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细胞学诊断结果:3068例猫病例的综合流行病学回顾性分析

What Comes from Cytology Diagnosis: A Comprehensive Epidemiological Retrospective Analysis of 3068 Feline Cases.

作者信息

Brilhante-Simões Paula, Lopes Ricardo, Delgado Leonor, Machado Ana, Silva Augusto, Martins Ângela, Marcos Ricardo, Queiroga Felisbina, Prada Justina

机构信息

INNO Veterinary Laboratories, R. Cândido de Sousa 15, 4710-300 Braga, Portugal.

Department of Veterinary and Animal Sciences, University Institute of Health Sciences-CESPU (IUCS-CESPU), 4585-116 Gandra, Portugal.

出版信息

Vet Sci. 2025 Jul 17;12(7):671. doi: 10.3390/vetsci12070671.

Abstract

This study evaluated diagnostic trends and the overall utility of cytology in feline patients through the analysis of a large, multicentric dataset from Portugal. A retrospective review of 3068 cytological cases from 130 veterinary practices was conducted, with samples categorised by anatomical location and lesion type. Diagnostic outcomes were statistically assessed, revealing an overall success rate of 66.20%. The highest diagnostic yields occurred in fluid samples (83.48%), glandular tissues (76.67%), and mucous membranes (75.81%), followed by organ-based samples (67.79%), miscellaneous tissues (66.98%), cutaneous/subcutaneous nodules (62.16%), and lymph nodes (57.93%). Neoplastic lesions showed age-associated prevalence, being more common in older cats, with epithelial and melanocytic lesions more frequent in females and round cell/mesenchymal lesions predominating in males. Non-diagnostic samples (33.80%) primarily resulted from insufficient cellularity or suboptimal quality, though no significant correlation existed between diagnostic success and clinical setting. This study underscores that cytology remains a fundamental diagnostic tool in feline medicine, particularly when combined with proper sampling techniques and complementary diagnostic methods, and reinforces its value in clinical decision-making, thereby supporting its broader utilisation in routine veterinary practice.

摘要

本研究通过分析来自葡萄牙的一个大型多中心数据集,评估了猫科动物患者细胞学检查的诊断趋势和整体效用。对来自130家兽医诊所的3068例细胞学病例进行了回顾性研究,样本按解剖位置和病变类型进行分类。对诊断结果进行了统计学评估,总体成功率为66.20%。诊断阳性率最高的是液体样本(83.48%)、腺组织(76.67%)和黏膜(75.81%),其次是基于器官的样本(67.79%)、其他组织(66.98%)、皮肤/皮下结节(62.16%)和淋巴结(57.93%)。肿瘤性病变显示出与年龄相关的患病率,在老年猫中更为常见,上皮性和黑素细胞性病变在雌性中更常见,而圆形细胞/间充质病变在雄性中占主导。非诊断性样本(33.80%)主要是由于细胞数量不足或质量欠佳,尽管诊断成功率与临床环境之间没有显著相关性。本研究强调,细胞学检查仍然是猫科医学中的一项基本诊断工具,特别是与适当的采样技术和补充诊断方法相结合时,并强化了其在临床决策中的价值,从而支持其在常规兽医实践中的更广泛应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edc0/12298540/288b5c251d2a/vetsci-12-00671-g001.jpg

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