• 제목/요약/키워드: lomustine (CCNU)

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개에서 발생한 두개내 수막종에 대한 로무스틴 치료 증례 (Long-Term Chemotherapy with Lomustine of Intracranial Meningioma in a Dog)

  • 박형진;이대용;서경원;손화영;송근호
    • 한국임상수의학회지
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    • 제29권4호
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    • pp.328-330
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    • 2012
  • 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.

Surgery and Metronomic Chemotherapy in a Pet Rabbit (Oryctolagus cuniculus) with Mammary Gland Adenocarcinoma

  • Jihee Hong;Jeong-Min Lee;Ji-Young Lee;Han-Joon Lee;Dong-Kwan Lee;Joong-Hyun Song;Kun-Ho Song
    • 한국임상수의학회지
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    • 제40권6호
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    • pp.445-451
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    • 2023
  • An 8-year-old female pet rabbit presented at the veterinary clinic for mammary gland palpation due to the presence of a mass. Upon physical examination, a mass was identified in the left fourth mammary gland. Abdominal ultrasonography revealed a 3 × 2 cm mass in the right uterus and general thickening of the endometrium, suggesting uterine sinusitis. Multiple pulmonary nodules suspected to be metastatic lesions were identified on chest radiography. Surgery was performed to mastectomy and ovariohysterectomy (OHE). The histopathological examination of the tumor revealed mammary gland adenocarcinoma (simple-type) with multiple nodules consisting of the proliferation of tumor cells forming tubules containing secretory materials, cellular debris, and solid nests with a central area of necrosis. Metronomic chemotherapy was performed with cyclophosphamide and lomustine (CCNU) based on the histopathological findings. The quality of life has been well maintained, with no specific clinical symptoms observed for 8 months after metronomic chemotherapy. To the best of authors' knowledge, this study is the first to examine the effects of metronomic chemotherapy with cyclophosphamide and lomustine in a pet rabbit.

Long-term Chemotherapy with Lomustine Plus Hydroxyurea for Choroid Plexus Papilloma in a Schnauzer Dog

  • Jung, Dong-In;Song, Joong-Hyun;Jung, Hae-Won;An, Su-Jin;Hwang, Tae-Sung;Lee, Hee-Chun;Sur, Jung-Hyang;Cho, Kyu-Woan
    • 한국임상수의학회지
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    • 제34권2호
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    • pp.94-97
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    • 2017
  • A 10-year-old male Schnauzer dog presented with a 1-week history of ataxia, right-sided hemiparesis, and right-sided head tilt. On the basis of magnetic resonance imaging (MRI) with neurological examination and cerebrospinal fluid analysis results, a primary brain tumor was suspected. Therapy with imatinib mesylate plus hydroxyurea for 7 weeks was not effective and clinical signs worsened. Chemotherapy was then changed to lomustine plus hydroxyurea. Although the existing clinical signs continued, they did not deteriorate. No change in mass size was observed in subsequent MRI. The subject suddenly died from dyspnea 388 days after initial presentation. In this case, choroid plexus papilloma was definitively diagnosed based on histopathological findings.

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

  • Song, Joong-Hyun;Yu, Do-Hyeon;Hwang, Tae-Sung;Lee, Hee-Chun;An, Su-Jin;Sur, Jung-Hyang;Kim, Young Joo;Jung, Dong-In
    • 한국임상수의학회지
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    • 제36권3호
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    • pp.180-183
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    • 2019
  • 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.

