Van Vechten M, Helfand S C, Jeglum K A
Department of Clinical Studies, School of Veterinary Medicine, University of Pennsylvania, Philadelphia.
J Vet Intern Med. 1990 Jul-Aug;4(4):187-91. doi: 10.1111/j.1939-1676.1990.tb00896.x.
Fifteen dogs with relapsed lymphoma were treated with doxorubicin and dacarbazine (ADIC) to reinduce remission. All the dogs' lymphomas had become resistant to prior therapy with doxorubicin alone. Five of the 15 dogs had a complete response to the first treatment with ADIC, and three had partial responses. Of the eight dogs receiving a second cycle, two had complete responses, and one had a partial response. One dog that received a third ADIC treatment no longer responded. The median survival time from the first ADIC treatment for all dogs was 45 days (range, 18-241 days). The five dogs having complete responses to the first ADIC treatment had a median survival time of 105 days (range, 45-241 days) after this treatment. Toxicity due to ADIC treatment was acceptable and did not exceed that seen when doxorubicin was given as a single agent. The treatment resulted in severe neutropenia in three dogs. One dog died due to neutropenic sepsis. Vomiting, diarrhea, and anorexia occurred, but were tolerable, resulting in hospitalization in only one instance. ADIC is apparently a useful chemotherapeutic combination to reinduce remission in some dogs with relapsed lymphoma.
15只复发性淋巴瘤犬接受了阿霉素和达卡巴嗪(ADIC)治疗以再次诱导缓解。所有犬的淋巴瘤对之前单独使用阿霉素的治疗均产生了耐药性。15只犬中有5只对首次ADIC治疗完全缓解,3只部分缓解。在接受第二个疗程的8只犬中,2只完全缓解,1只部分缓解。1只接受第三个ADIC疗程的犬不再有反应。所有犬从首次ADIC治疗开始的中位生存时间为45天(范围18 - 241天)。对首次ADIC治疗完全缓解的5只犬在此治疗后的中位生存时间为105天(范围45 - 241天)。ADIC治疗引起的毒性是可接受的,且不超过单独使用阿霉素时所见的毒性。该治疗导致3只犬出现严重中性粒细胞减少。1只犬死于中性粒细胞减少性败血症。出现了呕吐、腹泻和厌食,但可以耐受,仅1例导致住院治疗。ADIC显然是一种有用的化疗组合,可使一些复发性淋巴瘤犬再次获得缓解。