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犬胃上皮肿瘤的超声检查

Ultrasonography of canine gastric epithelial neoplasia.

作者信息

Penninck D G, Moore A S, Gliatto J

机构信息

Department of Surgery, Tufts University, School of Veterinary Medicine, North Grafton, MA 01536, USA.

出版信息

Vet Radiol Ultrasound. 1998 Jul-Aug;39(4):342-8. doi: 10.1111/j.1740-8261.1998.tb01618.x.

Abstract

Signalment, clinical and ultrasonographic findings from 16 dogs with histologically confirmed gastric epithelial neoplasia were reviewed. The most common clinical findings were vomiting, anorexia and weight loss. Hematemesis and melena were uncommon findings. Ten (10/16) dogs were female and there were four Chows. The most common ultrasonographic findings were transmural thickening of the gastric wall associated with altered wall layering. A poorly echogenic lining often was noted on the innermost and/or the outermost portions of the gastric wall, separated by a more echogenic central zone. The distribution of these changes was variable. This ultrasonographic feature, called pseudolayering, was present in 14 dogs. It was believed to most likely correlate to the unevenly layered tumor distribution noted histopathologically. The maximum wall thickening ranged from 1 cm to 2.7 cm. Regional lymphadenopathy was identified ultrasonographically in 15 dogs. Ultrasound-guided fine-needle aspiration biopsy or automated microcore biopsy, endoscopic biopsy, surgical biopsy or necropsy resulted in the diagnosis of carcinoma in 15 dogs and of carcinoid tumor in one dog. The results of this study suggested that ultrasonography was a useful tool for the detection and diagnosis of canine gastric epithelial neoplasia. Furthermore, ultrasonography can assist in obtaining diagnostic samples and in clinical staging of the tumor.

摘要

回顾了16只经组织学确诊为胃上皮肿瘤的犬的信号、临床和超声检查结果。最常见的临床症状是呕吐、厌食和体重减轻。呕血和黑便并不常见。10只(10/16)犬为雌性,其中有4只为 Chow 犬。最常见的超声检查结果是胃壁透壁性增厚伴壁层改变。在胃壁的最内层和/或最外层常可见低回声内衬,中间被一个回声更强的中心区域分隔。这些变化的分布是可变的。这种超声特征称为假分层,14只犬出现了这种情况。据信这很可能与组织病理学上观察到的肿瘤分布层不均匀有关。胃壁最大增厚范围为1厘米至2.7厘米。15只犬超声检查发现区域淋巴结病。超声引导下细针穿刺活检或自动微芯活检、内镜活检、手术活检或尸检确诊15只犬为癌,1只犬为类癌肿瘤。本研究结果表明,超声检查是检测和诊断犬胃上皮肿瘤的有用工具。此外,超声检查有助于获取诊断样本和对肿瘤进行临床分期。

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