Duffy Megan E, Anderson Christie L, Choy Kevin, Fidel Janean L
Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Washington State University, Pullman, Washington 99163, USA (Duffy, Fidel); VCA Northwest Veterinary Specialists, Clackamas, Oregon 97015, USA (Anderson); Seattle Veterinary Specialists, Kirkland, Washington 98034, USA (Choy).
Can Vet J. 2018 Feb;59(2):136-142.
The purpose of this study was to determine if metronomic administration of lomustine following palliative radiation therapy (RT) improved length of palliation and therefore survival in dogs with appendicular osteosarcoma compared to treatment with palliative radiation alone. A search of medical records identified dogs with appendicular osteosarcoma, treated with palliative RT (2 fractions of 8 Gray in a 24 hour time frame, day 0 and day 1; or day 0, 6 hours apart). Data collected included signalment, history, clinical signs, physical examination findings, clinicopathologic abnormalities, extent of disease, response, toxicity, other therapy, survival time, and whether dogs received metronomic lomustine (ML) or not. Of 86 patients, 43 received ML while 43 did not. Median survival time (MST) was not significantly different ( = 0.84), at 184 +/- 17 days for patients which received ML, and 154 +/- 20 days for those which did not. Metronomic lomustine administration was well-tolerated, but it did not improve survival in dogs with palliatively treated osteosarcoma.
本研究的目的是确定与单纯姑息性放疗相比,在姑息性放疗(RT)后采用洛莫司汀节拍式给药是否能延长犬阑尾骨肉瘤的姑息治疗时长,从而提高其生存率。检索病历确定了接受姑息性放疗(在24小时内分2次给予8格雷,第0天和第1天;或第0天,间隔6小时)治疗的阑尾骨肉瘤犬。收集的数据包括特征、病史、临床症状、体格检查结果、临床病理异常、疾病范围、反应、毒性、其他治疗、生存时间,以及犬是否接受节拍式洛莫司汀(ML)治疗。86例患者中,43例接受了ML治疗,43例未接受。接受ML治疗的患者中位生存时间(MST)为184±17天,未接受ML治疗的患者为154±20天,两者无显著差异(P = 0.84)。节拍式洛莫司汀给药耐受性良好,但并未提高接受姑息治疗的骨肉瘤犬的生存率。