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乳房肿瘤切除术可能对患有乳腺癌的雌性犬的生存产生负面影响。

Lumpectomy May Negatively Impact Survival in Female Dogs with Mammary Carcinomas.

作者信息

Mello Sheila Santana de, Avila Fagundes Aracelle Alves de, Mota Francisco C D, Ronchi Alessandra A M

机构信息

Graduate Program in Veterinary Medicine, Federal University of Uberlândia, BR-050, KM 78, Glória Campus, Block 1CCG, Uberlândia 38410-337, MG, Brazil.

Companion Animal Surgical Clinic Division, Veterinary Hospital, Federal University of Uberlândia, 3289 Mato Grosso Avenue, Umuarama Campus, Uberlândia 38405-314, MG, Brazil.

出版信息

Vet Sci. 2025 Jul 2;12(7):631. doi: 10.3390/vetsci12070631.

DOI:10.3390/vetsci12070631
PMID:40711291
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12300711/
Abstract

Mammary tumors are the most common neoplasms in female dogs, with mastectomy being the primary treatment. The impact of mastectomy type on survival remains unclear. This study evaluated the effect of different surgical techniques on the survival of female dogs with mammary carcinomas. A total of 307 dogs with 734 mammary tumors were analyzed. Ages ranged from 1 to 17 years, with mixed breeds comprising 48.9%. Most tumors (92.9%) were malignant, predominantly carcinoma in a mixed tumor (30.2%). Unilateral mastectomy was the most common technique (65.8%). Lumpectomy showed the shortest mean survival (179 days) and was associated with a 4.9-fold increased risk of death ( = 0.009). There was no significant association between surgical technique and overall survival or recurrence of mammary carcinoma ( = 0.2). This study relied on owner-reported data for survival and tumor recurrence. Lumpectomy appears to be associated with shorter survival times in female dogs with mammary carcinoma. Therefore, it may be advisable to reconsider this technique as a primary treatment option.

摘要

乳腺肿瘤是雌性犬类中最常见的肿瘤,乳房切除术是主要的治疗方法。乳房切除术类型对生存的影响尚不清楚。本研究评估了不同手术技术对患有乳腺癌的雌性犬类生存的影响。共分析了307只患有734个乳腺肿瘤的犬。年龄范围为1至17岁,混种犬占48.9%。大多数肿瘤(92.9%)为恶性,主要是混合瘤中的癌(30.2%)。单侧乳房切除术是最常见的技术(65.8%)。肿块切除术的平均生存期最短(179天),死亡风险增加4.9倍(P = 0.009)。手术技术与乳腺癌的总体生存或复发之间无显著关联(P = 0.2)。本研究依赖于主人报告的生存和肿瘤复发数据。肿块切除术似乎与患有乳腺癌的雌性犬的较短生存时间相关。因此,可能有必要重新考虑将该技术作为主要治疗选择。

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本文引用的文献

1
Identifying the Risk Factors for Malignant Mammary Tumors in Dogs: A Retrospective Study.犬恶性乳腺肿瘤风险因素的识别:一项回顾性研究
Vet Sci. 2023 Oct 5;10(10):607. doi: 10.3390/vetsci10100607.
2
Prognostic Factors for Cancer-Specific Survival and Disease-Free Interval of Dogs with Mammary Carcinomas.犬乳腺肿瘤的癌症特异性生存率和无病生存期的预后因素
Vet Med Int. 2023 Aug 4;2023:6890707. doi: 10.1155/2023/6890707. eCollection 2023.
3
Local Recurrence After Breast-Conserving Therapy in Patients With Multiple Ipsilateral Breast Cancer: Results From ACOSOG Z11102 (Alliance).
多灶性同侧乳腺癌患者保乳治疗后的局部复发:ACOSOG Z11102(Alliance)研究结果。
J Clin Oncol. 2023 Jun 10;41(17):3184-3193. doi: 10.1200/JCO.22.02553. Epub 2023 Mar 28.
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Surgical dose and the clinical outcome in the treatment of mammary gland tumours in female dogs: a literature review.外科剂量与手术治疗母犬乳腺肿瘤的临床效果:文献回顾。
Acta Vet Scand. 2023 Mar 11;65(1):12. doi: 10.1186/s13028-023-00674-1.
5
Tumour Incidence in Dogs in Germany: a Retrospective Analysis of 109,616 Histopathological Diagnoses (2014-2019).德国犬类肿瘤发病率:对109,616例组织病理学诊断的回顾性分析(2014 - 2019年)
J Comp Pathol. 2022 Oct;198:33-55. doi: 10.1016/j.jcpa.2022.07.009. Epub 2022 Sep 2.
6
Effect of major versus minor mastectomy on host immunity in canine mammary cancer.乳腺癌根治术与改良根治术对犬宿主免疫功能的影响。
Vet Immunol Immunopathol. 2022 Apr;246:110403. doi: 10.1016/j.vetimm.2022.110403. Epub 2022 Feb 24.
7
Evaluation of post-operative complications after mastectomy performed without perioperative antimicrobial prophylaxis in dogs.评价行乳房切除术而不在围手术期进行抗菌预防的犬术后并发症。
Acta Vet Scand. 2021 Aug 30;63(1):35. doi: 10.1186/s13028-021-00600-3.
8
Factors influencing complications following mastectomy procedures in dogs with mammary gland tumors: 140 cases (2009-2015).影响犬乳腺肿瘤行乳房切除术术后并发症的因素:140 例病例报告(2009-2015 年)。
J Am Vet Med Assoc. 2021 Feb 1;258(3):295-302. doi: 10.2460/javma.258.3.295.
9
Breast-conserving surgery mastectomy in young women with breast cancer in Asian settings.亚洲人群中年轻乳腺癌患者保乳手术与改良根治术的比较
BJS Open. 2018 Oct 18;3(1):48-55. doi: 10.1002/bjs5.50111. eCollection 2019 Feb.
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