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用天冬酰胺酶和MOPP方案治疗患淋巴瘤的犬

Asparaginase and MOPP treatment of dogs with lymphoma.

作者信息

Brodsky E M, Maudlin G N, Lachowicz J L, Post G S

机构信息

Veterinary Oncology and Hematology Center, Norwalk, CT, USA.

出版信息

J Vet Intern Med. 2009 May-Jun;23(3):578-84. doi: 10.1111/j.1939-1676.2009.0289.x.

Abstract

BACKGROUND

Dogs with multicentric lymphoma are treated with various cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP)-based chemotherapy protocols with variable success.

OBJECTIVES

To describe the progression-free survival (PFS) time and overall survival time (OST) of dogs with T-cell lymphoma or hypercalcemic lymphoma treated with L-asparaginase and mechlorethamine, vincristine, prednisone, procarbazine (MOPP).

ANIMALS

Fifty dogs with T-cell lymphoma, hypercalcemic lymphoma, or both treated at 3 referral veterinary hospitals.

METHODS

Retrospective study. Case were selected based on histologic or cytologic diagnosis of lymphoma; presence of the T-cell phenotype, presence of hypercalcemia or both; and absence of previous chemotherapy. The T-cell phenotype was determined by flow cytometry, immunocytochemistry, immunohistochemistry, or polymerase chain reaction of antigen receptor rearrangement.

RESULTS

The overall response rate was 98% (78% complete response, 20% partial response). The median PFS for the entire study population was 189 days with 25% PFS at 939 days. The median OST for the entire study population was 270 days with 25% surviving 939 days. Twenty percent of the dogs required hospitalization for treatment related complications.

CONCLUSIONS AND CLINICAL IMPORTANCE

L-Asp/MOPP chemotherapy might result in longer PFS and OST for dogs with multicentric T-cell lymphoma, dogs with hypercalcemic lymphoma or both, than achieved with CHOP.

摘要

背景

患有多中心淋巴瘤的犬只采用各种基于环磷酰胺、阿霉素、长春新碱和泼尼松(CHOP)的化疗方案进行治疗,疗效各异。

目的

描述接受L-天冬酰胺酶和氮芥、长春新碱、泼尼松、丙卡巴肼(MOPP)治疗的T细胞淋巴瘤或高钙血症淋巴瘤犬只的无进展生存期(PFS)和总生存期(OST)。

动物

在3家转诊兽医医院接受治疗的50只患有T细胞淋巴瘤、高钙血症淋巴瘤或两者皆有的犬只。

方法

回顾性研究。病例根据淋巴瘤的组织学或细胞学诊断、T细胞表型的存在、高钙血症的存在或两者皆有以及既往未接受化疗进行选择。T细胞表型通过流式细胞术、免疫细胞化学、免疫组织化学或抗原受体重排的聚合酶链反应来确定。

结果

总缓解率为98%(完全缓解率78%,部分缓解率20%)。整个研究群体的中位PFS为189天,939天时的PFS为25%。整个研究群体的中位OST为270天,939天时25%的犬只存活。20%的犬只因治疗相关并发症需要住院治疗。

结论及临床意义

与CHOP方案相比,L-Asp/MOPP化疗可能使多中心T细胞淋巴瘤犬、高钙血症淋巴瘤犬或两者皆有的犬只获得更长的PFS和OST。

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