Ponce Frédérique, Magnol Jean-Pierre, Ledieu David, Marchal Thierry, Turinelli Vanessa, Chalvet-Monfray Karine, Fournel-Fleury Corinne
Hematology-Cytology-Immunology Laboratory, Departement des Animaux de Compagnie, Ecole Nationale Vétérinaire de Lyon, 1 Avenue Bourgelat, B.P. 83, Marcy L'Etoile 69280, France.
Vet J. 2004 Mar;167(2):158-66. doi: 10.1016/j.tvjl.2003.10.009.
The aim of this study was to determine the response of different morphological subtypes of canine lymphoma to a standardized therapeutic protocol. Diagnosis of lymphoma was based on cytohistological analysis and immunophenotyping with antibodies against CD3 and CD79a of an enlarged lymph node or an extranodal mass. Fifty-seven cases were classified according to the updated Kiel classification adapted to the canine species, into 24 B-cell lymphomas (20 centroblastic polymorphic and four Burkitt-type subtypes), and 33 T-cell lymphomas (10 pleomorphic mixed, 10 lymphoblastic, eight unclassifiable high grade plasmacytoid, and five small clear-cell subtypes). All dogs were clinically staged at diagnosis. The protocol used l-asparaginase, vincristine, cyclophosphamide, doxorubicin, and prednisone. First remission duration and overall survival time were evaluated. Although the T-cell phenotype was associated, on the whole, with a poor prognosis, as previously reported in veterinary and human medicine, the study showed significant prognostic differences between the B- and the T-cell subtypes of canine lymphoma and suggests that clinico-morphological characterization of the disease is justified in dogs, as in humans.
本研究的目的是确定犬淋巴瘤不同形态学亚型对标准化治疗方案的反应。淋巴瘤的诊断基于对肿大淋巴结或结外肿块进行细胞组织学分析以及使用抗CD3和CD79a抗体进行免疫表型分析。根据适用于犬类的更新后的基尔分类法,57例病例被分为24例B细胞淋巴瘤(20例中心母细胞多形性和4例伯基特型亚型)和33例T细胞淋巴瘤(10例多形性混合、10例淋巴母细胞性、8例无法分类的高级别浆细胞样和5例小透明细胞亚型)。所有犬在诊断时均进行了临床分期。该方案使用了左旋门冬酰胺酶、长春新碱、环磷酰胺、阿霉素和泼尼松。评估了首次缓解持续时间和总生存时间。尽管总体而言,T细胞表型与预后不良相关,正如之前在兽医学和人类医学中所报道的那样,但该研究显示犬淋巴瘤的B细胞和T细胞亚型之间存在显著的预后差异,并表明在犬类中对该疾病进行临床形态学特征描述与在人类中一样是合理的。