Other language title :
ارزﯾﺎﺑﯽ اوﻟﺘﺮاﺳﻮﻧﻮﮔﺮاﻓﯽ و ﻣﺎﻣﻮﮔﺮاﻓﯽ در ﺗﺸﺨﯿ ﺺ ﺗﻮﻣﻮر ﭘﺴﺘﺎن ﺳﮓﻫﺎي ﻣﺎده: ﺑﺮ اﺳﺎس ﻧﺸﺎﻧﮕﺮﻫﺎي ﺗﻮﻣﻮري
Title of article :
Evaluation of Ultrasonography and Mammography in Diagnosis of Mammary Gland Tumor in Bitches: Based on Tumor Markers
Author/Authors :
Alizadeh, Siamak Department of Clinical Sciences - Faculty of veterinary medicine - Urmia Branch - Islamic Azad University , Azimzadeh, Kaveh Department of Clinical Sciences - Faculty of veterinary medicine - Urmia Branch - Islamic Azad University
Abstract :
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 IIhealthy
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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Farsi abstract :
ﻫﺪف- اﯾﻦ ﻣﻄﺎﻟﻌﻪ ﺑﻪ ﻧﻘﺶ اوﻟﺘﺮاﺳﻮﻧﻮﮔﺮاﻓﯽ در ﺗﺸﺨﯿﺺ ﺳﺮﻃﺎن ﭘﺴﺘﺎن ﺳﮓﻫﺎ ﺑﻪﻋﻨﻮان روش ﻣﮑﻤﻞ ﺗﺸﺨﯿﺼﯽ اﺷﺎره ﻣﯽﮐﻨﺪ و ﻫﺪف ﻧﻬﺎﯾﯽ آن ﻫﻤﺨﻮاﻧﯽ ﻧﺘﺎﯾﺞ ﻣﺎﻣﻮﮔﺮاﻓﯽ ﺑﺎ ﻧﺘﺎﯾﺞ ﻣﺜﺒﺖ اوﻟﺘﺮاﺳﻮﻧﻮﮔﺮ اﻓﯽ اﺳﺖ.
ﻃﺮح- ﻣﻄﺎﻟﻌﻪ آﯾﻨﺪهﻧﮕﺮ.
ﺣﯿﻮاﻧﺎت- 12 ﺳﮓ ﻣﺎده ﺑﺎ ﺗﻮده ﻣﺘﻮرم در ﻧﺎﺣﯿﻪ ﭘﺴﺘﺎن )ﺑﻪﻋﻨﻮا ن ﮔﺮوه ﯾﮏ( و 12 ﺳﮓ ﺑﺪون ﺗﻮده ﻣﺘﻮرم )ﺑﻪﻋﻨﻮان ﮔﺮوه دو-ﮔﺮوه ﺳﺎﻟﻢ(. روش ﮐﺎر- اﯾﻦ ﺳﮓﻫﺎي ﻣﺎده ﺗﺤﺖ ﻣﺎﻣﻮﮔﺮاﻓﯽ و ﺳﻮﻧﻮﮔﺮاﻓﯽ ﻗﺮار ﮔﺮﻓﺘﻨﺪ و ارزﯾﺎﺑﯽ ﻋﻘﺪهﻫﺎي ﻟﻨﻔﺎوي آﮔﺰﯾﻼري ﻧﯿﺰ ﺑﻪﺻﻮرت ﻫﻢزﻣﺎن ﺑﻪ ﻋﻤﻞ آﻣﺪ. در اﯾﻦ ﺳﮓﻫﺎ ﻣﺎﻣﻮﮔﺮاﻓﯽ ﻧﯿﺰ اﻧﺠﺎم ﺷﺪ و ﻧﺘﺎﯾﺞ آن ﺗﻮﺳﻂ رادﯾﻮﻟﻮژﯾﺴﺖ دﯾﮕﺮي ﮔﺰارش ﮔﺮدﯾﺪ. درﻧﻬﺎﯾﺖ ﮐﻠﯿﻪ ﻣﻮارد ﻣﺸﮑﻮك ﺟﻬﺖ ﺑﯿﻮﭘﺴﯽ ﯾﺎ ﺟﺮاﺣﯽ ارﺟﺎع ﺷﺪﻧﺪ و ﻧﺘﺎﯾﺞ ﻗﻄﻌﯽ ﺗﻮﺳﻂ ﭘﺎﺗﻮ ﻟﻮژﯾﺴﺖ اﻋﻼم ﺷﺪ. ﺿﻤﻨﺎً ﺗﻮﻣﻮرﻣﺎرﮐﺮﻫﺎي CEA و 15.3 CA در ﻧﻤﻮﻧﻪﻫﺎي ﺳﺮﻣﯽ ﻫﺮ دو ﮔﺮوه ﻣﻮرد ﺳﻨﺠﺶ و ارزﯾﺎﺑﯽ ﻗﺮار ﮔﺮﻓﺖ.
