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猫的多发性骨髓瘤

Multiple myelomas in cats.

作者信息

Hanna Fikry

机构信息

3 Rosebery Avenue, Eastbourne, East Sussex BN22 9QA, United Kingdom.

出版信息

J Feline Med Surg. 2005 Oct;7(5):275-87. doi: 10.1016/j.jfms.2004.12.005. Epub 2005 Apr 26.

Abstract

Multiple myelomas are uncommon neoplasms of the bone marrow of cats [Weber NA, Tebeau CS (1998) An unusual presentation of multiple myeloma in two cats. Journal of the American Animal Hospital Association34 (6), 477-483]. Nine cats diagnosed with multiple myelomas were retrospectively identified over a 16-year period (1986-2002). Cats with multiple myelomas were older than 7 years (mean age 11.7 years); six males and three females were affected (2.1), but no breed predisposition was evident. Treatment of multiple myelomas consisted of supportive management in the nine cats and anti-neoplastic therapy in eight cats. Supportive treatment consisted of maintaining hydration, renal function and antimicrobial therapy even when there was no sign of infection. Anti-neoplastic therapy with melphalan and prednisolone was carried out in eight cats. Three failed to respond to treatment and five responded to treatment, but the response was only partial and temporary in one cat. The five cats that responded were improved clinically and had reduced serum protein levels. Five out of eight cats (63%) responded to chemotherapy, and it appeared to be complete in four cats and partial in one cat. Survival time in those cats was 15, 4, 17 and 24 months.

摘要

多发性骨髓瘤是猫骨髓中罕见的肿瘤[韦伯·纳A、特博·C·S(1998年)两只猫多发性骨髓瘤的不寻常表现。《美国动物医院协会杂志》34(6),477 - 483]。在16年期间(1986 - 2002年)回顾性鉴定出9只被诊断为多发性骨髓瘤的猫。患有多发性骨髓瘤的猫年龄超过7岁(平均年龄11.7岁);6只雄性和3只雌性受影响(2.1),但未发现明显的品种易感性。9只猫的多发性骨髓瘤治疗包括支持性管理,8只猫进行了抗肿瘤治疗。支持性治疗包括维持水合作用、肾功能和抗菌治疗,即使没有感染迹象。8只猫用美法仑和泼尼松龙进行了抗肿瘤治疗。3只对治疗无反应,5只对治疗有反应,但其中1只猫的反应只是部分且暂时的。有反应的5只猫临床症状改善,血清蛋白水平降低。8只猫中有5只(63%)对化疗有反应,其中4只似乎完全缓解,1只部分缓解。这些猫的存活时间分别为15、4、17和24个月。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a12e/10822359/f67a23a5e118/10.1016_j.jfms.2004.12.005-fig1.jpg

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