2016 AAHA Oncology Guidelines for Dogs and Cats
2016 AAHA Oncology Guidelines for Dogs and Cats
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DOI：
10.5326/jaaha-ms-6570
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发表时间：
2016-07-01
影响因子：
1.3
通讯作者：
Bryan, Christine
中科院分区：
文献类型：
--
作者：
Biller, Barb;Berg, John;Bryan, Christine
所有伴侣动物的做法将定期与肿瘤病例，使癌症的诊断和治疗的综合初级保健的重要组成部分。由于每个肿瘤病例在医学上都是独特的，因此这些指南建议采用由以下组成部分组成的患者特定方法：诊断，分期，治疗干预，在处理化疗药物时提供患者和人员安全，在适当时转诊到肿瘤专业实践，并强调客户支持。通过活检样本的组织学检查确定肿瘤类型应该是肿瘤病例管理中所有后续步骤的基础。诊断分期决定了局部疾病的程度以及是否存在区域或远处转移。治疗方式的选择基于肿瘤类型、组织学分级和分期，并且可以包括手术、放射疗法、化学疗法、免疫疗法和预防性疗法，例如营养支持和疼痛管理。这些指南讨论了在处理目前在兽医肿瘤学中常用的化疗药物时应遵守的严格安全预防措施。由于癌症通常是老年宠物的疾病，宠物主人关系通常最强的时候，所有相关方的满意结果高度依赖于整个医疗团队和客户之间的良好沟通，特别是当考虑患者的死亡或安乐死时。这些指南包括常见犬和猫癌症的综合表格，作为病例管理和病例历史样本的资源。
All companion animal practices will be presented with oncology cases on a regular basis, making diagnosis and treatment of cancer an essential part of comprehensive primary care. Because each oncology case is medically unique, these guidelines recommend a patient-specific approach consisting of the following components: diagnosis, staging, therapeutic intervention, provisions for patient and personnel safety in handling chemotherapy agents, referral to an oncology specialty practice when appropriate, and a strong emphasis on client support. Determination of tumor type by histologic examination of a biopsy sample should be the basis for all subsequent steps in oncology case management. Diagnostic staging determines the extent of local disease and presence or absence of regional or distant metastasis. The choice of therapeutic modalities is based on tumor type, histologic grade, and stage, and may include surgery, radiation therapy, chemotherapy, immunotherapy, and adjunctive therapies, such as nutritional support and pain management. These guidelines discuss the strict safety precautions that should be observed in handling chemotherapy agents, which are now commonly used in veterinary oncology. Because cancer is often a disease of older pets, the time of life when the pet-owner relationship is usually strongest, a satisfying outcome for all parties involved is highly dependent on good communication between the entire healthcare team and the client, particularly when death or euthanasia of the patient is being considered. These guidelines include comprehensive tables of common canine and feline cancers as a resource for case management and a sample case history.