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Combination Chemotherapy of Carboplatin and Cyclophosphamide in a Dog with Mammary Tumors Metastasized to the Lungs

  • Ryu, Jae-June (Laboratory of Veterinary Theriogenology, Veterinary Medical Center and College of Veterinary Medicine, Chungbuk National University) ;
  • Kim, Ill-Hwa (Laboratory of Veterinary Theriogenology, Veterinary Medical Center and College of Veterinary Medicine, Chungbuk National University) ;
  • Hwang, Dae-Youn (Department of Biomaterials Science, Pusan National University) ;
  • Kang, Hyun-Gu (Laboratory of Veterinary Theriogenology, Veterinary Medical Center and College of Veterinary Medicine, Chungbuk National University)
  • 투고 : 2016.11.01
  • 심사 : 2016.12.23
  • 발행 : 2016.12.30

초록

In the present case, the effect and toxicity of carboplatin and cyclophosphamide chemotherapy combined with surgery of mammary tumors in a dog were examined. An 8-year old spayed female Beagle presented with a mammary tumor. Physical examination, radiography, ultrasonography, computed tomography (CT), and laboratory examination were performed. Metastasis of the mammary tumor was confirmed by CT scan. Chemotherapy using a combination of carboplatin and cyclophosphamide was initiated following surgery. The first cycle of chemotherapy was planned to last for 6 weeks; it was planned that carboplatin would be intravenously administered for the first week (1 day) and cyclophosphamide would be intravenously administered for the next 3 weeks (22 days). Between the end of cycle 1 and the beginning of cycle 2, based on CT, it was confirmed that the number and size of tumors were unchanged and the tumors had not spread to other organs. However, at the end of cycle 2 and the beginning of cycle 3, CT revealed an increase in the number and size of mass in the lung. Chemotherapy was associated with adverse effects such as lethargy, anorexia, leukopenia, and hair loss. In conclusion, this case showed that a combination of carboplatin and cyclophosphamide suppressed the development of new neoplasms as well as metastasis for a certain period of time but did not improve the survival time. Although more cases are required, this chemotherapeutic procedure remains challenging.

