DOI QR코드

DOI QR Code

Lomustine Plus Hydroxyurea Chemotherapy for Primary Intramedullary Spinal Cord Tumor in a Maltese Dog

  • Song, Joong-Hyun (Institute of Animal Medicine, College of Veterinary Medicine, Gyeongsang National University) ;
  • Yu, Do-Hyeon (Institute of Animal Medicine, College of Veterinary Medicine, Gyeongsang National University) ;
  • Hwang, Tae-Sung (Institute of Animal Medicine, College of Veterinary Medicine, Gyeongsang National University) ;
  • Lee, Hee-Chun (Institute of Animal Medicine, College of Veterinary Medicine, Gyeongsang National University) ;
  • An, Su-Jin (Institute of Animal Medicine, College of Veterinary Medicine, Gyeongsang National University) ;
  • Sur, Jung-Hyang (Department of Pathobiology, Small Animal Tumor Diagnostic Center, College of Veterinary Medicine, Konkuk University) ;
  • Kim, Young Joo (College of Veterinary Medicine, Western University of Health Sciences) ;
  • Jung, Dong-In (Institute of Animal Medicine, College of Veterinary Medicine, Gyeongsang National University)
  • Received : 2019.03.25
  • Accepted : 2019.06.03
  • Published : 2019.06.30

Abstract

A 7-year-old, male Maltese dog with a body weight of 2.8 kg was presented with a history of hind limbs ataxia that progressed to tetraparesis over a one-month period. Based on physical and neurological examinations, tetraparesis with concomitant UMN signs, kyphosis and severe neck pain were identified. On MRI scan, we tentatively diagnosed this patient as a primary intramedullary spinal cord tumor. Therapy with lomustine plus hydroxyurea and prednisolone was initiated and the clinical signs rapidly improved. The patient was regularly checked by MRI scan and the range of the mass was gradually reduced to complete remission for 11 months. About 19 months after treatment, the patient showed anemia and hematochezia which suspected as adverse effects of chemotherapy. The condition was getting worse over 2 months and the patient suddenly expired 657 days after initial presentation. On histopathological examination, the spinal cord sample was identified as a neuronal atrophy without evidence of tumor cell.

Keywords

References

  1. Bagley RS. Spinal neoplasms in small animals. Vet Clin North Am Small Anim Pract 2010; 40: 915-927. https://doi.org/10.1016/j.cvsm.2010.05.010
  2. Besalti O, Caliskan M, Can P, Vural SA, Algin O, Ahlat O. Imaging and surgical outcomes of spinal tumors in 18 dogs and one cat. J Vet Sci 2016; 17: 225-234. https://doi.org/10.4142/jvs.2016.17.2.225
  3. Clemmons R, Gorman N, Calderwood M. Lumbar epidural chondrosarcoma in a dog treated by excision and chemotherapy. J Am Vet Med Assoc 1983; 183: 1006-1007.
  4. Dewey CW, da Costa RC. Principles and application of magnetic resonance imaging. In: Practical guide to canine and feline neurology, 3rd ed. New jersy: John Wiley & Sons. 2015: 87-125.
  5. Jung DI, Lim CY, Kang BT, Kim JW, Yoo JH, Park HM. Long-term chemotherapy with hydroxyurea in a dog with suspected intracranial meningioma. J Vet Clin 2008; 25: 514-517.
  6. Jung DI, Kim HJ, Park 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
  7. Kippenes H, Gavin PR, Bagley RS, Silver GM, Tucker RL, Sande RD. Magnetic resonance imaging features of tumors of the spine and spinal cord in dogs. Vet Radiol Ultrasound 1999; 40: 627-633. https://doi.org/10.1111/j.1740-8261.1999.tb00890.x
  8. Leifer C, Matus R, Patnaik A, MacEwen E. Chronic myelogenous leukemia in the dog. J Am Vet Med Assoc 1983; 183: 686-689.
  9. Levy MS, Kapatkin AS, Patnaik AK, Mauldin GN, Mauldin GE. Spinal tumors in 37 dogs: clinical outcome and long-term survival (1987-1994). J Am Anim Hosp Assoc 1997; 33: 307-312. https://doi.org/10.5326/15473317-33-4-307
  10. Liebel FX, Rossmeisl JH, Jr., Lanz OI, Robertson JL. Canine spinal nephroblastoma: long-term outcomes associated with treatment of 10 cases (1996-2009). Vet Surg 2011; 40: 244-252. https://doi.org/10.1111/j.1532-950X.2010.00789.x
  11. Mamom T, Meyer-Lindenberg A, Hewicker-Trautwein M, Baumgartner W. Oligodendroglioma in the cervical spinal cord of a dog. Vet Pathol 2004; 41: 524-526. https://doi.org/10.1354/vp.41-5-524
  12. Motta L, Mandara MT, Skerritt GC. Canine and feline intracranial meningiomas: an updated review. Vet J 2012; 192: 153-165. https://doi.org/10.1016/j.tvjl.2011.10.008
  13. Pancotto TE, Rossmeisl JH, Jr., Zimmerman K, Robertson JL, Werre SR. Intramedullary spinal cord neoplasia in 53 dogs (1990-2010): distribution, clinicopathologic characteristics, and clinical behavior. J Vet Intern Med 2013; 27: 1500-1508. https://doi.org/10.1111/jvim.12182
  14. Petersen SA, Sturges BK, Dickinson PJ, Pollard RE, Kass PH, Kent M, Vernau KM, Lecouteur RA, Higgins RJ. Canine intraspinal meningiomas: imaging features, histopathologic classification, and long-term outcome in 34 dogs. J Vet Intern Med 2008; 22: 946-953. https://doi.org/10.1111/j.1939-1676.2008.0106.x
  15. Plumb DC. Plumb's veterinary drug handbook, 9th ed. New Jersey: Wiley-Blackwell. 2018.
  16. Tamura S, Tamura Y, Ohoka A, Hasegawa T, Uchida K. A canine case of skull base meningioma treated with hydroxyurea. J Vet Med Sci 2007; 69: 1313-1315. https://doi.org/10.1292/jvms.69.1313
  17. Ueno H, Morimoto M, Kobayashi Y, Hizume T, Murayama N, Uzuka Y. Surgical and radiotherapy treatment of a spinal cord ependymoma in a dog. Aust Vet J 2006; 84: 36-39. https://doi.org/10.1111/j.1751-0813.2006.tb13121.x
  18. Wen BC, Hussey DH, Hitchon PW, Schelper RL, Vigliotti AP, Doornbos JF, VanGilder JC. The role of radiation therapy in the management of ependymomas of the spinal cord. Int J Radiat Oncol Biol Phys 1991; 20: 781-786. https://doi.org/10.1016/0360-3016(91)90023-W
  19. Wisner E, Zwingenberger A. Vertebral Column & Spinal Cord. In: Atlas of small animal CT and MRI, 1st ed. New Jersey: John Wiley & Sons. 2015: 280-386.
  20. Wright JA, Bell D, Clayton-jones D. The clinical and radiological features associated with spinal tumours in thirty dogs. J Small Anim Pract 1979; 20: 461-472. https://doi.org/10.1111/j.1748-5827.1979.tb06751.x
  21. Zaki FA, Prata RG, Hurvitz AI, Kay WJ. Primary tumors of the spinal cord and meninges in six dogs. J Am Vet Med Assoc 1975; 166: 511-517.