メトロノーム療法による術後補助的化学療法を行った犬の悪性腫瘍28例
28頭の犬の悪性腫瘍症例に術後補助的化学療法として、CPMを10~35 mg/m2およびピロキシカム0.3 mg/㎏をそれぞれ一日おきに投与する低用量メトロノーム療法を行い、腫瘍抑制効果ならびに出血性膀胱炎(SHC)の症状である血尿および膀胱炎症状の発現について評価した。その結果、脾臓血管肉腫、膀胱移行上皮癌では従来と同等の効果が得られたが、低用量メトロノーム療法の効果はみられなかった。また、外科切除の成否が予後を左右する重要な因子であることが再確認された。SHCに関しては、膀胱移行上皮癌2頭を除く26頭中3頭(11.5%)で血尿および膀胱炎症状が認められたが、CPMの投与量、投与期間と血尿の...
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Published in | 日本獣医麻酔外科学雑誌 Vol. 51; no. 2; pp. 16 - 22 |
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Main Authors | , , , , , , , |
Format | Journal Article |
Language | Japanese |
Published |
一般社団法人 日本獣医麻酔外科学会
2020
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Subjects | |
Online Access | Get full text |
ISSN | 2189-6623 2189-6631 |
DOI | 10.2327/jjvas.51.16 |
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Abstract | 28頭の犬の悪性腫瘍症例に術後補助的化学療法として、CPMを10~35 mg/m2およびピロキシカム0.3 mg/㎏をそれぞれ一日おきに投与する低用量メトロノーム療法を行い、腫瘍抑制効果ならびに出血性膀胱炎(SHC)の症状である血尿および膀胱炎症状の発現について評価した。その結果、脾臓血管肉腫、膀胱移行上皮癌では従来と同等の効果が得られたが、低用量メトロノーム療法の効果はみられなかった。また、外科切除の成否が予後を左右する重要な因子であることが再確認された。SHCに関しては、膀胱移行上皮癌2頭を除く26頭中3頭(11.5%)で血尿および膀胱炎症状が認められたが、CPMの投与量、投与期間と血尿の発現には明らかな関連性はみられなかった。しかしながら、投与量が最も多かった1例が重度なSHCを発症していることから、投与量は重要な発生因子になると思われた。 |
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AbstractList | 28頭の犬の悪性腫瘍症例に術後補助的化学療法として、CPMを10~35 mg/m2およびピロキシカム0.3 mg/㎏をそれぞれ一日おきに投与する低用量メトロノーム療法を行い、腫瘍抑制効果ならびに出血性膀胱炎(SHC)の症状である血尿および膀胱炎症状の発現について評価した。その結果、脾臓血管肉腫、膀胱移行上皮癌では従来と同等の効果が得られたが、低用量メトロノーム療法の効果はみられなかった。また、外科切除の成否が予後を左右する重要な因子であることが再確認された。SHCに関しては、膀胱移行上皮癌2頭を除く26頭中3頭(11.5%)で血尿および膀胱炎症状が認められたが、CPMの投与量、投与期間と血尿の発現には明らかな関連性はみられなかった。しかしながら、投与量が最も多かった1例が重度なSHCを発症していることから、投与量は重要な発生因子になると思われた。 |
Author | 及川, 嗣章 飯塚, 邦洋 高澤, 和子 阿部, 泰朗 畠山, 洋之 木内, 充 太田, 宣浩 佐藤, 敏彦 |
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References_xml | – reference: 19) Khan, K. N., Knapp, D. W., Denicola, D. B. and Harris, R. K. (2000): Expression of cyclooxygenase-2 in transitional cell carcinoma of the urinary bladder in dogs. Am. J. Vet. Res. 61: 478–481. – reference: 20) Klement, G., Baruchel, S., Rak, J., Man, S., Clark, K., Hicklin, D. J., Bohlen, P. and Kerbel, R. S. (2000): Continuous low-dose therapy with vinblastine and VEGF receptor-2 antibody induces sustained tumor regression without overt toxicity. J. Clin. Invest. 105: R15–24. – reference: 3) Best, M. P. and Fry, D. R. (2013): Incidence of sterile hemorrhagic cystitis in dogs receiving cyclophosphamide orally for three days without concurrent furosemide as part of a chemotherapeutic treatment for lymphoma: 57 cases (2007–2012). J. Am. Vet. Med. Assoc. 243: 1025–1029. – reference: 43) 田村 悠,丹羽昭博,松田一哉,遠藤能史,廉澤 剛 (2017): 原発性肺腺癌の肺転移病巣に対してリン酸トセラニブによる長期治療を行った犬の1例.