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Clinical cases of infectious endocarditis in cats. 猫感染性心内膜炎临床病例分析。
Pub Date : 2022-11-03 eCollection Date: 2022-01-01 DOI: 10.29374/2527-2179.bjvm002322
Tatiana Vladimirovna Sereda, Marina Alekseevna Petrova, Ilya Vitalievich Popov, Igor Vitalievich Popov, Sergey Nikolaevich Kartashov, Alexey Mikhailovich Ermakov

Infectious endocarditis (IE) is a contagious polyposis ulcerative inflammation of the endocardium, accompanied by lesions of the heart valve apparatus and endothelium by various pathogenic and opportunistic pathogens. Mainly mitral and aortic valves are affected, less often - tricuspid valve. The purpose of this study was to report two cases of IE in cats. Due to the low prevalence of the disease in cats, there is no clear diagnostic algorithm, so the diagnostic search is complicated. In both cases, autonomic lesions of the heart valve apparatus were observed. In the first clinical case, we could hardly diagnose the disease because of its rapid progression: initial echocardiogram result was normal, but after 48 hours, the cat's condition became much worse, and 18 hours later, it died. In the second case, histopathological examination confirmed an infectious inflammatory process of the endocardium and myocardium of unclear genesis. However, the presence of lower respiratory tract infection and the absence of additional laboratory tests, such as bacterial blood culture and PCR diagnosis, limited us in proposing a hypothesis about the origin and etiology of IE.

感染性心内膜炎(IE)是一种心内膜的传染性息肉病性溃疡性炎症,伴随着各种致病性和机会性病原体对心脏瓣膜和内皮的损害。主要是二尖瓣和主动脉瓣受累,三尖瓣受累较少。本研究的目的是报告两例猫的IE。由于该病在猫中的患病率较低,目前尚无明确的诊断算法,因此诊断搜索较为复杂。在这两种情况下,观察到心脏瓣膜装置的自主病变。在第一个临床病例中,由于病情进展迅速,我们很难诊断出疾病:最初的超声心动图结果是正常的,但48小时后,猫的病情变得更加严重,18小时后死亡。在第二个病例中,组织病理学检查证实了心内膜和心肌的感染性炎症过程,原因不明。然而,下呼吸道感染的存在和缺乏额外的实验室检查,如细菌血培养和PCR诊断,限制了我们提出关于IE起源和病因的假设。
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引用次数: 0
Undetectable proviral DNA and viral RNA levels after raltegravir administration in two cats with natural feline leukemia virus infection. 在两只自然猫白血病病毒感染的猫服用雷替格拉韦后,检测不到原病毒DNA和病毒RNA水平。
Pub Date : 2022-10-26 eCollection Date: 2022-01-01 DOI: 10.29374/2527-2179.bjvm003522
Carla Regina Gomes Rodrigues Santos, Isabela Torres Ferreira, Renata Beranger, Julia Possebon Santi, Mariana Palha de Brito Jardim, Heloisa Justen Moreira de Souza

Feline leukemia virus (FeLV) infection was discovered over 50 years ago; however, the serious clinical changes associated with FeLV infection still have great importance in the diagnosis, prevention, and clinical management of symptomatic patients. Progressive infection with FeLV leads to a reduction in the patient's life expectancy and quality of life. This report describes the use of an antiretroviral integrase inhibitor, raltegravir, in two cats with natural FeLV infection. Raltegravir was administered orally at a dose of 40 mg/cat every 12 h in both cases. In case one, 13 weeks after starting raltegravir, RNA loads were undetectable, while proviral DNA loads were still detectable. In case two, proviral DNA loads were undetectable after 32 weeks of medication, while RNA loads were undetectable throughout the treatment. No adverse effects or laboratory test abnormalities were detected with the use of raltegravir in either patient. The patients are currently clinically healthy, still receiving the drug, and are under close observation. To our knowledge, this is the first report describing the use of raltegravir in naturally infected FeLV-positive cats and its effects on circulating viral load. Moreover, the patients described here were followed-up for a longer period than those in previously reported cases.

