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经导管肝动脉化疗栓塞术治疗 2 例伴肺转移的犬肾细胞癌姑息治疗。

Transarterial chemoembolisation for palliative treatment of renal cell carcinoma in two dogs with pulmonary metastasis.

机构信息

Laboratory of Veterinary Surgery, Department of Veterinary Medicine, College of Bioresource Sciences, Nihon University, Fujisawa, Kanagawa, 252-0880, Japan.

出版信息

J Small Anim Pract. 2022 Dec;63(12):904-910. doi: 10.1111/jsap.13559. Epub 2022 Oct 12.

Abstract

Two dogs with anorexia and rapid weight loss were referred to our hospital due to a right renal mass and several pulmonary nodules. Both dogs underwent needle core biopsy of the mass, followed by transarterial chemoembolisation of the renal mass. A catheter was inserted from the femoral artery and advanced into the right renal artery. A suspension of carboplatin (100 mg/m ) and equivalent lipiodol was administered via the inserted multipurpose catheter. Immediately after, under fluoroscopic guidance, pulse injections of small amounts of gelatin particles (diameter 1 mm) dissolved in iohexol were administered until complete embolisation of the renal artery. Histopathologic diagnosis was renal cell carcinoma in both dogs. Clinical signs improved for 134 and 358 days after transarterial chemoembolisation. In addition, postoperative radiographs demonstrated a decrease in the tumour size. The dogs died 215 and 525 days after the initial evaluation, respectively. As a palliative treatment, transarterial chemoembolisation might help reduce the tumour volume and improve the quality of life in dogs with renal cell carcinoma and distant metastases.

摘要

两只出现厌食和体重迅速下降的狗因右肾肿块和多个肺结节被转诊至我院。两只狗均接受了肿块的针芯活检,随后对肾肿块进行了经动脉化疗栓塞术。从股动脉插入导管并推进至右肾动脉。通过插入的多用途导管给予卡铂(100mg/m )和等效的碘油混悬液。立即在透视引导下,向其中注入小剂量溶解在碘海醇中的 1mm 直径明胶微球,直到完全栓塞肾动脉。两只狗的组织病理学诊断均为肾细胞癌。在进行经动脉化疗栓塞术后,它们的临床症状分别改善了 134 天和 358 天。此外,术后的放射照片显示肿瘤体积有所减小。这两只狗分别在初次评估后的 215 天和 525 天后死亡。作为姑息治疗,经动脉化疗栓塞术可能有助于减少肾细胞癌和远处转移的狗的肿瘤体积并提高生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8489/10092729/d8a01d37e268/JSAP-63-904-g005.jpg

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