日獣会誌70: 52–55. – reference: 14) Gardner, H. L., London, C. A., Portela, R. A., Nguyen, S., Rosenberg, M. P., Klein, M. K., Clifford, C., Thamm, D. H., Vail, D. M., Bergman, P., Crawford-Jakubiak, M., Henny, C., Locke, J. and Garrett, L. D. (2015): Maintenance therapy with toceranib following doxorubicin-based chemotherapy for canine splenic hemangiosarcoma. BMC Vet. Res. 11: 131. – reference: 32) Norris, A. M., Laing, E. J., Valli, V. E., Withrow, S. J., Macy, D. W., Ogilvie, G. K., Tomlinson, J., McCaw, D., Pidgeon, G. and Jacobs, R. M. (1992): Canine bladder and urethral tumors: a retrospective study of 115 cases (1980–1985). J. Vet. Intern. Med. 6: 145–153. – reference: 7) Chan, C. M., Frimberger, A. E. and Moore, A. S. (2016): Incidence of sterile hemorrhagic cystitis in tumor-bearing dogs concurrently treated with oral metronomic cyclophosphamide chemotherapy and furosemide: 55 cases (2009–2015). J. Am. Vet. Med. Assoc. 249: 1408–1414. – reference: 8) Charney, S. C., Bergman, P. J., Hohenhaus, A. E. and McKnight, J. A. (2003): Risk factors for sterile hemorrhagic cystitis in dogs with lymphoma receiving cyclophosphamide with or without concurrent administration of furosemide: 216 cases (1990–1996). J. Am. Vet. Med. Assoc. 222: 1388–1393. – reference: 24) Lana, S., U’ren, U., Plaza, S., Elmslie, R., Gustafson, D., Morley, P. and Dow, S.(2007): Continuous low-dose oral chemotherapy for adjuvant therapy of splenic hemangiosarcoma in dogs. J. Vet. Intern. Med. 21: 764–769. – reference: 31) 桃井康行(監訳) (2006): 犬の腫瘍,pp. 116–135. インターズー,東京. – reference: 38) Setyo, L., Ma, M., Bunn, T., Wyatt, K. and Wang, P. (2017): Furosemide for prevention of cyclophosphamide-associated sterile haemorrhagic cystitis in dogs receiving metronomic low-dose oral cyclophosphamide. Vet. Comp. Oncol. 15: 1468–1478. – reference: 16) Hammer, A. S., Couto, C. G., Filppi, J., Getzy, D. and Shank, K. (1991): Efficacy and toxicity of VAC chemotherapy (vincristine, doxorubicin, and cyclophosphamide) in dogs with hemangiosarcoma. J. Vet. Intern. Med. 5: 160–166. – reference: 34) Polton, G., Finotello, R., Sabattini, S., Rossi, F., Laganga, P.,Vasconi, M. E., Barbanera, A., Stiborova, K., Rohrer, Bley, C. and Marconato, L. (2018): Survival analysis of dogs with advanced primary lung carcinoma treated by metronomic cyclophosphamide, piroxicam and thalidomide. Vet. Comp. Oncol. 16: 399–408. – reference: 23) Knottenbelt, C., Mellor, D., Nixon, C., Thompson, H. and Argyle, D. J. (2006): Cohort study of COX-1 and COX-2 expression in canine rectal and bladder tumors. J. Small Anim. Pract. 47: 196–200. – reference: 1) Alexander, C. K., Cronin, K. L., Silver, M., Gardner, H. L. and London, C. (2019): The addition metronomic chemotherapy does not improve outcome for canine splenic haemangiosarcoma. J. Small Anim. Pract. 60: 32–37. – reference: 30) Millanta, F. Asproni, P. Canale, A. Citi, S. and Poli, A. (2016): COX-2, mPGES-1, and EP2 receptor immunohistochemical expression in canine and feline malignant mammary tumors. Vet. 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SubjectTerms | 低用量メトロノーム療法 出血性膀胱炎 |
Title | メトロノーム療法による術後補助的化学療法を行った犬の悪性腫瘍28例 |
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