猫白血病病毒(FeLV)感染早在50多年前就被发现;然而,与FeLV感染相关的严重临床变化对有症状患者的诊断、预防和临床管理仍具有重要意义。FeLV的进行性感染会导致患者的预期寿命和生活质量降低。本报告描述了在两只天然FeLV感染的猫中使用抗逆转录病毒整合酶抑制剂雷替格拉韦。在两种情况下,口服雷替格拉韦的剂量为每12小时40毫克/猫。在第一种情况下,服用雷替重力韦13周后,RNA载量无法检测到,而前病毒DNA载量仍可检测到。在第二种情况下,在32周的药物治疗后,前病毒DNA载量无法检测到,而RNA载量在整个治疗过程中无法检测到。两例患者均未发现使用雷替格拉韦的不良反应或实验室检查异常。患者目前临床健康,仍在接受药物治疗,并正在密切观察。据我们所知,这是第一份描述在自然感染felv阳性猫中使用雷替重力韦及其对循环病毒载量影响的报告。此外,本文所描述的患者随访时间比先前报道的病例更长。
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引用次数: 1
Furuncular myiasis caused by Dermatobia hominis in a domestic cat - case report. 家猫因人皮癣引起的疣状蝇病一例报告。
Pub Date : 2022-10-06 eCollection Date: 2022-01-01 DOI: 10.29374/2527-2179.bjvm003922
Luísa Xavier Christ, Debora de Souza Pozzatto, Rafaella Tortoriello Barbosa Sampaio, Bruna Sampaio Martins Land Manier, Yasmin da Mota de Magalhães, Julio Israel Fernandes

Dermatobiosis is defined as a parasitosis caused by the larval stage of the human botfly Dermatobia hominis, often observed in large animals but considered unusual in pet animals. The aim of the report is to describe a naturally infested cat treated in a reference dermatology service with clinical presentation similar to neoplasia or abscess. A six-year-old spayed male Brazilian Shorthair cat with outdoor access, from the countryside of Rio de Janeiro state, was treated for two nodules, one located in the sacral region and one in the tail. The patient was restrained, and digital compression of the lesions resulted in expulsion of D. hominis larvae, accompanied by a purulent secretion. The removal of larvae and use of antiseptic at the site resolved the furuncular myiasis. It is possible to assume that the parasitism reported here resulted from the animal's living arrangement, in a rural area with cattle parasitized by D. hominis. We conclude that parasitism by D. hominis should be present on the list of differential diagnoses of cats with nodules and that mechanical removal associated with the use of antiseptics is resolutive.

皮蝇病被定义为由人类蝇类人皮蝇幼虫期引起的寄生虫病,通常在大型动物中观察到,但在宠物动物中被认为不常见。该报告的目的是描述一个自然感染的猫治疗参考皮肤科服务与临床表现类似的肿瘤或脓肿。来自里约热内卢州农村的一只六岁的雄性巴西短毛猫有户外活动的机会,它接受了两个结节的治疗,一个位于骶骨区域,另一个位于尾巴。病人被控制住,手指压迫病变导致人疟蚊幼虫排出,并伴有脓性分泌物。经去除幼虫及现场使用杀菌剂后,镰状丝虫病得以治愈。可以假设,这里报告的寄生虫是由于动物的生活安排造成的,在农村地区,牛被人源弓形虫寄生。我们得出的结论是,人类弓形虫的寄生应该出现在患有结节的猫的鉴别诊断列表中,并且与使用防腐剂相关的机械去除是决定性的。
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引用次数: 0
Genetic profiling of HSP70 gene in local Iraqi goats. 伊拉克山羊HSP70基因的遗传分析。
Pub Date : 2022-10-05 eCollection Date: 2022-01-01 DOI: 10.29374/2527-2179.bjvm004121
Hassan Nima Habib, Wessam Monther Mohammed Saleh, Qutaiba Jassim Gheni

Animals display numerous physiological and behavioral responses that reduce the effects of heat stress. Moreover, genetic variance is strongly associated with responses to heat stress, including variants of heat shock proteins (HSPs) that are necessary for thermoregulation and stress resistance. Herein, we performed the molecular profiling of the HSP70 gene, and its polymorphism was demonstrated as a possible factor in the stress tolerance of local Iraqi goats. A number of different mutations were found owing to seven main polymorphisms. Results indicated the occurrence of silent and missense mutations in sequences obtained for Iraqi local goats. Genetic diversity was observed in the HSP70 gene of Iraqi local goats on the basis of phylogenetic-tree analysis as some mutations occurred once whereas others occurred multiple times. The polymorphisms LC616787, LC616788, and LC616791 were combined with the reference gene in the same branch, whereas polymorphisms (LC616785 and LC616786) and (LC616789 and LC616790) met in different branches, respectively. Moreover, all studied proteins had mismatches in their three-dimensional structures. Therefore, the presence of specific genetic differences within the HSP70 gene in Iraqi goats can increase the possibility of selecting animals more suitable to various levels of stress.

