8只猫口腔肿瘤根治性下颌骨切除术治疗的结果。

S. Boston, L. V. van Stee, N. Bacon, D. Szentimrey, B. Kirby, S. V. van Nimwegen, V. Wavreille
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引用次数: 10

摘要

目的报告猫下颌骨根治性切除术后的预后。研究设计:多机构回顾性研究。动物:包括8只猫。方法对经下颌骨根治术治疗的确诊口腔肿瘤的猫进行病历检索。收集的数据包括人口统计学、手术程序、组织病理学诊断、术后处理和结果。结果患者年龄8 ~ 17岁。所有猫都切除了75%到90%的下颌骨,并放置了喂食管。七只猫患有鳞状细胞癌,一只猫患有巨细胞瘤。6只猫术后自行进食。3只猫局部复发,肿瘤相关死亡时间分别为136天和291天。6只猫没有复发,生存时间分别为156、465、608和1023天,2只猫在术后316和461天仍然存活。三名长期幸存者死于与口腔肿瘤无关的原因。1只猫在156天时因食材误吸死亡。总体估计平均生存时间为712天。结论8只猫根治性下颌骨切除术后,6只猫实现了独立进食,4只猫寿命超过1年。临床意义:对于猫的广泛性口腔肿瘤,应考虑进行下颌骨根治术。围手术期积极的支持性护理有可能取得成功的长期结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Outcomes of eight cats with oral neoplasia treated with radical mandibulectomy.
OBJECTIVE To report outcomes after radical mandibulectomy in cats. STUDY DESIGN Multi-institutional retrospective study. ANIMALS Eight cats were included. METHODS Medical records were searched for cats with confirmed oral neoplasia treated with radical mandibulectomy. Data collected included demographics, surgical procedure, histopathological diagnosis, postoperative management, and outcomes. RESULTS Ages ranged from 8 to 17 years. All cats had 75% to 90% of the mandible removed and feeding tubes placed. Seven cats had squamous cell carcinoma, and one cat had a giant cell tumor. Six cats ate on their own postoperatively. Three cats had local recurrence and tumor-related died at 136 and 291 days. Six cats had no recurrence, with survival times of 156, 465, 608, and 1023 days, and two cats were still alive at 316 and 461 days after surgery. The three long-term survivors died of causes unrelated to oral neoplasia. One cat died at 156 days due to aspiration of food material. The overall estimated mean survival time was 712 days. CONCLUSION After radical mandibulectomy, independent food intake was achieved in 6 of eight cats, and four cats lived longer than one year. CLINICAL SIGNIFICANCE Radical mandibulectomy should be considered for the treatment of extensive oral neoplasia in cats. Successful long-term outcomes are possible with aggressive supportive care perioperatively.
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