Beaver Lynda M, Strottner Gabriele, Klein Mary K
Southwest Veterinary Oncology, 141 E Fort Lowell Rd, Tucson, AZ 85705, USA.
J Am Vet Med Assoc. 2010 Nov 1;237(9):1052-5. doi: 10.2460/javma.237.9.1052.
To determine the response rate after administration of a single dose of doxorubicin in dogs with B-cell or T-cell multicentric or thymic lymphoma.
Retrospective case series.
41 client-owned dogs with lymphoma.
Medical records of dogs in which lymphoma was diagnosed between February 2006 and October 2008 were reviewed. Entry criteria included that dogs had a confirmed lymphoma that was immunophenotyped to be of B-cell or T-cell origin. Only dogs that received doxorubicin alone as their first chemotherapy treatment and were evaluated 1 week later were included in the study. Dogs were excluded when they had received prior treatment with corticosteroids. Medical records were reviewed to obtain signalment, stage and substage of lymphoma, and immunophenotype and to determine whether the dog had hypercalcemia at the time of diagnosis.
Dogs with T-cell lymphoma had a significantly lower response rate to doxorubicin than did dogs with B-cell lymphoma. Twenty-five of 29 (86.2%) dogs with B-cell lymphoma had a complete response, compared with 2 of 12 dogs in the T-cell group that had a complete response. The overall response rate of dogs with B-cell lymphoma was 100%, compared with a response rate of 50% in dogs with T-cell lymphoma.
Standard-of-care chemotherapy protocols for the treatment of dogs with lymphoma include doxorubicin. Many dogs with T-cell lymphoma did not respond to doxorubicin; therefore, multiagent protocols containing doxorubicin may not be optimal. Alternative protocols should be considered for dogs with T-cell lymphoma that do not respond to doxorubicin.
确定单剂量阿霉素给药后患有B细胞或T细胞多中心型或胸腺型淋巴瘤犬的缓解率。
回顾性病例系列研究。
41只客户拥有的患淋巴瘤犬。
回顾2006年2月至2008年10月期间确诊淋巴瘤犬的病历。纳入标准包括犬确诊为淋巴瘤且免疫表型为B细胞或T细胞起源。仅纳入首次化疗仅接受阿霉素治疗且1周后接受评估的犬。曾接受皮质类固醇治疗的犬被排除。查阅病历以获取犬的品种、淋巴瘤分期及亚分期、免疫表型,并确定犬在诊断时是否患有高钙血症。
T细胞淋巴瘤犬对阿霉素的缓解率显著低于B细胞淋巴瘤犬。29只B细胞淋巴瘤犬中有25只(86.2%)完全缓解,而T细胞组12只犬中只有2只完全缓解。B细胞淋巴瘤犬的总体缓解率为100%,而T细胞淋巴瘤犬的缓解率为50%。
治疗犬淋巴瘤的标准护理化疗方案包括阿霉素。许多T细胞淋巴瘤犬对阿霉素无反应;因此,含阿霉素的多药方案可能并非最佳。对于对阿霉素无反应的T细胞淋巴瘤犬,应考虑替代方案。