基于肿瘤标志物的超声和乳腺钼靶摄影在诊断Bitches乳腺肿瘤中的价值

S. Alizadeh, K. Azimzadeh
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引用次数: 1

摘要

目的:本研究旨在探讨超声作为一种补充诊断方法在诊断母犬乳腺肿瘤中的作用,其最终目的是用超声的阳性结果来评估乳腺钼靶检查的结果。设计——前瞻性研究。动物——12只乳腺区域有肿胀肿块的德国牧羊犬(第一组)和12只没有任何肿胀肿块的健康德国牧羊狗(第二组健康组)。手术-通过超声检查对这些母犬进行评估,同时对腋窝淋巴结进行评估。此外,对这些狗进行了乳房X光检查,结果由另一位放射科医生报告。最后,所有疑似病例都被转诊进行活检或手术,病理学家宣布了确切的结果。此外,在所有样品中检测到肿瘤标志物,如癌余物抗原(CEA)和癌症抗原15.3(CA 15.3)(I组和II组)。结果-根据超声评估的12例可疑肿块的结果,I组报告了9例肿瘤(经病理检查明确诊断)和3例脓肿。此外,与II组相比,I组所有血清样本中的肿瘤标志物显著增加。肿块平均直径为13mm,淋巴结平均直径为5mm。由于存在致密乳腺组织,在乳房X光检查中,18.3%的病例呈阴性或只有一个不对称密度,其余病例(81.7%)呈阳性。结论和临床相关性-根据本研究的结果,超声诊断乳腺肿瘤,尤其是年轻母犬乳腺肿瘤,可以有效且高灵敏度。
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Evaluation of Ultrasonography and Mammography in Diagnosis of Mammary Gland Tumor in Bitches: Based on Tumor Markers
Objective- This study refers to the role of ultrasonography in the diagnosis of mammary gland tumor in bitches as a complementary diagnostic method and its ultimate goal is to evaluate the results of mammography with the positive results of ultrasonography.Design- Prospective study.Animals- 12 German Shepherd bitches with swollen mass in the mammary gland region (group I) and 12 healthy German shepherd bitches without any swollen mass (group II-healthy group).Procedures- these bitches were evaluated by ultrasonography and assessment of axillary lymph nodes was performed simultaneously. Also, mammography was performed in these dogs and the results were reported by another radiologist. Finally, all suspected cases were referred for biopsy or surgery, and definite results were announced by the pathologist. In addition to, tumor markers such as carcino emberionic antigen (CEA) and cancer antigen 15.3 (CA 15.3) were detected in all samples (group I and group II).Results- Based on the results of the 12 cases of suspicious masses evaluated by ultrasonography, 9 cases of tumors (definitive diagnosis with pathological tests) and 3 cases of abscess were reported in the cases of group I. Moreover, tumor markers remarkably increased in the all sera samples of group I compared group II. The average diameter of the mass was 13 mm and the mean diameter of the lymph nodes was 5 mm. In mammography findings due to presence of dense mammary tissue, 18.3% of the cases had negative or only one asymmetric density and the remaining cases (81.7%) were positive. Conclusion and Clinical Relevance- Based on the results of this study, ultrasonography in diagnosis of mammary gland tumors especially in young bitches can be effective with high sensitivity.
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