키워드

참고문헌

  1. Carter SK, Livingston RB. Drugs available to treat cancer. In: Principles of Cancer Treatment. New York: McGraw-Hill. 1981; 111-145.
  2. Coakley FV, Cohen MD, Johnson MS, Gonin R, Hanna MP. Maximum intensity projection images in the detection of simulated pulmonary nodules by spiral CT. Br J Radiol 1998; 71: 135-140. https://doi.org/10.1259/bjr.71.842.9579176
  3. Hahn KA, Richardson RC, Knapp DW. Canine malignant breast neoplasia: Biological behavior, diagnosis, and treatment alternatives. J Am Anim Hosp Assoc 1992; 28: 251-256.
  4. Hammer AS, Couto CG, Filppi J, Getzy D, Shank K. Efficacy and toxicity of VAC chemotherapy (vincristine, doxorubicin, and cyclophosphamide) in dogs with hemangiosarcoma. J Vet Intern Med 1991; 5: 160-166. https://doi.org/10.1111/j.1939-1676.1991.tb00943.x
  5. Haskell CM. Drugs used in cancer chemotherapy. In: Cancer Treatment, 2nd ed. Philadelphia: WB Saunders. 1985; 88-90.
  6. Karayannopoulou M, Kaldrymidou E, Constantinidis TC, Dessiris A. Adjuvant post-operative chemotherapy in bitches with mammary cancer. J Vet Med A Physiol Pathol Clin Med 2001; 48: 85-96 https://doi.org/10.1046/j.1439-0442.2001.00336.x
  7. Kisseberth WC, Vail DM, Yaissle J, Jeglum KA, Couto CG, Ward H, Khanna C, Obradovich JE. Phase I clinical evaluation of carboplatin in tumor-bearing cats: a veterinary cooperative oncology group study. J Vet Intern Med 2008; 22: 83-88 https://doi.org/10.1111/j.1939-1676.2007.0017.x
  8. MacEwen EG, Kurzman ID, Helfand S, Vail D, London C, Kisseberth W, Rosenthal RC, Fox LE, Keller ET, Obradovich J. Current studies of liposome muramyl tripeptide (CGP 19835A Lipid) therapy for metastasis in spontaneous tumors: a progress review. J Drug Target 1994; 2: 391-396. https://doi.org/10.3109/10611869408996814
  9. Mauldin GN, Matus RE, Patnaik AK, Bond BR, Mooney SC. Efficacy and toxicity of doxorubicin and cyclophosphamide used in the treatment of selected malignant tumors in 23 cats. J Vet Intern Med 1988; 2: 60-65. https://doi.org/10.1111/j.1939-1676.1988.tb02794.x
  10. Moore A. Treatment choices for oral cancer in cats. What is possible? What is reasonable? J Feline Med Surg 2009; 11: 23-31. https://doi.org/10.1016/j.jfms.2008.11.010
  11. Moulton JE. Tumors in Domestic Animls, 3rd ed. Berkley: University of California Press. 1999; 518-543.
  12. Nemanic S, London CA, Wisner ER. Comparison of thoracic radiographs and single breath-hold helical CT for detection of pulmonary nodules in dogs with metastatic neoplasia. J Vet Intern Med 2006; 20: 508-515. https://doi.org/10.1111/j.1939-1676.2006.tb02889.x
  13. Novosad CA. Principles of treatment for mammary gland tumors. Clin Tech Small Anim Pract 2003; 18: 107-109. https://doi.org/10.1053/svms.2003.36625
  14. Ogilvie GK, Reynolds HA, Richardson RC, Withrow SJ, Norris AM, Henderson RA, Klausner JS, Fowler JD, McCaw D. Phase II evaluation of doxorubicin for treatment of various canine neoplasms. J Am Vet Med Assoc 1989; 195: 1580-1583.
  15. Otoni CC, Rahal SC, Vulcano LC, Ribeiro SM, Hette K, Giordano T, Doiche DP, Amorim RL. Survey radiography and computerized tomography imaging of the thorax in female dogs with mammary tumors. Acta Vet Scand 2010; 52: 20. Available at: http://www.actavetscand.com/content/52/1/20. https://doi.org/10.1186/1751-0147-52-20
  16. Price GS, Page RL, Fischer BM, Levine JF, Gerig TM. Efficacy and toxicity of doxorubicin/cyclophosphamide maintenance therapy in dogs with multicentric lymphosarcoma. J Vet Intern Med 1991; 5: 259-262. https://doi.org/10.1111/j.1939-1676.1991.tb03131.x
  17. Schafer JF, Vollmar J, Schick F, Seemann MD, Kamm P, Erdtmann B, Claussen CD. Detection of pulmonary nodules with breath-hold magnetic resonance imaging in comparison with computed tomography. Rofo 2005; 177: 41-49. https://doi.org/10.1055/s-2004-813857
  18. Selting KA, Powers BE, Thompson LJ, Mittleman E, Tyler JW, Lafferty MH, Withrow SJ. Outcome of dogs with highgrade soft tissue sarcomas treated with and without adjuvant doxorubicin chemotherapy: 39 cases (1996-2004). J Am Vet Med Assoc 2005; 227: 1442-1448. https://doi.org/10.2460/javma.2005.227.1442
  19. Simon D, Schoenrock D, Baumgartner W, Nolte I. Postoperative adjuvant treatment of invasive malignant mammary gland tumors in dogs with doxorubicin and docetaxel. J Vet Intern Med 2006; 20: 1184-1190.
  20. Sorenmo KU, Jeglum KA, Helfand SC. Chemotherapy of canine hemangiosarcoma with doxorubicin and cyclophosphamide. J Vet Intern Med 1993; 7: 370-376. https://doi.org/10.1111/j.1939-1676.1993.tb01033.x
  21. Todorova I, Simeonova G, Simeonov R, Dinev D. Efficacy and toxicity of doxorubicin and cyclophosphamide chemotherapy in dogs with spontaneous mammary tumours. Trakia J Sci 2005; 3: 51-58.
  22. Valerius KD, Ogilvie GK, Mallinckrodt CH, Getzy DM. Doxorubicin alone or in combination with asparaginase, followed by cyclophosphamide, vincristine, and prednisone for treatment of multicentric lymphoma in dogs: 121 cases (1987-1995). J Am Vet Med Assoc 1997; 210: 512-516.
  23. Waters DJ, Coakley FV, Cohen MD, Davis MM, Karmazyn B, Gonin R, Hanna MP, Knapp DW, Heifetz SA: The detection of pulmonary metastases by helical CT: a clinicopathologic study in dogs. J Comput Assist Tomogr 1998; 22: 235-240. https://doi.org/10.1097/00004728-199803000-00014
  24. Yamagami T, Kobayashi T, Takahashi K, Sugiyama M. Prognosis for canine malignant mammary tumors based on TNM and histologic classification. J Vet Med Sci 1996; 58: 1079-1083. https://doi.org/10.1292/jvms.58.11_1079