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评估立体定向体部放射疗法治疗猫面部鳞状细胞癌的初步研究。

Pilot study evaluating stereotactic body radiation therapy for feline facial squamous cell carcinomas.

机构信息

Oncology Department, Animal Referral Hospital, Sydney, NSW, Australia.

出版信息

J Feline Med Surg. 2021 Dec;23(12):1081-1088. doi: 10.1177/1098612X21994391. Epub 2021 Feb 22.

Abstract

OBJECTIVES

The use of stereotactic body radiation therapy (SBRT) has not been assessed in advanced-stage feline solar-induced facial squamous cell carcinomas (SCCs). The objective of this study was to provide preliminary data on the use and safety profile of coarse fractions administered with an SBRT regime to manage advanced-stage feline solar-induced facial SCCs.

METHODS

This retrospective study assessed five cats diagnosed with advanced-stage solar-induced facial SCCs that received SBRT as their primary treatment or, in one cat, following failed surgical intervention. Tumour sites received three fractions totalling 26.25-27 Gy over a 3-5-day period.

RESULTS

All patients developed acute effects following SBRT including alopecia, epilation and erythema. Late effects were mild and included alopecia, variable pigmentation and leukotrichia within radiation fields. All patients were alive at the time of article submission, with overall survival times ranging from 118 to 991 days.

CONCLUSIONS AND RELEVANCE

The results suggest that coarse fractions administered with an SBRT technique is a safe and effective treatment tool for the management of advanced-stage feline solar-induced facial SCCs. These data provide preliminary evidence to support larger, prospective studies evaluating the management of feline facial SCCs with SBRT.

摘要

目的

立体定向体放射治疗(SBRT)在晚期猫的太阳诱导面部鳞状细胞癌(SCC)中的应用尚未得到评估。本研究的目的是提供使用 SBRT 方案治疗晚期猫太阳诱导面部 SCC 的初步数据,以及评估该方案的安全性。

方法

本回顾性研究评估了 5 只接受 SBRT 作为主要治疗方法或在 1 只猫中接受 SBRT 作为手术干预失败后的治疗方法的被诊断患有晚期太阳诱导面部 SCC 的猫。肿瘤部位在 3-5 天内接受 3 次总剂量为 26.25-27Gy 的分次照射。

结果

所有患者在 SBRT 后均出现急性效应,包括脱毛、脱毛和红斑。晚期效应较轻,包括辐射野内的脱毛、色素沉着变化和白发。在提交文章时,所有患者均存活,总生存时间从 118 天到 991 天不等。

结论和相关性

结果表明,SBRT 技术中的分次照射是治疗晚期猫太阳诱导面部 SCC 的一种安全有效的治疗工具。这些数据提供了初步证据,支持进行更大规模的前瞻性研究,评估 SBRT 治疗猫面部 SCC。

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