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Adjuvant Metronomic Chemotherapy in a Dog with Nasal Transitional Carcinoma

개의 비강 이행암종에서 메트로노믹항암 요법

  • Park, Hyung-Jin (College of the Veterinary Medicine, Chungnam National University) ;
  • Kim, Ja-Won (College of the Veterinary Medicine, Chungnam National University) ;
  • Jeong, Seong-Mok (College of the Veterinary Medicine, Chungnam National University) ;
  • Choi, Ho-Jung (College of the Veterinary Medicine, Chungnam National University) ;
  • Son, Hwa-Young (College of the Veterinary Medicine, Chungnam National University) ;
  • Song, Kun-Ho (College of the Veterinary Medicine, Chungnam National University) ;
  • Seo, Kyoung-Won (College of the Veterinary Medicine, Chungnam National University)
  • Accepted : 2015.04.10
  • Published : 2015.04.30

Abstract

A four-year-old spayed female Maltese dog weighing 3 kg was referred with reverse sneezing and fourmonth history of unilateral nasal discharge. She was diagnosed as nasal transitional carcinoma which in bilateral nasal cavity and extending into the frontal sinus by biopsy with rhinoscopy. Metronomic chemotherapy with cyclophosphamide ($12.5mg/m^2$) and toceranib phosphate (2.5 mg/kg) was initiated following after surgical treatment of nasal mass debulking. Clinical response was good and had no side effects during the chemotherapy period (11 months after diagnosis). This is a case report describing adjuvant metronomic chemotherapy in nasal transitional carcinoma in Korea.

4살령의 중성화 암컷 말티즈 견이 4개월에 걸친 편측성 코 분비물 및 코막힘을 주증으로 본원에 내원하였다. 환자는 비강 이행암종이 전두동까지 파급되어 있는 것이 비강 내시경을 통해 확인되었다. 보조적 항암치료로 사이클로포스파마이드($12.5mg/m^2$) 와 티로신 키나아제 억제제인 토세라닙(2.5 mg/kg)을 수술적 부피 감량술 이후에 적용 하였다. 치료반응은 양호 하였으며, 진단 후 11개월 동안 항암치료에 대한 부작용 없이 잘 유지 되었다. 본 증례는 국내에서 비강 이행암종에서 보조적 항암치료를 실시한 최초 보고이다.

Keywords

References

  1. Adams WM., Bjorling DE, McAnulty JE, Green EM, Forrest LJ, Vail DM. Outcome of accelerated radiotherapy alone or accelerated radiotherapy followed by exenteration of the nasal cavity in dogs with intranasal neoplasia: 53 cases (1990-2002). J Am Vet Med Assoc 2005; 227: 936-941. https://doi.org/10.2460/javma.2005.227.936
  2. Elmslie RE, Glawe P, Dow SW. Metronomic therapy with cyclophosphamide and piroxicam effectively delays tumor recurrence in dogs with incompletely resected soft tissue sarcomas. J Vet Intern Med 2008; 22: 1373-1379. https://doi.org/10.1111/j.1939-1676.2008.0179.x
  3. Hahn KA, Knapp DW, Richardson RC, Matlock CL. Clinical response of nasal adenocarcinoma to cisplatin chemotherapy in 11 dogs. J Am Vet Med Assoc 1992; 200: 355-357.
  4. Henry CJ, Brewer WG, Tyler JW, Brawner WR, Henderson RA, Hankes GH, Royer N. Survival in dogs with nasal adenocarcinoma: 64 cases (1981-1995). J Vet Intern Med 1998; 12: 436-439. https://doi.org/10.1111/j.1939-1676.1998.tb02147.x
  5. London C, Mathie T, Stingle N, Clifford C, Haney S, Klein MK, Beaver L, Vickery K, Vail DM, Hershey B, Ettinger S, Vaughan A, Alvarez F, Hillman L, Kiselow M, Tgamm D, Higginbotham ML, Gauthier M, Krick E, Phillips B, Ladue T, Jones P, Bryan J, Gill V, Novasad A, Fulton L, Carreras J, McNeill C, Henry C, Gillings S. Preliminary evidence for biologic activity of toceranib phosphate (Palladia(R)) in solid tumours. Vet Comp Oncol 2012; 10: 194-205. https://doi.org/10.1111/j.1476-5829.2011.00275.x
  6. London CA. Tyrosine kinase inhibitors in veterinary medicine. Top Companion Anim Med 2009; 24: 106-112. https://doi.org/10.1053/j.tcam.2009.02.002
  7. MacEwen EG, Withrow SJ, Patnaik AK. Nasal tumors in the dog: retrospective evaluation of diagnosis, prognosis, and treatment. J Am Vet Med Assoc 1977; 170: 45-48.
  8. Malinowski C. Canine and feline nasal neoplasia. Clin Tech Small Anim Pract 2006; 21: 89-94. https://doi.org/10.1053/j.ctsap.2005.12.016
  9. Mutsaers AJ. Metronomic chemotherapy. Top Companion Anim Med 2009; 24: 137-143. https://doi.org/10.1053/j.tcam.2009.03.004
  10. Seo KW, Lee HW, Oh YI, Ahn JO, Koh YR, Oh SH, Kang SK, Youn HY. Anti-tumor effects of canine adipose tissue-derived mesenchymal stromal cell-based interferon-beta gene therapy and cisplatin in a mouse melanoma model. Cytotherapy 2011; 13: 944-955. https://doi.org/10.3109/14653249.2011.584864
  11. Theon AP, Madewell BR, HarbMF, Dungworth DL. Megavoltage irradiation of neoplasms of the nasal and paranasal cavities in 77 dogs. J Am Vet Med Assoc 1993; 202: 1469-1475.