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
Main Authors 及川, 嗣章, 木内, 充, 飯塚, 邦洋, 畠山, 洋之, 佐藤, 敏彦, 太田, 宣浩, 高澤, 和子, 阿部, 泰朗
Format Journal Article
LanguageJapanese
Published 一般社団法人 日本獣医麻酔外科学会 2020
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ISSN2189-6623
2189-6631
DOI10.2327/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。
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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  fullname: 飯塚, 邦洋
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  fullname: 畠山, 洋之
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  fullname: 佐藤, 敏彦
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  fullname: 太田, 宣浩
  organization: アルフ動物病院
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  fullname: 高澤, 和子
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13) Gaeta, R., Brown, D., Cohen, R. and Sorenmo, K. (2014): Risk factors for development of sterile hemorrhagic cystitis in canine lymphoma patients receiving oral cyclophosphamide: a case-control study. Vet. Comp. Oncol. 12: 277–286.
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– 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.
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– 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.
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– 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.
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– 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. Comp. Oncol. 14: 270–280.
– reference: 37) Sayasith, K., Sirois, J. and Dore, M. (2009): Molecular characterization of feline COX-2 and expression in feline mammary carcinomas. Vet. Pathol. 46: 423–429.
– reference: 42) Sugiura, S., Asano, M., Kinoshita, K., Tanimura, M. and Nabeshima, T. (2011): Risks to health professionals from hazardous drugs in Japan: A pilot study of environmental and biological monitoring of occupational exposure to cyclophosphamide. J. Oncol. Pharm. Pract. 17: 14–19.
– reference: 15) Galbraith, E. A. and McKellar, Q. A. (1991): Pharmacokinetics and pharmacodynamics of piroxicam in dogs. Vet. Rec. 128: 561–565.
– reference: 6) Carlos, E., Fonseca, A. and Sabryna, G. C. (2016): Metronomic chemotherapy in small animal practice: An update. Asian Journal of Animal and Veterinary Advances. 11: 17–23.
– reference: 13) Gaeta, R., Brown, D., Cohen, R. and Sorenmo, K. (2014): Risk factors for development of sterile hemorrhagic cystitis in canine lymphoma patients receiving oral cyclophosphamide: a case-control study. Vet. Comp. Oncol. 12: 277–286.
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Snippet 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...
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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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Volume 51
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