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Combination Therapy of Prednisolone and Toceranib Phosphate in a Dog with Malignant Metastatic Insulinoma

  • Kang, Yeo-Lim (Department of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University) ;
  • Park, Hee-Myung (Department of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University) ;
  • Kang, Min-Hee (Department of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University)
  • 투고 : 2018.08.10
  • 심사 : 2018.09.14
  • 발행 : 2018.10.31

초록

A 14-year-old intact female Yorkshire terrier was presented with a 2-month history of shivering, intermittent pelvic limb weakness and collapse. Biochemical abnormalities revealed inappropriately increased serum insulin concentration with persistent hypoglycemia. Abdominal ultrasound revealed multiple various sized nodules in liver and fine-needle aspirates of the nodule showed typical neuroendocrine cells with high cellularity. Computed tomography (CT) revealed well-defined hyperattenuating mass in the right pancreatic lobe with homogenous enhancement. CT findings were consistent with a pancreatic tumor with malignant metastasis. Treatment was initiated with low-dose prednisolone and toceranib phosphate. The dog was maintained stable with no more progression of clinical signs and it is worth to try toceranib phosphate in a dog with metastatic insulinoma for improving the quality of life.

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참고문헌

  1. Bailey DB, Page RL. Tumors of the endocrine system. In: Withrow SJ, Vail DM, editor. Withrow & MacEwen's small animal clinical oncology, 5th ed. Philadelphia: Saunders. 2013: 519-521.
  2. Caywood DD, Klausner JS, O'leary TP, Withrow SJ, Richardson RC, Harvey HJ, Norris AM, Henderson RA, Johnston SD. Pancreatic insulin-secreting neoplasms: clinical, diagnostic, and prognostic features in 73 dogs. J Am Anim Hosp Assoc 1988; 24: 577-584.
  3. Chen J, Wang C, Han J, Luan Y, Cui Y, Shen R, Sha D, Cong L, Zhang Z, Wang W. Therapeutic effect of sunitinib malate and its influence on blood glucose concentrations in a patient with metastatic insulinoma. Expert Rev Anticancer Ther 2013; 13: 737-743. https://doi.org/10.1586/era.13.45
  4. de Herder WW, van Schaik E, Kwekkeboom D, Feelders RA. New therapeutic options for metastatic malignant insulinomas. Clin Endocrinol 2011; 75: 277-284. https://doi.org/10.1111/j.1365-2265.2011.04145.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, Thamm 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) in solid tumors. Vet Comp Oncol 2012; 10: 194-205. https://doi.org/10.1111/j.1476-5829.2011.00275.x
  6. Madarame H, Kayanuma H, Shida T, Tsuchiya R. Retrospective study of canine insulinomas: eight cases (2005-2008). J Vet Med Sci 2009; 71: 905-911. https://doi.org/10.1292/jvms.71.905
  7. Northrup NC, Rassnick KM, Gieger TL, Kosarek CE, McFadden CW, Rosenberg MP. Prospective evaluation of biweekly streptozotocin in 19 dogs with insulinoma. J Vet Intern Med 2013; 27: 483-490. https://doi.org/10.1111/jvim.12086
  8. Okabayashi T, Shima Y, Sumiyoshi T, Kozuki A, Ito S, Ogawa Y, Kobayashi M, Hanazaki K. Diagnosis and management of insulinoma. World J Gastroenterol 2013; 19: 829-837. https://doi.org/10.3748/wjg.v19.i6.829
  9. Polton GA, White RN, Brearley MJ, Eastwood JM. Improved survival in a retrospective cohort of 28 dogs with insulinoma. J Small Anim Pract 2007; 48: 151-156. https://doi.org/10.1111/j.1748-5827.2006.00187.x
  10. Siliart B, Stambouli F. Laboratory diagnosis of insulinoma in the dog: a retrospective study and a new diagnostic procedure. J Small Anim Pract 1996; 37: 367-370. https://doi.org/10.1111/j.1748-5827.1996.tb02416.x
  11. Vinik AI, Raymond E. Pancreatic neuroendocrine tumors: approach to treatment with focus on sunitinib. Ther Adv Gastroenterol 2013; 6: 396-411. https://doi.org/10.1177/1756283X13493878