Departament of Veterinary Clinic and Surgery, São Paulo State University (UNESP), Jaboticabal, São Paulo, Brazil.
Veterinary Student, University Franca (UNIFRAN), Franca, São Paulo, Brazil.
Top Companion Anim Med. 2020 Aug;40:100441. doi: 10.1016/j.tcam.2020.100441. Epub 2020 May 18.
Plasma cell tumors can occur as solitary collections referred as extramedullary plasmocytoma (EMP). The present report describes four cases of EMP treated with a local nonthermal ablative approach. Four dogs were diagnosed with extramedullary plasmocytomas (EMP) in different body regions (oral cavity, digits, and lip). Since surgical excision was declined by the owners (maxillectomy; amputation or lip reconstruction), a curative-intent approach was indicated as solely treatment- electrochemotherapy (ECT). All the patients received ECT under general anesthesia using bleomycin intravenously (15,000 UI/m²) or cisplatin intratumorally (1mg/cm³). All dogs developed transitory ulceration and swelling one-week after procedure that completely healed within 30 days post-ECT. Complete remission was achieved in all cases and lasted for 515 (oral case), 695 (one digit), 90 (another digit case) and 240 (lip) days. These results suggested that ECT promoted remission in EMP cases being a possibility for local control in dogs affected by this disease.
浆细胞瘤可作为孤立性集合体出现,称为髓外浆细胞瘤 (EMP)。本报告描述了 4 例采用局部非热消融方法治疗的 EMP 病例。4 只狗分别在不同的身体部位(口腔、指部和唇部)被诊断为髓外浆细胞瘤(EMP)。由于主人拒绝手术切除(上颌切除术;截肢或唇部重建),因此作为唯一的治疗方法,选择了有治愈意向的治疗方法——电化学疗法(ECT)。所有患者均在全身麻醉下接受 ECT 治疗,静脉内注射博来霉素(15000UI/m²)或顺铂瘤内注射(1mg/cm³)。所有狗在术后一周内均出现短暂性溃疡和肿胀,在 ECT 后 30 天内完全愈合。所有病例均达到完全缓解,缓解持续时间分别为 515 天(口腔病例)、695 天(一个指部)、90 天(另一个指部病例)和 240 天(唇部)。这些结果表明,ECT 促进了 EMP 病例的缓解,为患有这种疾病的狗提供了局部控制的可能性。