动物表现出许多生理和行为反应,以减少热应激的影响。此外,遗传变异与热应激反应密切相关,包括热休克蛋白(HSPs)的变异,这是体温调节和抗逆性所必需的。在此,我们对HSP70基因进行了分子分析,并证明其多态性可能是伊拉克当地山羊耐受性的一个因素。由于七种主要的多态性,发现了许多不同的突变。结果表明,伊拉克地方山羊的基因序列存在沉默突变和错义突变。通过系统发育树分析,发现伊拉克地方山羊HSP70基因存在遗传多样性,有的发生一次突变,有的发生多次突变。LC616787、LC616788和LC616791的多态性与同一分支的内参基因结合,而LC616785和LC616786的多态性和LC616789和LC616790的多态性分别在不同分支上相遇。此外,所有被研究的蛋白质在其三维结构上都存在不匹配。因此,伊拉克山羊HSP70基因中存在的特定遗传差异可以增加选择更适合各种应激水平的动物的可能性。
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引用次数: 0
European regulations on prevention use of antimicrobials from january 2022. 从2022年1月起,欧洲关于预防使用抗菌素的法规。
Pub Date : 2022-10-05 eCollection Date: 2022-01-01 DOI: 10.29374/2527-2179.bjvm000822
Shabbir Simjee, Gabriella Ippolito

Over the past several years significant progress on achieving better antibiotic stewardship in the veterinary sector has been achieved through regulatory legislations both in the USA and the European Union, including the implementation of US FDA GL 209 and 213. The EU is now taking measures to phase out the routine use of antibiotics for disease prevention, reserving prophylactic use for exceptional circumstances. This article intends to add some clarifications regarding antibiotics for disease prevention that are embedded in two EU regulations which came into force on 28th January 2022, Regulation (EU) 2019/4 on Medicated Feed and Regulation (EU) 2019/6 on Veterinary Medicinal Products.

在过去几年中,通过美国和欧盟的监管立法,包括美国FDA GL 209和213的实施,在兽医部门实现更好的抗生素管理方面取得了重大进展。欧盟目前正在采取措施,逐步淘汰用于疾病预防的抗生素的常规使用,保留特殊情况下的预防性使用。本文旨在对2022年1月28日生效的两项欧盟法规(含药饲料法规(EU) 2019/4和兽药产品法规(EU) 2019/6)中包含的用于疾病预防的抗生素进行一些澄清。
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引用次数: 5
Culicoides' species from a Leishmania transmission hotspot and efficacy of the Captor® suction light trap. 某地利什曼原虫传播热点库蠓种类及Captor吸光诱蚊器效果。
Pub Date : 2022-10-04 eCollection Date: 2022-01-01 DOI: 10.29374/2527-2179.bjvm002922
Julia Somavilla Lignon, Diego Moscarelli Pinto, Silvia Gonzalez Monteiro

Culicoides have medical and veterinary importance, as they play a role as vectors of viruses, protozoa, and nematodes that cause diseases. Despite the relevance to public health, greater attention has been given to other insect vectors. Therefore, the objective of this study was to evaluate the efficiency of the Captor® light trap in capturing Culicoides that could be examined for the presence of Leishmania DNA. The insects were captured in a rural area of Santa Maria, Rio Grande do Sul, Brazil, where canine and human visceral leishmaniasis have been diagnosed. Adult insects were collected weekly, from 6:00 pm to 6:00 am, for a 12 month period using a Captor® brand suction light trap. All Culicoides were identified at species level. Pools of Culicoides were tested using the Polymerase Chain Reaction (PCR) technique for the detection of Leishmania DNA. A total of 16,016 specimens were collected (71.54% females and 28.39% males), divided among seven species. In the DNA analysis, none of the pools showed a positive result for Leishmania. The data presented demonstrate that the trap is efficient and can be an alternative for use in entomological research. They also demonstrate that, despite the females having hematophagous habits, similar to other vector insects, they did not have contact with Leishmania in the studied locality.

