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犬膀胱移行细胞癌电化学疗法可行性的初步评估。

Preliminary assessment of electrochemotherapy feasibility in dogs with vesical transitional cell carcinoma.

作者信息

Dos Anjos Denner Santos, Buosi Rafaela Guedes, Roratto Isadora, Mesquita Luciane Dos Reis, Matiz Oscar Rodrigo Sierra, Fonseca-Alves Carlos Eduardo, Spugnini Enrico Pierluigi

机构信息

Department of Veterinary Clinic and Surgery, São Paulo State University, Jaboticabal, São Paulo, Brazil.

Private Veterinary Practitioner, PetClin Clinic, São Paulo, Brazil.

出版信息

Vet Res Forum. 2020 Summer;11(3):289-293. doi: 10.30466/vrf.2020.113009.2688. Epub 2020 Sep 15.

Abstract

Electroporation is a technique that increases the uptake of chemotherapeutic drugs by tumors. Electrochemotherapy (ECT) has been successfully used to treat solid tumors. Recently, novel applications have been explored in the treatment of visceral tumors. This report aimed to describe the ECT as an approach to vesical carcinoma in three dogs. The patients received ECT with bleomycin as an intravenous bolus and intra-lesional cisplatin (cases 2 and 3). The ECT was performed by electroporator (Onkodisruptor) using a plate and/or a single pair needle array electrode. Case 1 was a 7-year-old female Pitbull dog with a history of hematuria and stranguria. The ECT was performed during cystotomy using a single pair array electrode. However, the patient developed uroabdomen two days post-ECT and died 5 days later. Case 2 was a 12-year-old female Poodle dog with hematuria, dysuria, and pollakiuria. Cystotomy and ECT were performed using plate array electrodes. Complete remission of the intra-luminal mass was observed 11 days post-ECT. However, 21 days after the procedure, an acute unilateral renal failure occurred possibly due to a neoplastic embolus into the right ureter leading to kidney hydronephrosis, and the patient was euthanized. Case 3 was a 10-year-old female Cocker dog with hematuria and pollakiuria. The patient was fully competent after ECT without clinical signs of pollakiuria and recovered from hematuria 7 days post-ECT. The bladder returned to normal status 28 days post-ECT. The ECT was not able to increase the overall survival of the patients evaluated and should be indicated carefully.

摘要

电穿孔是一种可增加肿瘤对化疗药物摄取的技术。电化学疗法(ECT)已成功用于治疗实体瘤。最近,人们探索了其在内脏肿瘤治疗中的新应用。本报告旨在描述ECT作为治疗三只犬膀胱癌的一种方法。这些患者接受了以博来霉素作为静脉推注药物并联合病灶内注射顺铂的ECT治疗(病例2和3)。ECT通过电穿孔仪(Onkodisruptor)使用平板和/或单对针阵列电极进行。病例1是一只7岁的雌性比特犬,有血尿和排尿困难病史。在膀胱切开术期间使用单对阵列电极进行ECT。然而,该患者在ECT后两天出现尿腹,并在5天后死亡。病例2是一只12岁的雌性贵宾犬,有血尿、排尿困难和尿频症状。使用平板阵列电极进行膀胱切开术和ECT。ECT后11天观察到腔内肿物完全缓解。然而,术后21天,可能由于肿瘤栓子进入右侧输尿管导致肾积水,发生了急性单侧肾衰竭,该患者被安乐死。病例3是一只10岁的雌性可卡犬,有血尿和尿频症状。该患者在ECT后身体状况良好,没有尿频的临床症状,ECT后7天血尿症状消失。ECT后28天膀胱恢复正常状态。ECT未能提高所评估患者的总体生存率,应谨慎应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbc4/7597792/506cf6c50172/vrf-11-289-g001.jpg

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