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犬乳腺肿瘤:细胞病理学与组织病理学之间的敏感性和特异性

Breast carcinoma in a dog: sensitivity and specificity between cytopathology and histopathology.

作者信息

Cuellar Paola Alejandra Montenegro, Rocha Noeme Sousa, de Souza Natália Freitas, Dinau Fernando Carmona

机构信息

Veterinarian, Programa de Pós-graduação em Patologia Veterinária, Departamento de Clínica Veterinária, Faculdade de Medicina Veterinária e Zootecnia, Universidade Estadual Paulista (UNESP), Botucatu, SP, Brazil.

Veterinarian, DSc., Programa de Pós-graduação em Patologia Veterinária, Departamento de Clínica Veterinária, Faculdade de Medicina Veterinária e Zootecnia, UNESP, Botucatu, SP, Brazil.

出版信息

Braz J Vet Med. 2024 Sep 18;46:e003024. doi: 10.29374/2527-2179.bjvm003024. eCollection 2024.

Abstract

This study evaluated the accuracy of mammary carcinoma diagnoses in female dogs through cytological exams (FNA) compared to histopathological diagnoses. The presence of neoplasia and the effectiveness of procedures at the Pathology Laboratory of the Veterinary Hospital of the FMVZ of Unesp Botucatu, were analyzed. Between 2015 and 2020, a total of 1100 mammary neoplasms were identified, of which 569 were mammary carcinomas. Fifty cytological samples were selected and analyzed to determine occurrence, age at presentation, and the most affected breeds, as well as to verify the obtained diagnoses. Mammary carcinoma constituted for 51.72% of the registered cases. A higher occurrence was observed in mixed-breed female dogs, at 40.42%, followed by Poodles at 17%. The most common age at diagnosis was 10 years, and in 65.55% of cases, the dogs had not been previously spayed. 9.31% of the animals had received contraceptives, while 14% had given birth and 14.58% had presented symptoms of pseudopregnancy at some point in their lives. In the test results, a 70% agreement between cytology and histology was observed, with a 30% disagreement between them. Statistically, a sensitivity of 79.32% and a specificity of 57.14% were reflected. Intact and older female dogs represent a significant risk of developing mammary carcinoma. Although the protocol for processing and interpreting cytological samples is well established, the results do not reach the level of excellence observed in previous studies.

摘要

本研究通过细胞学检查(细针穿刺抽吸活检,FNA)与组织病理学诊断相比较,评估了雌性犬乳腺癌诊断的准确性。分析了圣保罗大学兽医学院布托卡图分校兽医医院病理实验室肿瘤的存在情况及诊断程序的有效性。2015年至2020年期间,共识别出1100例乳腺肿瘤,其中569例为乳腺癌。选取并分析了50份细胞学样本,以确定其发生率、就诊年龄、受影响最严重的品种,以及核实诊断结果。乳腺癌占登记病例的51.72%。观察到混种雌性犬的发生率较高,为40.42%,其次是贵宾犬,为17%。最常见的诊断年龄为10岁,65.55%的病例中,这些犬此前未绝育。9.31%的动物曾接受过避孕药,14%的动物曾生育,14.58%的动物在其生命中的某个阶段曾出现假孕症状。在检测结果中,细胞学与组织学之间的一致性为70%,二者之间的分歧率为30%。在统计学上,敏感性为79.32%,特异性为57.14%。未绝育和年龄较大的雌性犬患乳腺癌的风险显著。尽管处理和解释细胞学样本的方案已成熟,但结果未达到先前研究中观察到的卓越水平。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8123/11444088/ff31eba0c166/bjvm-46-e003024-g01.jpg

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