Suppr超能文献

犬多中心非惰性 T 细胞淋巴瘤的临床病理特征及预后因素:107 例。

Clinicopathological characteristics and prognostic factors for canine multicentric non-indolent T-cell lymphoma: 107 cases.

机构信息

Queen Mother Hospital for Animals, Royal Veterinary College, University of London, North Mymms, UK.

Anderson Moores Veterinary Specialists, The Granary, Bunstead Barns, Winchester, UK.

出版信息

Vet Comp Oncol. 2020 Dec;18(4):656-663. doi: 10.1111/vco.12589. Epub 2020 Mar 23.

Abstract

Canine lymphoma, as the most common haematopoietic malignancy, encompasses a group of heterogeneous diseases and even within the T-cell immunophenotype, differences in clinical presentation and responses to treatment exist. The aim of this retrospective study was to determine outcomes and prognostic factors of 107 dogs with multicentric non-indolent T-cell lymphoma (TCL) receiving lomustine-based (70%) and non-lomustine-based (30%) treatment. The majority were Labradors, Boxers, mixed-breed dogs and Dogue de Bordeaux. Eighty-six percent were substage b, 77% had mediastinal involvement, 15% had suspected bone marrow involvement and 12% had other extra-nodal sites of disease. The overall response rate to induction therapy was 80%; dogs receiving procarbazine in the induction protocol (P = .042), dogs with neutrophil concentration below 8.7 × 10e /L (P = .006) and mitotic rate below 10 per 5 high power field (P = .013), had greater response rates. Median progression-free survival (PFS) for the first remission was 105 days; lack of expression of CD3 on flow cytometry (P < .0001) and pretreatment with steroid (P = .012) were significantly associated with shorter PFS. Median overall survival time (OST) was 136 days; co-expression of CD79a (P = .002), lack of CD3 expression on flow cytometry, presence of anaemia (P = .007), and monocytopenia (P = .002) were predictive of shorter OST. Multicentric non-indolent TCL in dogs is an aggressive cancer with new possible prognostic factors.

摘要

犬淋巴瘤是最常见的造血系统恶性肿瘤,包含一组异质性疾病,即使在 T 细胞免疫表型中,临床表型和治疗反应也存在差异。本回顾性研究的目的是确定 107 例接受洛莫司汀(70%)和非洛莫司汀(30%)治疗的多中心非惰性 T 细胞淋巴瘤(TCL)犬的结局和预后因素。大多数是拉布拉多犬、拳师犬、混血犬和波尔多犬。86%为亚期 b,77%有纵隔受累,15%有疑似骨髓受累,12%有其他结外疾病部位。诱导治疗的总缓解率为 80%;在诱导方案中接受丙卡巴肼的狗(P =.042)、中性粒细胞浓度低于 8.7 × 10e /L 的狗(P =.006)和有丝分裂率低于每 5 个高倍视野 10 个的狗(P =.013),有更高的缓解率。首次缓解的中位无进展生存期(PFS)为 105 天;流式细胞术上 CD3 表达缺失(P <.0001)和皮质类固醇预处理(P =.012)与较短的 PFS 显著相关。中位总生存期(OST)为 136 天;CD79a 共表达(P =.002)、流式细胞术上 CD3 表达缺失、贫血(P =.007)和单核细胞减少症(P =.002)与较短的 OST 相关。犬多中心非惰性 TCL 是一种侵袭性癌症,有新的可能的预后因素。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验