声检查结果:一项回顾性研究。

Clinical and ultrasonographic findings of ovarian tumours in bitches: A retrospective study.

作者信息

Troisi A, Orlandi R, Vallesi E, Pastore S, Sforna M, Quartuccio M, Zappone V, Cristarella S, Polisca A

机构信息

School of Biosciences and Veterinary Medicine, University of Camerino, Via Circonvallazione 93/95, 62024, Macerata, Italy.

Anicura Tyrus Clinica Veterinaria, Via Bartocci 1G, 05100, Terni, Italy.

出版信息

Theriogenology. 2023 Oct 15;210:227-233. doi: 10.1016/j.theriogenology.2023.07.020. Epub 2023 Jul 22.

DOI:10.1016/j.theriogenology.2023.07.020
PMID:37540955
Abstract

A retrospective study was carried out to investigate incidence, clinical signs and ultrasonographic findings of ovarian tumours in a population of dogs referred to the Veterinary Teaching Hospital of the University of Perugia (Italy) and Anicura Tyrus Veterinary Clinic (Terni, Italy). The period of study ranged from January 2005 to December 2021. A total of 1910 dogs were affected by neoplasia but only 35 of them (1.8%), of different breeds and ages, were found to have ovarian tumours. Ultrasound of the ovaries was performed based on clinical signs; the diagnosis was achieved after ultrasound findings prompted ovariohysterectomy and ovarian pathologic evaluation In our study, the age of bitches affected by ovarian neoplasia ranged from 3 to 20 years (mean 9.6 ± 3.8). The histopathological findings of ovarian masses identified 16 granulosa cell tumours (GCT) (46%), 7 adenomas (20%), 5 adenocarcinomas (14%), 2 teratomas (6%), 1 leiomyoma (3%), 1 luteoma (3%), 1 tecoma (3%), 1 dysgerminoma (3%), and 1 haemangiosarcoma (3%). In particular, with respect to clinical signs, 69% of bitches showed abnormalities of estrus cycle (short interestral interval, persistent estrus, prolonged interestral interval). The other main clinical signs included abdominal distention, palpable abdominal mass, vulvovaginal discharge, polyuria/polydipsia, mammary masses. When present, the laboratory abnormalities were slight anemia and leucocytosis with neutrophilia. The tumours were ultrasonographically classified as mainly solid: 12/35 (34%) (1 adenoma, 4 adenocarcinomas, 1 dysgerminoma, 1 haemangiosarcoma, 1 leyomioma, 1 luteoma, 1 GCT, 1 tecoma, 1 teratoma); solid with cystic component 13/35 (37%) (9 GCT, 2 Adenomas, 1 adenocarcinoma, 1 teratoma); and mainly cystic 10/35 (29%) (6 GCTs, 4 adenomas). In our study, the ultrasound examination allowed us to suspect ovarian neoplasia in asymptomatic subjects referred for breeding management or for preventive health check. On the basis of our data, we proposed to perform a complete periodic examination of the reproductive system once a year from 6 years. Nevertheless, the presence of ovarian neoplasms found in young subjects, during breeding management, suggest including routine ultrasound examination of the reproductive tract.

摘要

开展了一项回顾性研究,以调查转诊至佩鲁贾大学(意大利)兽医学院教学医院和阿尼库拉·提鲁斯兽医诊所(意大利特尔尼)的犬类群体中卵巢肿瘤的发病率、临床症状及超声检查结果。研究时间段为2005年1月至2021年12月。共有1910只犬患肿瘤,但其中只有35只(1.8%)不同品种和年龄的犬被发现患有卵巢肿瘤。根据临床症状对卵巢进行超声检查;在超声检查结果提示进行卵巢子宫切除术和卵巢病理评估后做出诊断。在我们的研究中,患卵巢肿瘤的母犬年龄在3至20岁之间(平均9.6±3.8岁)。卵巢肿块的组织病理学检查结果显示,有16例颗粒细胞瘤(GCT)(46%)、7例腺瘤(20%)、5例腺癌(14%)、2例畸胎瘤(6%)、1例平滑肌瘤(3%)、1例黄体瘤(3%)、1例泡膜细胞瘤(3%)、1例无性细胞瘤(3%)和1例血管肉瘤(3%)。具体而言,就临床症状而言,69%的母犬表现出发情周期异常(发情间期短、持续发情、发情间期延长)。其他主要临床症状包括腹部膨胀、可触及的腹部肿块、外阴阴道分泌物、多尿/多饮、乳腺肿块。出现时,实验室异常表现为轻度贫血和伴有中性粒细胞增多的白细胞增多。这些肿瘤在超声检查中主要分类为实性:12/35(34%)(1例腺瘤、4例腺癌、1例无性细胞瘤、1例血管肉瘤、1例平滑肌瘤、1例黄体瘤、1例颗粒细胞瘤、1例泡膜细胞瘤、1例畸胎瘤);有囊性成分的实性13/35(37%)(9例颗粒细胞瘤、2例腺瘤、1例腺癌、1例畸胎瘤);主要为囊性10/35(29%)(6例颗粒细胞瘤、4例腺瘤)。在我们的研究中,超声检查使我们能够在因繁殖管理或预防性健康检查而转诊的无症状动物中怀疑卵巢肿瘤。根据我们的数据,我们建议从6岁起每年对生殖系统进行一次全面的定期检查。然而,在繁殖管理期间年轻动物中发现卵巢肿瘤,这表明应包括对生殖道进行常规超声检查。

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Clinical and ultrasonographic findings of ovarian tumours in bitches: A retrospective study.母犬卵巢肿瘤的临床及超声检查结果:一项回顾性研究。
Theriogenology. 2023 Oct 15;210:227-233. doi: 10.1016/j.theriogenology.2023.07.020. Epub 2023 Jul 22.
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