ﻧﺘﺎﯾﺞ- ﺑﺮ اﺳﺎس ﻧﺘﺎﯾﺞ ﺣﺎﺻﻠﻪ از 12 ﻣﻮرد ﺗﻮده ﻣﺸﮑﻮك ﮔﺰارش ﺷﺪه ﺑﺎ اوﻟﺘﺮاﺳﻮﻧﻮﮔﺮاﻓﯽ در ﮔﺮوه ﯾﮏ، در 9 ﻣﻮرد ﺗﻮﻣﻮر )ﺗﺸﺨﯿﺺ ﻗﻄﻌﯽ ﺑﺎ آزﻣﺎﯾﺶﻫﺎي ﭘﺎﺗﻮﻟﻮژي( و در 3 ﻣﻮرد آﺑﺴﻪ ﮔﺰارش ﮔﺮدﯾﺪ. ﺑﻪﻋﻼ وه اﯾﻨﮑﻪ، اﻓﺰاﯾﺶ ﺷﺪﯾﺪ و ﻗﺎﺑﻞﺗﻮﺟﻪ ﺗﻮﻣﻮر ﻣﺎرﮐﺮﻫﺎي ﻓﻮق در ﮔﺮوه ﯾﮏ در ﻣﻘﺎﯾﺴﻪ ﺑﺎ ﮔﺮوه دو )ﺳﺎﻟﻢ( ﻣﺸﺎﻫﺪه ﺷﺪ. ﻣﺘﻮﺳﻂ ﻗﻄﺮ ﺗﻮده 13 ﻣﯿﻠﯽﻣﺘﺮ و ﻣﺘﻮﺳﻂ ﻗﻄﺮ ﮔﺮهﻫﺎي ﻟﻨﻔﺎوي ﻣﺒﺘﻼ 5 ﻣﯿﻠﯽﻣﺘﺮ ﺑﻮد. ﯾﺎﻓﺘﻪﻫﺎي ﻣﺎﻣﻮﮔﺮاﻓﯽ ﺑﻪ دﻟﯿﻞ ﺑﺎﻓﺖ ﻣﺘﺮاﮐﻢ ﭘﺴﺘﺎن، 18/3 درﺻﺪ ﻣﻮارد ﻣﻨﻔﯽ و ﯾﺎ ﺗﻨﻬﺎ ﯾﮏ داﻧﺴﯿﺘﻪ آﺳﯿﻤﺘﺮﯾﮏ را ﮔﺰارش ﮐﺮده ﺑﻮد و ﺑﻘﯿﻪ ﻣﻮارد )81/7 درﺻﺪ( ﻣﺜﺒﺖ ﺑﻮد.
ﻧﺘﯿﺠﻪﮔﯿﺮي و ﮐﺎرﺑﺮد ﺑﺎﻟﯿﻨﯽ- ﺑﺮ اﺳﺎس ﻧﺘﺎﯾﺞ اﯾﻦ ﺗﺤﻘﯿﻖ، اوﻟﺘﺮ اﺳﻮﻧﻮﮔﺮاﻓﯽ در ﺗﺸﺨﯿﺺ ﺗﻮﻣﻮرﻫﺎي ﭘﺴﺘﺎﻧﯽ ﺑﻪﺧﺼﻮص در ﺳﮓﻫﺎي ﻣﺎده ﺑﺎ ﺳﻦ ﮐﻢ ﻣﯽﺗﻮاﻧﺪ ﺑﺎ ﺣﺴﺎﺳﯿﺖ ﺑﺎﻻ ﻣﺆﺛﺮ ﺑﺎﺷﺪ.
Keywords :
Mammary gland tumor , Bitches , Ultrasonography , Mammography
Journal title :
Astroparticle Physics