Carver J R, Kapatkin A, Patnaik A K
Department of Surgery, Animal Medical Center, New York, NY 10021, USA.
Vet Surg. 1995 Jul-Aug;24(4):315-9. doi: 10.1111/j.1532-950x.1995.tb01336.x.
The medical records of 38 dogs with thyroid neoplasia that were treated by surgical excision of the tumor, or had an incisional biopsy performed as a diagnostic procedure, were reviewed. Of the 38 dogs, 21 (55%) had resectable tumors, whereas 17 (45%) had an incisional biopsy as the tumors were nonresectable. All dogs had an initial diagnosis of thyroid carcinoma. The type of carcinoma was confirmed in 33 dogs by histological and immunohistochemical examination. Twelve dogs (36%) had medullary thyroid carcinoma, and 21 dogs (64%) had thyroid adenocarcinoma. Of the 12 dogs with medullary thyroid carcinoma, 10 (83%) had resectable tumors. Of the 10, three (30%) had at least a 1-year survival. None had radiographic evidence of metastasis at the time of surgery. Of the 21 dogs with thyroid adenocarcinoma, 11 (52%) had resectable tumors. Of the 11 dogs, five (45%) had at least a 1-year survival. Three dogs had radiographic evidence of metastasis at the time of surgery. Of 10 dogs with nonresectable thyroid adenocarcinoma, two dogs (20%) had at least a 1-year survival. In the dogs in this study, medullary thyroid carcinoma was more prevalent than previously reported. Most of the medullary thyroid carcinomas were well circumscribed and resectable. Medullary thyroid carcinoma may possess gross and histological characteristics of a less malignant nature when compared with other thyroid carcinomas.
回顾了38只患有甲状腺肿瘤的犬只的病历,这些犬只接受了肿瘤手术切除治疗,或进行了切开活检作为诊断程序。在这38只犬中,21只(55%)患有可切除肿瘤,而17只(45%)因肿瘤不可切除而进行了切开活检。所有犬只最初均被诊断为甲状腺癌。通过组织学和免疫组化检查在33只犬中确诊了癌的类型。12只犬(36%)患有甲状腺髓样癌,21只犬(64%)患有甲状腺腺癌。在12只患有甲状腺髓样癌的犬中,10只(83%)患有可切除肿瘤。在这10只犬中,3只(30%)存活至少1年。手术时均无转移的影像学证据。在21只患有甲状腺腺癌的犬中,11只(52%)患有可切除肿瘤。在这11只犬中,5只(45%)存活至少1年。3只犬在手术时有转移的影像学证据。在10只患有不可切除甲状腺腺癌的犬中,2只犬(20%)存活至少1年。在本研究的犬中,甲状腺髓样癌比先前报道的更为普遍。大多数甲状腺髓样癌边界清晰且可切除。与其他甲状腺癌相比,甲状腺髓样癌可能具有恶性程度较低的大体和组织学特征。