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犬乳腺上皮肿瘤:232只犬形态学特征的生物学意义评估

Canine mammary epithelial neoplasms: biologic implications of morphologic characteristics assessed in 232 dogs.

作者信息

Gilbertson S R, Kurzman I D, Zachrau R E, Hurvitz A I, Black M M

出版信息

Vet Pathol. 1983 Mar;20(2):127-42. doi: 10.1177/030098588302000201.

Abstract

We studied 232 dogs that underwent mastectomy for mammary epithelial neoplasms. The mastectomy specimens were evaluated according to structural parameters found to be prognostically significant in human mammary neoplasms, such as grade of atypia in non-invasive proliferations of duct epithelium, extent of malignant disease, and nuclear differentiation in malignant neoplasms. In this study, the biologic behavior of mammary lesions was assessed according to the frequency of development of de novo or recurrent invasive carcinoma within two years. Our data indicate that we can recognize structural variables which permit classification of mammary neoplasms into categories with distinct patterns of biologic behavior. In addition to normotypic proliferative lesions and invasive malignant neoplasms, we were able to identify precancerous atypic and non-invasive malignant neoplasms that are considered precursor lesions in women. Also, as in women, nuclear differentiation was found to be a prognostically significant variable. Lymphoid cellular reactions, considered to be structural correlates of host-tumor immune responses in women, were noted in 35% of dogs with precancerous or malignant neoplasms. Application of the described parameters should facilitate comparative studies of canine and human mammary carcinogenesis and use of the dog as a model for the development of new therapeutic modalities and immunoprophylaxis of human mammary cancer.

摘要

我们研究了232只因乳腺上皮肿瘤接受乳房切除术的犬只。根据在人类乳腺肿瘤中发现具有预后意义的结构参数,如导管上皮非侵袭性增生的异型性分级、恶性疾病范围以及恶性肿瘤中的核分化,对乳房切除标本进行评估。在本研究中,根据两年内新发或复发性侵袭性癌的发生频率评估乳腺病变的生物学行为。我们的数据表明,我们能够识别出一些结构变量,这些变量可将乳腺肿瘤分类为具有不同生物学行为模式的类别。除了正常型增生性病变和侵袭性恶性肿瘤外,我们还能够识别出癌前非典型性病变和非侵袭性恶性肿瘤,这些病变在女性中被认为是前驱病变。此外,与女性情况一样,核分化被发现是一个具有预后意义的变量。在35%患有癌前或恶性肿瘤的犬只中观察到淋巴样细胞反应,这种反应被认为是女性宿主-肿瘤免疫反应的结构相关因素。应用所描述的参数应有助于犬类和人类乳腺癌发生的比较研究,并将犬作为开发新治疗方法和人类乳腺癌免疫预防的模型。

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