库蠓在医学和兽医方面具有重要意义,因为它们是导致疾病的病毒、原生动物和线虫的载体。尽管与公共卫生有关,但对其他昆虫媒介给予了更多的关注。因此,本研究的目的是评估Captor®捕蚊灯捕获库蠓的效率,这些库蠓可用于检测利什曼原虫DNA的存在。这些昆虫是在巴西南里奥格兰德州圣玛丽亚的一个农村地区捕获的,那里已经诊断出犬类和人类内脏利什曼病。成虫采集时间为每周下午6:00 -早上6:00,为期12个月,使用Captor®品牌吸光诱蚊器。所有库蠓均在种水平上得到鉴定。采用聚合酶链反应(PCR)技术对库蠓种群进行利什曼原虫DNA检测。共采集标本16016只,雌虫71.54%,雄虫28.39%,分属7种。在DNA分析中,没有一个游泳池显示利什曼原虫阳性结果。所提供的数据表明,该捕集器是有效的,可作为昆虫学研究的一种替代方法。他们还证明,尽管雌性昆虫与其他媒介昆虫相似,有噬血习惯,但它们在研究地点没有与利什曼原虫接触。
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引用次数: 0
Insecticidal activity in vitro of the essential oil of Pogostemon cablin against Ctenocephalides felis felis. 广藿香精油对猫头线虫体外杀虫活性的研究。
Pub Date : 2022-09-30 eCollection Date: 2022-01-01 DOI: 10.29374/2527-2179.bjvm003422
Micaella Bastos da Silva Temperini, Anna Beatriz Ribeiro Fortunato, Diefrey Ribeiro Campos, Ingrid Lins Raquel de Jesus, Yara Peluso Cid, Fabio Barbour Scott, Katherina Coumendouros

The aim of this study was to evaluate the in vitro insecticidal activity of the essential oil (EO) of P. cablin against immature and adult stages of C. felis. The chemical composition of P. cablin EO was determined by gas chromatography (GC). To evaluate the insecticidal activity, the egg, larva, pupa, and adult stages of C. felis were exposed to different concentrations of P. cablin EO diluted in acetone and impregnated in filter paper in a concentration range of 25 to 200 μg.cm-2. After exposure, the material was incubated in climatized chambers and mortality assessment was performed after 24 h for the larval and adult stages, 72 h for the egg stage and 15 days for the pupal stage. After GC analysis, the major constituents of the EO of P. cablin were found to be patchoulol (27.4%), α-bulnesene (19.7%) and α-guayene (15.0%). The of mortality percentage was 100% at the concentration of 200 μg.cm-2 for all stages. The LCs50 values were 46.1, 49.2, 60.6 and 62.7 µg.cm-2, respectively for the pupal, egg, larva and adult stages. Based on the results obtained, we can conclude that the EO of P. cablin contained patchoulol, α-bulnesene, and α-guayene as major constituents and had insecticidal activity against the immature and adult stages of C. felis.

本研究的目的是评价长叶青挥发油(EO)对未成熟期和成虫期猫蛾的体外杀虫活性。采用气相色谱(GC)法测定其化学成分。以25 ~ 200 μg.cm-2的浓度范围内,用丙酮稀释不同浓度的cablin EO,然后用滤纸浸渍,对绒螯蟹卵、幼虫、蛹和成虫进行杀虫活性评价。暴露后,在恒温箱中孵育,幼虫期和成虫期分别为24 h,卵期为72 h,蛹期为15 d,分别进行死亡率评估。经气相色谱分析,其主要成分为广藿香醇(27.4%)、α-橡胶烯(19.7%)和α-胶烯(15.0%)。浓度为200 μg时,死亡率为100%。Cm-2用于所有阶段。LCs50分别为46.1、49.2、60.6和62.7µg。蛹、卵、幼虫和成虫期分别为Cm-2。综上所述,该制剂的主要成分为广藿香酚、α-牛油烯和α-鸟胶烯,对小绒螟未成熟期和成虫期均有一定的杀虫活性。
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引用次数: 0
Successful outcome of distal radius non-union after open fracture osteomyelitis treated by external fixation and bone grafting in a cat: case report. 外固定植骨治疗开放性骨折骨髓炎后桡骨远端不愈合1例报告。
Pub Date : 2022-09-30 eCollection Date: 2022-01-01 DOI: 10.29374/2527-2179.bjvm003322
Radka Garnoeva, Rumen Roydev, Mehmed Halil

