Equine Referral Hospital, Royal Veterinary College, Hawkshead Lane, North Mymms, Hatfield, Hertfordshire AL9 7TA, UK.
Vet Clin North Am Equine Pract. 2024 Dec;40(3):371-385. doi: 10.1016/j.cveq.2024.07.003. Epub 2024 Sep 11.
Equine neoplasia poses challenges in surgical management owing to their diverse locations and potential for aggressive behavior. Surgical interventions aim for complete excision while minimizing cosmetic and functional impairments. Techniques such as laser ablation and electrochemotherapy offer minimally invasive options for accessible tumors. For deeper or larger masses, surgical excision with adequate margins remains the gold standard. Preoperative biopsy and imaging guides surgical planning, ensuring complete tumor removal while preserving vital structures. Close adherence to a strict surgical protocol to prevent seeding of tumor cells, and, where possible, appropriate skin reconstruction techniques will improve cosmesis and outcome.
马的肿瘤因其位置多样且具有侵袭性,给外科手术带来了挑战。外科手术的目的是彻底切除肿瘤,同时尽量减少美容和功能损伤。激光消融和电化学疗法等技术为可触及的肿瘤提供了微创选择。对于更深或更大的肿块,仍需要通过手术切除并保证足够的切缘来达到治疗效果。术前活检和影像学检查可指导手术规划,确保彻底切除肿瘤,同时保护重要结构。严格遵循外科手术方案,以防止肿瘤细胞播散;在可能的情况下,采用适当的皮肤重建技术,可改善美容效果和预后。