冷冻手术治疗犬化疗耐药TVT 1例报告

R. R. Huppes, Thaís Akelli Sanchez Kovacs, Rodrigo de Oliveira Mattosinho, P. Marcusso, Emanuel Onofre de Souza Guedes, J. M. Pazzini, A. Sprada, F. W. D. Souza, R. Paolozzi
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摘要

一只体重26公斤的7岁雄性狗出现包皮浆液性分泌物和阴茎球茎区域菜花样肿块,在兽医学校医院就诊。肿块出血性易碎。细胞病理学检查显示为浆细胞样传染性性病瘤。开始抗肿瘤化疗,联合吡罗昔康(0.3 mm/kg,间隔48小时)和硫酸长春新碱(0.75 mg/m2,每7天)。由于8个化疗周期后未观察到肿瘤消退,因此采用阿霉素作为新的治疗方案(30mg /m2 / 21天)。没有观察到任何改善。因此,我们尝试了三个周期的冷冻手术,使用一个带有闭路尖端的crry - ac设备。术后21天观察肿瘤完全缓解。
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Cryosurgery as treatment for chemoresistent TVT in a dog – case report
A seven-year-old 26 kg male dog presenting preputial serosanguineous discharge and a cauliflower-like mass on the penile bulb region was attended at a veterinary school hospital. The mass was hemorrhagic and friable. Cytopathological examination disclosed a plasmacytoid transmissible venereal tumor. Antineoplastic chemotherapy was initiated, associating piroxicam (0.3 mm/kg at 48 hour intervals) and vincristine sulfate (0.75 mg/m2 each seven days). Since no tumor regression was observed after eight chemotherapy cycles, doxorubicin was implemented as a new therapeutic protocol (30 mg/m2 each 21 days). No improvement was observed. Thus, three cycles of cryosurgery were attempted, using a Cry-Ac equipment with closed-circuit tip. Total remission of the tumor was observed 21 days post-surgery.
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