А clinical case of non-union in a cat after open fracture repair by intramedullary ostheosynthesis of the radius was described. The patient was presented with non-weight bearing lameness, fistulas with purulent discharge, swelling and severe pain. During the surgical revision, after bone sequestrum removal, the bone defect was filled with cancellous and cortical bone autografts. Osteosynthesis with a modified external bone fixator, made of Duracryl® Plus - a rapidly self-curing metacrylate polymer - and 6 Kirschner wires passing perpendicularly through both radial cortices was performed. The post-operative period was smooth, and after 23 weeks the external fixator was removed. Radiography showed very good bone healing, with excellent clinical result. The use of the ulna as a donor bone was very convenient because it allowed collecting a cortical graft of larger size. The extremely light model of external bone fixator provided adequate strength of fixation elements and proved to be an efficient and not expensive technique for osteosynthesis in cat with non-union fractures of the distal radius and ulna.

А本文报道1例猫桡骨髓内植骨术开放性骨折修复后骨不连的临床病例。患者表现为非负重性跛行,瘘伴脓性分泌物,肿胀和剧烈疼痛。在手术翻修过程中,去除骨痂后,用松质骨和皮质骨自体移植物填充骨缺损。采用改良的外部骨固定架(由Duracryl®Plus(一种快速自固化的甲基丙烯酸酯聚合物)制成)和6根克氏针垂直穿过两侧桡骨皮质进行骨固定。术后顺利,23周后取出外固定架。x线片显示骨愈合良好,临床效果良好。使用尺骨作为供体骨是非常方便的,因为它允许收集更大尺寸的皮质移植物。极轻的外固定架模型提供了足够的固定元件强度,并被证明是一种有效且不昂贵的技术,用于治疗桡骨远端和尺骨不愈合骨折。
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引用次数: 0
How does Dirofilaria immitis infection impact the health of dogs referred to cardiology care. 免疫丝虫感染如何影响狗的健康转到心脏病学护理。
Pub Date : 2022-09-20 eCollection Date: 2022-01-01 DOI: 10.29374/2527-2179.bjvm002622
Nathália Marques De Oliveira Lemos, Bruno Alberigi, Norma Labarthe, Fabiana Batalha Knacfuss, Cristiane Divan Baldani, Marta Fernanda Albuquerque da Silva

Dirofilaria immitis is a nematode that can cause a disease that may present clinical signs from severe to absent. When dogs are symptomatic, the clinical signs are cardiorespiratory and nonspecific, which may be misleading. This study aimed to demonstrate the clinical presentations to cardiac care by evaluating 26 dogs subjected to clinical examination, complete blood count (CBC), specific tests for D. immitis infection, chest radiography, and echocardiography. Among them, 11 (42.3%) dogs were infected and 15 (57.7%) were non-infected. Most dogs presented with coughing (65.4%) and abnormal lung sounds (81%) independent of infection. Murmur at the tricuspid focus was present in 26.9% of the dogs, of which 57.1% were infected. Echocardiography revealed tricuspid regurgitation in 30.8% of the dogs and pulmonary regurgitation in 46.1%, of which 37.5% and 50% were infected, respectively. Worms were detected by echocardiography in 45.5% of the infected dogs. The x-rays showed that the bronchial pattern was present in 45.5% of the infected dogs and in 46.7% of the non-infected dogs. The interstitial pattern was present in 18.2% of the infected animals, in contrast to 6.7% of the non-infected dogs. The CBC results for all dogs were within the reference range, except for platelets. Although similar, the percentage of dogs with thrombocytopenia was higher among infected dogs (36.4%) than among the non-infected (6.7%). These results reinforce that due to the non-specific signs of infection, it is mandatory to perform parasitological assays when evaluating dogs presenting with cardiopulmonary signs.

