Ruslander D, Moore A S, Gliatto J M, L'Heureux D, Cotter S M
Department of Small Animal Medicine, Tufts University School of Veterinary Medicine, North Grafton, MA 01536.
J Vet Intern Med. 1994 Jul-Aug;8(4):299-301. doi: 10.1111/j.1939-1676.1994.tb03237.x.
Cytosine arabinoside (AraC) was administered as a continuous IV infusion to 15 dogs with malignant lymphoma at a dose of 300 mg/m2/d for 2 consecutive days. Dogs were re-examined 7 d after treatment for response to therapy and for hematologic toxicity. Regardless of response, all dogs were started on combination chemotherapy at this time. Other toxicities were reported by owners. No dog responded objectively to Ara-C treatment, although 1 dog with circulating lymphoblasts had partial regression of lymphadenopathy but persistent blastemia. Thrombocytopenia (platelet count < 200,000/microL) 7 days posttreatment was the most commonly encountered hematologic toxicity, occurring in 10 of 14 dogs. Three of these 10 dogs were also mildly neutropenic (neutrophil counts of 2000 to 3000 cell/microL). Nonhematologic toxicity occurred in 8 of 15 dogs and was principally gastrointestinal in nature and mild in severity. Cytosine arabinoside at a dose of 300 mg/m2/day was not considered an active drug for the induction of remission in dogs with lymphoma.
对15只患有恶性淋巴瘤的犬连续2天以300 mg/m²/天的剂量静脉持续输注阿糖胞苷(AraC)。治疗7天后对犬进行复查,以评估治疗反应和血液学毒性。无论反应如何,此时所有犬均开始接受联合化疗。主人报告了其他毒性反应。尽管1只伴有循环淋巴母细胞的犬其淋巴结病有部分消退但仍存在母细胞血症,但没有犬对阿糖胞苷治疗有客观反应。治疗后7天血小板减少(血小板计数<200,000/微升)是最常见的血液学毒性,14只犬中有10只出现。这10只犬中有3只也有轻度中性粒细胞减少(中性粒细胞计数为2000至3000个细胞/微升)。15只犬中有8只出现非血液学毒性,主要为胃肠道毒性,且严重程度较轻。300 mg/m²/天剂量的阿糖胞苷不被认为是诱导犬淋巴瘤缓解的有效药物。