Moore Antony S
Veterinary Oncology Consultants, Wauchope, New South Wales 2446, Australia.
Vet Rec. 2016 Sep 17;179(11):277. doi: 10.1136/vr.103456.
Overall, canine lymphoma remains one of the most chemotherapy-responsive cancers in the dog. In addition to the stage and the substage of disease, T cell phenotype is the most consistently important prognostic factor. T cell lymphoma (TCL) in dogs is a heterogeneous disease; dogs with a separate entity of indolent TCL can have a considerably better prognosis than dogs with other forms of lymphoma, and indolent TCL may not always require immediate treatment. In contrast, high-grade TCL is an aggressive disease, and when treated with CHOP-based protocols, dogs with this high-grade TCL have a complete remission rate as low as 40 per cent, relapse earlier and have shorter survival time than dogs with a comparable stage, high-grade B cell lymphoma. This review describes the different disease entities that comprise canine TCL, discusses prognosis for each and treatment options that appear to give the best outcomes.
总体而言,犬淋巴瘤仍然是犬类中对化疗反应最为敏感的癌症之一。除了疾病的分期和亚分期外,T细胞表型是最具一致性的重要预后因素。犬T细胞淋巴瘤(TCL)是一种异质性疾病;患有惰性TCL这一独立类型的犬,其预后可能比患有其他形式淋巴瘤的犬要好得多,而且惰性TCL可能并不总是需要立即治疗。相比之下,高级别TCL是一种侵袭性疾病,当采用基于CHOP方案进行治疗时,患有这种高级别TCL的犬的完全缓解率低至40%,比处于相同分期的高级别B细胞淋巴瘤的犬更早复发且生存时间更短。这篇综述描述了构成犬TCL的不同疾病类型,讨论了每种类型的预后以及似乎能带来最佳治疗效果的治疗选择。