免疫丝虫是一种线虫,可引起一种疾病,可能表现出从严重到无临床症状。当狗有症状时,临床症状是心肺和非特异性的,这可能会误导。本研究旨在通过评估26只狗的临床检查,全血细胞计数(CBC),免疫弓形虫感染的特定测试,胸部x线摄影和超声心动图来展示心脏护理的临床表现。其中感染犬11只(42.3%),未感染犬15只(57.7%)。大多数犬表现为咳嗽(65.4%)和肺音异常(81%),独立于感染。26.9%的犬出现三尖瓣杂音,其中57.1%感染。超声心动图显示三尖瓣反流发生率为30.8%,肺反流发生率为46.1%,其中感染发生率分别为37.5%和50%。45.5%的感染犬超声心动图检出蠕虫。x射线显示45.5%的感染犬和46.7%的未感染犬存在支气管型。18.2%的感染犬存在间质型,而未感染犬的这一比例为6.7%。除血小板外,所有犬的CBC结果均在参考范围内。虽然相似,但感染犬的血小板减少率(36.4%)高于未感染犬(6.7%)。这些结果强调,由于感染的非特异性体征,在评估出现心肺体征的狗时,必须进行寄生虫学检测。
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引用次数: 3
Clinical, epidemiological, and histopathological aspects of breast cancer in female dogs at Federal Rural University of Rio de Janeiro Veterinary Hospital. 里约热内卢联邦农村大学兽医院雌性犬乳腺癌的临床、流行病学和组织病理学研究
Pub Date : 2022-09-16 eCollection Date: 2022-01-01 DOI: 10.29374/2527-2179.bjvm000722
Lucinéia Costa Oliveira, Maria Eduarda Dos Santos Lopes Fernandes, Anna Julia Rodrigues Peixoto, Felipe Farias Pereira da Camara Barros, Cássia Maria Molinaro Coelho, Vivian de Assunção Nogueira, Saulo Andrade Caldas

This study aimed to evaluate the clinical, epidemiological, and histopathological aspects of canine breast tumors at the Federal Rural University of Rio de Janeiro Veterinary Hospital (VH-UFRRJ) between April 2017 and October 2018. The study included 137 female canine dogs with mammary neoplasia who underwent a mastectomy. The animals were evaluated using a standard form that guided anamnesis and physical examination to assess the tumor's epidemiology, development, evolution, treatment choice, and disease prognosis. Furthermore, laboratory and imaging tests were performed on the animals to search for changes that suggested metastasis. The average age of the female dogs was 10 years, and mixed-breed dogs (33%) were the most affected, followed by poodles (21%). The inguinal (79%) and caudal abdominal (64%) breasts were the most affected. Approximately 26% of the animals were castrated, 32% had already reproduced throughout their lives, 30% had pseudocyesis, and only 8% used contraceptive methods. The majority were classified as stage I (33%) and stage III (39%) according to the Tumor-Node-Metastasis (TNM) Classification System of Malignant Tumors. In 95 female dogs, 191 nodules were histopathologically evaluated, and 62% of these animals had at least one malignant tumor. Statistically, there was a direct association between tumor size and malignancy. However, other associations, such as age at diagnosis and the degree of malignancy, were not confirmed. Therefore, it can be concluded that tumor size is an important prognostic factor, with tumors >3 cm having an approximately 70% chance of being malignant.

本研究旨在评估2017年4月至2018年10月期间里约热内卢联邦农村大学兽医院(VH-UFRRJ)犬乳腺肿瘤的临床、流行病学和组织病理学方面的情况。这项研究包括137只患有乳腺肿瘤的雌性犬,它们接受了乳房切除术。采用标准形式对动物进行评估,指导记忆和体格检查,以评估肿瘤的流行病学、发展、演变、治疗选择和疾病预后。此外,对动物进行了实验室和影像学检查,以寻找提示转移的变化。母犬的平均年龄为10岁,其中混血犬(33%)受影响最大,其次是贵宾犬(21%)。腹股沟(79%)和尾腹(64%)乳房受影响最大。大约26%的动物被阉割,32%的动物一生中已经繁殖,30%的动物有假性生殖,只有8%的动物采取了避孕措施。根据肿瘤-淋巴结-转移(TNM)分类系统,大多数分为I期(33%)和III期(39%)。在95只雌性犬中,191个结节进行了组织病理学评估,其中62%的动物至少有一个恶性肿瘤。统计学上,肿瘤大小与恶性程度有直接关系。然而,其他关联,如诊断年龄和恶性程度,尚未得到证实。因此,可以得出结论,肿瘤大小是一个重要的预后因素,肿瘤> 3cm的恶性几率约为70%。
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引用次数: 1
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Brazilian journal of veterinary medicine
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