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犬多发性骨髓瘤的预后因素

Prognostic factors for multiple myeloma in the dog.

作者信息

Matus R E, Leifer C E, MacEwen E G, Hurvitz A I

出版信息

J Am Vet Med Assoc. 1986 Jun 1;188(11):1288-92.

PMID:3721983
Abstract

Multiple myeloma was diagnosed in 60 dogs. Diagnosis was confirmed in each case by observation of greater than 5% plasma cells on examination of a bone marrow aspirate and detection of monoclonal gammopathy of immunoglobulin (Ig) A or IgG. Treatment with melphalan, cyclophosphamide, and prednisone was associated with long-term survival (median, 540 days). Response to therapy was significantly related to prognosis (P less than 0.01), whereas hypercalcemia and Ig light chain proteinuria (Bence Jones) were associated with shorter median survival times.

摘要

60只犬被诊断为多发性骨髓瘤。通过骨髓穿刺检查发现血浆细胞超过5%以及检测到免疫球蛋白(Ig)A或IgG的单克隆丙种球蛋白病,在每例病例中确诊。用美法仑、环磷酰胺和泼尼松治疗与长期存活(中位数,540天)相关。治疗反应与预后显著相关(P小于0.01),而高钙血症和Ig轻链蛋白尿(本周氏蛋白)与较短的中位存活时间相关。

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