狗前列腺癌的临床病理学表征
Demitria M Vasilatis1,2, Paramita M Ghosh1,2,3
1Department of Urologic Surgery, School of Medicine, University of California Davis, Sacramento, CA 95718, USA.
Animals : an open access journal from MDPI
|February 24, 2024
概括
临床病理学数据可以帮助区分狗前列腺癌类型. 低albuminemia表明前列腺腺癌,而Melamed-Wolinska体和亡表明过渡细胞癌,有助于进行前死亡诊断.
科学领域:
- 兽医瘤学 兽医瘤学
- 狗的病理学 狗的病理学
- 比较性瘤学研究
背景情况:
- 准确区分犬前列腺癌 (PCa) 类型对于治疗至关重要,但往往缺乏足够的临床病理学数据.
- 初级前列腺腺癌 (PRAD) 和初级前列腺过渡细胞癌 (P-TCC) 是不同的实体,需要特定的诊断方法.
研究的目的:
- 评估临床病理学数据,以区分狗狗的PRAD和P-TCC.
- 评估红细胞分布宽度与白蛋白比率 (RAR) 在区分PRAD和P-TCC的诊断实用性.
- 为了比较实验室数据和雄激素受体阳性 (AR+) 和阴性 (AR-) PRAD瘤之间的存活率.
主要方法:
- 对56只患有PRAD的狗和74只患有P-TCC的狗的人口统计,临床病理学,细胞学和生存数据 (1992-2022) 的回顾性分析.
- 评估红细胞分布宽度 (RDW) 和白蛋白水平,以计算诊断实用性的RAR.
- 在PRAD瘤中对雄激素受体 (AR) 表达的组织化学染色.
主要成果:
- 增加的RDW和减少的白蛋白与PRAD显著相关 (p <0.05).
- 细胞学上的梅拉米德-沃林斯卡体 (MWB) 和与P-TCC显著相关 (p <0.05).
- 在区分PCa瘤 (AUC = 0.7; p < 0.05) 中,RAR显示了可接受的诊断效用. 低蛋白血症与PRAD中存活率降低相关. 在PRAD中,AR状态没有影响临床病理学数据或生存率.
结论:
- 低albuminemia是PRAD和狗的生存率较低的潜在指标.
- 对MWB和亡的细胞学发现可能有助于在死前确定P-TCC.
- 临床病理学数据,包括RAR,可以帮助区分狗前列腺癌类型,指导治疗决策.
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