A Study on the Relationship Between Tumor Size, Tumor Grade and Lymph Node Involvement in Canine Mammary Cancer: Simulation of Tumor Behavior in Human Breast Cancer

Sanaz Rismanchi, P. Mortazavi, S. Muhammadnejad
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Abstract

Background: In the last two decades, canine mammary cancer has played an essential role in human breast cancer research. There are various similarities between biological and clinical features of canine breast cancer and female breast cancer in many cases. Clinical studies and evaluation of prognostic factors in canine mammary cancer can increase reliability in generalizing results to human cancers. This study was performed in the direction of comparative oncology. Methods: We collected clinicopathological data of an invasive type of canine mammary carcinoma from clinical records and pathology reports. Age, tumor laterality, tumor size, lymph node status, and tumor grade were recorded, and the relationships between the parameters were evaluated using linear regression analysis. Results: Ninety-seven patients were included in the study, and the mean age was 10.06 ± 2.73 years. The left mammary gland was involved in 51% of cases, and pT2 was the most common tumor size. Lymph nodes were involved in 27% of patients, and 43% of tumors were grade I. Statistical analysis showed no relationship between tumor size and laterality with other clinicopathological features. However, there was a statistically significant relationship between tumor size and tumor grade, and lymph node status. As the tumor size increased, tumor grade and the risk of lymph node involvement raised. Conclusion: Similar results of this study to breast cancer in women show that canine mammary carcinoma is a suitable model in comparative oncology research. Dogs live shorter than humans so that researchers can get the results of treatment and perform survival rate assessments faster in clinical trials. By considering ethical principles, dogs with breast cancer may replace phases I and II of human clinical trials in some cancer types soon.
犬乳腺癌肿瘤大小、肿瘤分级与淋巴结累及关系的研究:人类乳腺癌肿瘤行为的模拟
背景:在过去的二十年中,犬乳腺癌在人类乳腺癌研究中发挥了重要作用。犬乳腺癌的生物学和临床特征在许多情况下与女性乳腺癌有许多相似之处。犬乳腺癌预后因素的临床研究和评估可以提高将结果推广到人类癌症的可靠性。本研究的方向是比较肿瘤学。方法:我们从临床记录和病理报告中收集了一例浸润型犬乳腺癌的临床病理资料。记录年龄、肿瘤侧边、肿瘤大小、淋巴结状态和肿瘤分级,并利用线性回归分析评估参数之间的关系。结果:纳入97例患者,平均年龄10.06±2.73岁。51%的病例累及左乳腺,pT2是最常见的肿瘤大小。27%的患者有淋巴结累及,43%的肿瘤为i级。统计学分析显示肿瘤的大小和侧边性与其他临床病理特征没有关系。然而,肿瘤大小、肿瘤分级和淋巴结状态之间有统计学意义的关系。随着肿瘤大小的增加,肿瘤分级和累及淋巴结的风险也随之增加。结论:本研究结果与女性乳腺癌相似,表明犬乳腺癌是比较肿瘤学研究的合适模型。狗的寿命比人类短,因此研究人员可以在临床试验中更快地获得治疗结果并进行存活率评估。考虑到伦理原则,患有乳腺癌的狗可能很快就会取代某些癌症类型的人类临床试验的第一和第二阶段。
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