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卵巢子宫切除术对患有乳腺肿瘤的母犬的影响。

Effect of ovariohysterectomy in bitches with mammary neoplasms.

作者信息

Morris J S, Dobson J M, Bostock D E, O'Farrell E

机构信息

Department of Clinical Veterinary Medicine, University of Cambridge.

出版信息

Vet Rec. 1998 Jun 13;142(24):656-8. doi: 10.1136/vr.142.24.656.

Abstract

Ninety bitches with mammary tumours were studied for two years after the surgical removal of the primary tumour(s). Twenty-nine of the bitches had been spayed before the development of the mammary tumour, 22 were spayed when the tumours were removed and 39 were left entire. Fifty-eight of the bitches (64 per cent) had benign tumours and, of these, 15 (26 per cent) developed a new mammary tumour within two years, irrespective of whether the bitch was spayed. The other 32 bitches had malignant tumours which were grouped into 'invasive' and 'well defined' carcinomas. Sixty-three per cent of the spayed bitches and 57 per cent of the entire bitches, with invasive carcinoma were dead within two years of surgery as a result of their mammary tumours. For those with well defined carcinomas the tumour-related death rates were 18 per cent and 33 per cent respectively for the spayed and entire bitches. These findings suggest that ovariohysterectomy when mammary tumours are removed does not have a significant effect on the progression of malignant disease, and that about one in four bitches with a benign mammary tumour is likely to develop a further tumour in another gland.

摘要

对90只患有乳腺肿瘤的母犬在手术切除原发性肿瘤后进行了两年的研究。其中29只母犬在乳腺肿瘤发生前已做过绝育手术,22只在切除肿瘤时做了绝育手术,39只未做绝育手术。58只母犬(64%)患有良性肿瘤,其中15只(26%)在两年内长出了新的乳腺肿瘤,无论该母犬是否已做绝育手术。另外32只母犬患有恶性肿瘤,这些肿瘤被分为“浸润性”和“边界清晰”的癌。患有浸润性癌的绝育母犬和未绝育母犬中,分别有63%和57%在手术后两年内因乳腺肿瘤死亡。对于患有边界清晰的癌的母犬,绝育母犬和未绝育母犬的肿瘤相关死亡率分别为18%和33%。这些发现表明,在切除乳腺肿瘤时进行卵巢子宫切除术对恶性疾病的进展没有显著影响,并且大约四分之一患有良性乳腺肿瘤的母犬可能会在另一个腺体中长出新的肿瘤。

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