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[犬皮肤和口腔黏膜黑色素瘤的发育研究]

[Developmental studies on melanoma of the skin and mouth mucosa of dogs].

作者信息

Frese K

出版信息

Vet Pathol. 1978 Jul;15(4):461-73. doi: 10.1177/030098587801500403.

Abstract

Progressive studies in dogs with skin and oral melanomas were undertaken to determine whether or not the WHO-classification of melanomas, which is based mainly on histological criteria, reflects sufficiently the biological behaviour of these tumours. Furthermore, some prognostic parameters, important in the prognosis of human malignant melanomas were tested with respect to their significance for canine melanomas. The paper deals with progressive studies in 182 dogs with surgically treated benign and malignant skin and oral melanomas. Parameters of the biological behaviour were the 2 years death rate and the median survival time. The melanomas were classified according to the recommendations of the WHO. Within 2 years after the first treatment five (5.7%) of 87 dogs with benign skin melanomas, 29 (65.9%) of 44 dogs with malignant skin melanomas and 44 (86.2%) of 55 dogs with malignant oral melanomas were killed because of recurrence or metastases or both. The median survival time of dogs with benign skin melanomas was more than 24 months, with malignant skin melanomas 8 months and with malignant oral melanomas 3 months. In dogs with large malignant skin melanomas the 2 years death rate was 100% with a median survival time of 4 months, whereas animals with small melanomas had a 2 years death rate of 54.3% and a median survival time of 12 months. The site of skin melanomas, sex and histological type of both skin and oral melanomas, however, had no significant influence on the course of the disease. Also, histological parameters, important in the prognosis of human malignant melanoma (rate of mitosis, size of nucleoli, pigmentation and vascular invasion), had no significant influence on the course of the disease.

摘要

对患有皮肤和口腔黑色素瘤的犬类进行了进一步研究,以确定主要基于组织学标准的世界卫生组织黑色素瘤分类是否充分反映了这些肿瘤的生物学行为。此外,还测试了一些对人类恶性黑色素瘤预后很重要的预后参数对犬类黑色素瘤的意义。本文涉及对182只接受手术治疗的良性和恶性皮肤及口腔黑色素瘤犬的进一步研究。生物学行为的参数是2年死亡率和中位生存时间。黑色素瘤根据世界卫生组织的建议进行分类。在首次治疗后的2年内,87只良性皮肤黑色素瘤犬中有5只(5.7%)、44只恶性皮肤黑色素瘤犬中有29只(65.9%)、55只恶性口腔黑色素瘤犬中有44只(86.2%)因复发或转移或两者兼有而死亡。良性皮肤黑色素瘤犬的中位生存时间超过24个月,恶性皮肤黑色素瘤犬为8个月,恶性口腔黑色素瘤犬为3个月。患有大型恶性皮肤黑色素瘤的犬类2年死亡率为100%,中位生存时间为4个月,而患有小型黑色素瘤的动物2年死亡率为54.3%,中位生存时间为12个月。然而,皮肤黑色素瘤的部位、性别以及皮肤和口腔黑色素瘤的组织学类型对疾病进程没有显著影响。同样,对人类恶性黑色素瘤预后很重要的组织学参数(有丝分裂率、核仁大小、色素沉着和血管侵袭)对疾病进程也没有显著影响。

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