Atwater S W, Powers B E, Park R D, Straw R C, Ogilvie G K, Withrow S J
Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins 80523.
J Am Vet Med Assoc. 1994 Oct 1;205(7):1007-13.
Medical records of 23 dogs in which thymoma was diagnosed between Jan 1, 1980 and Dec 31, 1991 were reviewed. All thymomas were located in the cranial mediastinum. Eleven dogs had megaesophagus, and myasthenia gravis was confirmed in 7 of these 11. One dog developed clinical signs of myasthenia gravis after removal of the thymoma. Concurrent, nonthymic neoplasms were found in 5 dogs, and 2 had hypercalcemia. Three dogs developed third-degree atrioventricular heart block, 1 of which had generalized myositis involving the cardiac muscle. None of the dogs had evidence of distant metastasis. Histologically, the predominant tumor types were differentiated epithelial type (9/23) and lymphocyte-rich type (6/23). Clear cells (large cells with nonstaining cytoplasm) comprised > or = 50% of the cell population in tumors from 5 dogs. Mast cells were detected histologically in 85% of the thymomas evaluated. Sixteen dogs were treated, and in 15 of these, surgery was the primary means of treatment. Six of the 9 dogs with megaesophagus that underwent surgery died or were euthanized within 1 week of diagnosis; whereas only 1 of the 4 dogs without megaesophagus that underwent surgery died within 1 week of diagnosis. Two dogs underwent surgery and received adjuvant chemotherapy. One dog died of complications associated with chemotherapy. One dog was treated with chemotherapy alone and survived 14 months. Seven dogs did not undergo treatment; 4 of these were euthanatized immediately after the mass was first discovered.(ABSTRACT TRUNCATED AT 250 WORDS)
回顾了1980年1月1日至1991年12月31日期间诊断为胸腺瘤的23只犬的病历。所有胸腺瘤均位于前纵隔。11只犬有巨食管,其中7只确诊为重症肌无力。1只犬在切除胸腺瘤后出现重症肌无力的临床症状。5只犬发现有并发的非胸腺肿瘤,2只犬有高钙血症。3只犬发生三度房室传导阻滞,其中1只伴有累及心肌的全身性肌炎。所有犬均无远处转移的证据。组织学上,主要的肿瘤类型为分化上皮型(9/23)和富含淋巴细胞型(6/23)。5只犬的肿瘤中透明细胞(胞质不着色的大细胞)占细胞总数的≥50%。在评估的85%的胸腺瘤中组织学检测到肥大细胞。16只犬接受了治疗,其中15只的主要治疗方式为手术。接受手术的9只患有巨食管的犬中有6只在诊断后1周内死亡或被安乐死;而接受手术的4只无巨食管的犬中只有1只在诊断后1周内死亡。2只犬接受了手术并接受辅助化疗。1只犬死于化疗相关并发症。1只犬仅接受化疗并存活了14个月。7只犬未接受治疗;其中4只在首次发现肿块后立即被安乐死。(摘要截短至250字)