犬淋巴瘤的诊断特点(综述)

R. Shevchik, H. Samoyluk
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引用次数: 0

摘要

. 犬淋巴瘤是血液学中一个庞大而复杂的领域。世界卫生组织(WHO)基于肿瘤细胞的临床、地形学、细胞形态学、免疫表型、遗传学和分子特征的最新分类系统被认为是犬淋巴瘤的基本系统。犬淋巴瘤的多种形式、亚型、疾病的全体性以及其检测病例的增加,决定了对该疾病进行全面研究在兽医肿瘤学中的重要性和相关性。及时准确的诊断是病媒生物控制和患者管理的主要内容。淋巴瘤的诊断方案包括病史和体格检查、血液学、血液生化分析和尿液检查、胸腔和腹腔诊断成像、病理形态学研究和细胞免疫表型。然而,最终诊断的基础是细胞学和组织学方法与细胞免疫表型。犬淋巴瘤的B细胞和t细胞分化簇与人类淋巴瘤免疫表型略有不同。来自成熟淋巴细胞的高级别犬淋巴瘤在86%的病例中被检测到,其中多中心大b细胞淋巴瘤被认为是世界上最常见的。国外兽医肿瘤学家使用现代高科技诊断方法(超声检查、断层扫描、细胞学、分子遗传学)不仅促进了快速准确的诊断,而且使科学家能够做出重要发现。考虑副肿瘤综合征可能促进早期发现狗的淋巴瘤。评估预后因素的意义和对淋巴瘤发病机制的认识,以便兽医做出正确的临床决策,作出长期预后和选择适当的治疗。淋巴瘤准确诊断的困难与许多诊断程序和影响诊断程序的各种因素有关,最终需要形成明确的诊断算法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Diagnostic features of canine lymphoma (a review)
. Canine lymphoma is a large and complex field of oncohematology. The updated classification system of the World Health Organization (WHO), which is based on clinical, topographic, cytomorphological, immunophenotypic, genetic, and molecular characteristics of neoplastic cells, is recognized as the basic systematization of canine lymphoma. The variety of forms, subtypes of canine lymphoma, the systemic nature of the disease and the increase in cases of their detection, determine the importance and relevance in veterinary oncology of a comprehensive study of this disease. The main vector in the disease control and proper patient management is the timely and accurate diagnosis. The diagnostic scheme for lymphoma includes a medical history and physical examination, hematology, biochemical blood analysis, and urine tests, diagnostic imaging of the chest and abdominal cavities, pathomorphological studies, and cell immunophenotyping. However, the basis for the final diagnosis is cytological and histological methods with cell immunophenotyping. The differentiation clusters of B- and T-cells of canine lymphomas are slightly different from those used for human lymphoma immunophenotyping. High-grade canine lymphomas from mature lymphocytes are detected in 86% of cases, with multicentric large B-cell lymphoma being recognized as the most common in the world. The use of modern, high-tech diagnostic methods (ultrasonography, tomography, cytology, molecular genetic) by foreign veterinary oncologists not only promotes a quick and accurate diagnosis but allows scientists to make important discoveries. Consideration of paraneoplastic syndromes may promote earlier detection of dogs’ lymphomas. Significance of prognostic factors and understanding of the pathogenesis of lymphoma were evaluated for the veterinarian to make the right clinical decisions, make a long-term prognosis and select appropriate therapy. The difficulty of making an accurate diagnosis of lymphoma is associated with many diagnostic procedures and various factors affecting them, which ultimately requires the formation of a clear diagnostic algorithm.
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