개에서 발생한 두개내 수막종에 대한 로무스틴 치료 증례

Long-Term Chemotherapy with Lomustine of Intracranial Meningioma in a Dog

  • Park, Hyung-Jin (College of Veterinary Medicine, Chungnam National University) ;
  • Lee, Dae-Yong (College of Veterinary Medicine, Chungnam National University) ;
  • Seo, Kyung-Won (College of Veterinary Medicine, Chungnam National University) ;
  • Son, Haw-Young (College of Veterinary Medicine, Chungnam National University) ;
  • Song, Kun-Ho (College of Veterinary Medicine, Chungnam National University)
  • 심사 : 2012.08.20
  • 발행 : 2012.08.30

초록

본 환축은 안구진탕, 좌측 편측보행을 주증으로 내원하여 MRI 검사 및 조직병리학적 검사로 수막종으로 진단 하였다. 초기에 prednisolone과 hydroxyyrea를 투약하였으나 증상의 악화로 중단하였으며, 이후 lomustine 화학요법을 실시하여 임상 증상이 개선되어 유지해오다가 증상이 발현 된지 18개월째에 자연사한 증례이다.

A 13-year-old, neutered male, chihuahua was referred to the Veterinary Medical Teaching Hospital of Chungnam National University with a history of a bilateral mandibular mass, intermittent vomiting, cough, and left sided staggering starting ten days prior. Clinical examination along with radiography, neurologic examination and magnetic resonance imaging (MRI) demonstrated a well-circumscribed and solitary mass in the brain stem. The dura mater was thickened with marked linear enhancement after contrast administration. Based on diagnostic image analysis and histopathologic examination, this case was diagnosed as intracranial meningioma. The patient's symptoms were controlled for 18 months by a combination therapy of prednisolone and lomustine (CCNU), and then he died of at home.

키워드

참고문헌

  1. Adamo PF, Cantile C, Steinberg H. Evaluation of progesterone and estrogen receptor expression in 15 miningiomas of dogs and cats. Am J Vet Res 2003; 64: 1310-1318. https://doi.org/10.2460/ajvr.2003.64.1310
  2. Dewey CW. A practical guide to canine and feline neurology. 1st ed, Ames: Iowa State Press. 2003: 467-488.
  3. Foster ES, Carrillo JM, Patnaik AK. Clinical signs of tumors affecting the rostral cerebrum in 43 dogs. J Vet Intern Med 1988; 2: 71-74, https://doi.org/10.1111/j.1939-1676.1988.tb02796.x
  4. Jung DI, Kim HJ, Pacr C, Kim JW, Kang BT, Lim CY, Park EH, Sur JH, Seo MH, Hahm DH, Park HM. Long-term chemotherapy with lomustine of intracranial meningioma occurring in a Miniature schnauzer. J Vet Med Sci 2006; 68: 383-386. https://doi.org/10.1292/jvms.68.383
  5. Kraft SL, Gravin PR, Dehaan C, Moone M, Wendling LR, Leathers CW. Retrospective review of 50 canine intracranial tumors evaluated by magnetic resonance imaging. J Vet Intern Med 1997; 11: 218-225. https://doi.org/10.1111/j.1939-1676.1997.tb00094.x
  6. LeCouteur RA : Tumors of the nervous system, In: Small animal clinical oncology, 3rd ed. Philadelphia: WB Saunders. 1996: 393-404.
  7. Loven D, Hardoff R, Sever ZB, Steinmetz AP, Gornish M, Rappaport ZH, Fenig E, Ram E, Sulkes A. Non-resectable slow-growing meningiomas treated by hydroxyurea. J Neurooncol 2004; 67: 221-226.
  8. Mikszewski J, Shofer FS. In research abstracts-poster presentation. pp. 354, 22nd ACVIM, 2004.
  9. Montoliu P, Anor S, Vidal E, Pumarola M. Histological and immunohistochemical study of 30 cases of canine meningioma. J Comp Pathol 2006; 135: 200-207. https://doi.org/10.1016/j.jcpa.2006.06.006
  10. Troxel MT, Vite CH, Massicotte C, Mclear RC, Van Winkle TJ, Glass EN, Tiches D, Dayrell-hart B. Magnetic resonance imaging features of feline intracranial neoplasia : retrospective analysis of 46 cats. J Vet Intern Med 2004; 18: 176-189. https://doi.org/10.1111/j.1939-1676.2004.tb00158.x
  11. Yoshikawa H and Mayer MN. External beam radiation therapy for canine intracranial meningioma. Canadian Vet J 2009; 50: 97-100.