CCNU, Vinblastine과 Prednisone으로 병용 치료한 요크셔 테리어 개의 Grade II 피부 비만세포종 증례 (CCNU, Vinblastine and Prednisone Treatment for Grade II Dermal Mast Cell Tumor in a Yorkshire terrier dog)

  • 서경원;이종복;김성수;방동하;정진영;황철용;김대용;윤화영;이창우
    • 한국임상수의학회지
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    • 제24권4호
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    • pp.618-621
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    • 2007
  • 11살의 중성화 수컷 요크셔 테리어 개가 오른쪽 서혜 부위에 다발성의 Plaque를 주증으로 내원하였다. 조직학적 검사를 통해 grade II의 비만 세포종으로 진단되었다. 초기 치료는 Vinblastine과 Prednisone을 사용하였다. 그러나 치료 반응이 좋지 않아 Lomustine(CCNU)를 첨가한 공격적인 치료를 실시하였다. CCNU, Vinblastine, PDS를 이용한 치료 5주 후에 병변은 개선되었다. 4차 항암치료 시 중등도의 백혈구 감소 증을 나타내었고, 이에 대한 개선 처치 후에, 같은 프로토콜을 적용한 항암치료를 실시하였으나, 병변이 개선되지 않았다. 이후, 환자의 전신적인 상태가 나빠져 보호자의 요청에 의해 안락사 하였으나 부검은 실시하지 못하였다. 환자의 생존기간은 항암치료 개시 후 330일 이었다.

Chemotherapeutic Management in a Labrador Retriever with Cutaneous Nonepitheliotropic B-cell Lymphoma

  • Hong, Il-Hwa;Kim, Min-Ju;Song, Joong-Hyun;Hwang, Tae-Sung;Lee, Hee-Chun;Yu, Do-Hyeon;Kang, Byeong-Teck;Jung, Dong-In
    • 한국임상수의학회지
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    • 제35권4호
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    • pp.150-154
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    • 2018
  • A 9-month-old, castrated, male Labrador Retriever was referred for generalized progressing cutaneous reddish mass lesions with bleeding, scale, crust, and pruritus. On the basis of histopathological findings and the results of immunochemical staining, cutaneous nonepitheliotropic B-cell lymphoma was identified. A cyclophosphamide-doxorubicin-vincristine-prednisolone (CHOP)-based chemotherapy regimen was initiated, and the patient initially showed partial response to vincristine and $\text\tiny{L}$-asparaginase, but the cutaneous lesions progressed gradually. After the first cycle of the CHOP-based protocol, lomustine was administered instead. The cutaneous lesions showed partial response to lomustine, but the treatment did not stop the progression of cutaneous lymphoma. The patient was euthanized due to neurologic signs, including reduced consciousness and seizures, 53 days after initial presentation. The postmortem histopathological examination showed systemic metastasis involving the lymph nodes, skin, kidney, ureter, liver, brain, temporal muscle, diaphragmatic muscle, conjunctiva, and oral cavity.

치와와견에서 발생한 비강 신경내분비암종의 침윤에 의한 이차적인 뇌종양 증례; 자기공명영상과 조직학적 특성 (Secondary Brain Tumor Caused by Infiltration of Nasal Neuroendocrine Carcinoma in a Chihuahua Dog: Clinical, Magnetic Resonance Imaging and Histopathological Findings)

  • 정동인;강병택;김주원;김하정;박희명
    • 한국임상수의학회지
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    • 제27권2호
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    • pp.186-189
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    • 2010
  • 14년 령의 암컷 치와와견이 발작증세 및 좌측으로의 선회운동 증상을 보여 내원하였다. 신경검사결과 좌측 대뇌 병변이 의심되어 자기공명영상 촬영을 실시하여 좌측 비강에서 좌측 대뇌로 파급된 병변을 확인하였다. 영상 분석 상에서 비강 내에서 유래된 2차적인 뇌종양이 강력하게 의심되었다. 환자의 증상은 프레드니솔론과 로무스틴의 혼합치료 후 상당히 개선되었고 진단 후 2개월간 생존하였다. 조직 검사 결과 비강에서 유래한 신경내분비암종으로 확진되었다. 본 증례보고는 개에서 발생한 비강유래 신경내분비암종의 침윤에 의한 2차적인 뇌종양의 임상적인 특징, 영상 진단 결과, 그리고 조직학적인 특성을 잘 보여주고 있다.