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长春新碱治疗犬传染性性病肿瘤消退的预测因素。

Predictive factors for the regression of canine transmissible venereal tumor during vincristine therapy.

机构信息

Faculty of Medical Sciences, University of Campinas, 13083-887, Campinas, SP, Brazil.

出版信息

Vet J. 2010 Mar;183(3):362-3. doi: 10.1016/j.tvjl.2008.11.009. Epub 2008 Dec 23.

Abstract

Canine transmissible venereal tumor (CTVT) is a neoplasm transmitted by transplantation. Monochemotherapy with vincristine is considered to be effective, but treatment time until complete clinical remission may vary. The aim of this study was to determine which clinical data at diagnosis could predict the responsiveness of CTVT to vincristine chemotherapy. One hundred dogs with CTVT entered this prospective study. The animals were treated with vincristine sulfate (0.025 mg/kg) at weekly intervals until the tumor had macroscopically disappeared. The time to complete remission was recorded. A multivariate Cox regression model indicated that larger tumor mass, increased age and therapy during hot and rainy months were independent significant unfavorable predictive factors retarding remission, whereas sex, weight, status as owned dog or breed were of no predictive relevance. Further studies are necessary to investigate whether these results are due to changes in immunological response mechanisms in animals with a diminished immune surveillance, resulting in delays in tumor regression.

摘要

犬传染性性病肿瘤(CTVT)是一种通过移植传播的肿瘤。长春新碱的单一化疗被认为是有效的,但完全临床缓解的治疗时间可能会有所不同。本研究旨在确定哪些诊断时的临床数据可以预测 CTVT 对长春新碱化疗的反应性。100 只患有 CTVT 的狗参与了这项前瞻性研究。每周给这些动物注射硫酸长春新碱(0.025mg/kg),直到肿瘤肉眼消失。记录完全缓解的时间。多变量 Cox 回归模型表明,较大的肿瘤体积、年龄增加和炎热多雨月份的治疗是独立的、显著的不利预测因素,会延缓缓解,而性别、体重、是否为家养犬或品种与预测无关。有必要进一步研究这些结果是否是由于免疫监视减弱的动物的免疫反应机制发生变化,导致肿瘤消退延迟。

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