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卡铂在犬扁桃体鳞状细胞癌多模式治疗中的作用——5例犬病例系列

Role of carboplatin in multi-modality treatment of canine tonsillar squamous cell carcinoma--a case series of five dogs.

作者信息

Murphy S, Hayes A, Adams V, Maglennon G, Neath P, Ladlow J, Brearley M J

机构信息

Animal Health Trust, Newmarket, Lanwades Park, Kentford, Newmarket, Suffolk CB8 7UU.

出版信息

J Small Anim Pract. 2006 Apr;47(4):216-20. doi: 10.1111/j.1748-5827.2006.00020.x.

Abstract

Canine tonsillar squamous cell carcinoma is an aggressive disease with a poor prognosis. A retrospective study was undertaken of all dogs that were presented between January 1999 and January 2004 to the Animal Health Trust for the treatment of tonsillar squamous cell carcinoma. Five cases were identified, and their median survival time was 211 days (95 per cent confidence interval 80 to 352) with two of the five dogs remaining alive at the end of the study, 826 and 1628 days from diagnosis with no clinical signs of disease. The protocol was well tolerated with only one of the five dogs showing toxicity associated with carboplatin and all dogs that started radiotherapy completing it. Compared with results of previous studies, these cases suggest that surgical cytoreduction followed by coarse fractionated radiotherapy together with carboplatin may be a useful way to treat this tumour. Carboplatin alone caused partial remission in the two cases where it was used as neo-adjunctive therapy.

摘要

犬扁桃体鳞状细胞癌是一种侵袭性疾病,预后较差。对1999年1月至2004年1月间因扁桃体鳞状细胞癌到动物健康信托中心治疗的所有犬只进行了一项回顾性研究。共确定了5例病例,它们的中位生存时间为211天(95%置信区间80至352天),研究结束时5只犬中有2只存活,自诊断起分别存活826天和1628天,无疾病临床症状。该方案耐受性良好,5只犬中只有1只出现与卡铂相关的毒性反应,所有开始放疗的犬均完成了治疗。与先前研究结果相比,这些病例表明手术减瘤后进行大分割放疗并联合卡铂可能是治疗这种肿瘤的一种有效方法。单独使用卡铂在2例用作新辅助治疗的病例中引起了部分缓解。

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